Bauer O, Kingu R, Laussen T, Mbwana K
Government Hospital, Kondoa, Tanzania.
Int J Gynaecol Obstet. 1988 Dec;27(3):323-5. doi: 10.1016/0020-7292(88)90107-5.
Among 201 primigravidae, pelvic assessment was analyzed prospectively during the third trimester to detect patients likely to suffer from cephalo-pelvic disproportion (CPD). If the sacral promontory (SP) was reached by the index finger (9.0-9.5 cm true conjugate) the pelvis was regarded as "suspect". All patients who later developed CPD were in this group. Of the screened primigravidas, 22% were advised to deliver in the hospital. Pelvic assessment is an important screening tool during antenatal care to detect high-risk primigravidas.
