Lacevic Mulahasanovic Lana, Dervišević Lejla, Fajkić Almir, Rakocevic Selimovic Mirna, Dizdarevic Aljovic Aida, Jazic Durmisevic Altaira, Hasanbegovic Ilvana, Ajanović Zurifa, Sarac-Hadzihalilovic Aida, Lazović Salčin Edina, Dervišević Amela
Gynecology and Obstetrics, Clinical Center University of Sarajevo, Sarajevo, BIH.
Anatomy, University of Sarajevo, Faculty of Medicine, Sarajevo, BIH.
Cureus. 2025 Jan 17;17(1):e77573. doi: 10.7759/cureus.77573. eCollection 2025 Jan.
Background In addition to age, body mass index (BMI), abdominal circumference, and parity, measuring the mother's pelvic diameters is a non-invasive, cost-effective method that can assist gynecologists in determining the optimal management of labor. Our study aimed to examine the associations between maternal age, pelvic diameters, BMI, abdominal circumference, and parity with delivery outcomes and investigate differences in pelvic diameters in relation to maternal age, BMI, delivery outcomes, parity, and episiotomy. Materials and methods The observational, cross-sectional study included 108 pregnant women in the active phase of labor who were admitted to the Gynecological Clinic at the Clinical Center University of Sarajevo. During admission, maternal data were registered: age, body height, body weight, abdominal circumference, and BMI. Using a pelvinometer, pelvic diameters were recorded: interspinous diameter (DS), intertrochanteric diameter (DT), intercristal diameter (DC), and external conjugate (CE). The Anterior Pelvic Index (API) was calculated by dividing the DS by the participants' height and multiplying the result by 100. Data were analyzed using SPSS Statistics for Windows, Version 17 (Released 2008; SPSS Inc., Chicago, United States). Results Women who underwent cesarean section were significantly older compared to those with spontaneous vaginal delivery. A significant correlation was observed between maternal age, BMI, and delivery outcomes. Obese women had significantly higher DT compared to women with normal or overweight BMI. Primiparous and multiparous women differed significantly in CE, while other pelvic diameters did not differ. Women with episiotomy had significantly lower DS and CE diameters compared to those without episiotomy during vaginal delivery. Conclusion Maternal age, BMI, and pelvic diameters are significant delivery outcome determinants; our findings suggest that these parameters deserve to be included in delivery outcome assessment as they provide substantial information in the journey of achieving personalized delivery care and decision-making.
背景 除年龄、体重指数（BMI）、腹围和产次外，测量母亲的骨盆直径是一种非侵入性、经济有效的方法，可协助妇科医生确定最佳分娩管理方案。我们的研究旨在探讨母亲年龄、骨盆直径、BMI、腹围和产次与分娩结局之间的关联，并研究骨盆直径在母亲年龄、BMI、分娩结局、产次和会阴切开术方面的差异。材料与方法 这项观察性横断面研究纳入了108名处于分娩活跃期的孕妇，她们均被收治于萨拉热窝大学临床中心的妇科诊所。入院时，记录产妇数据：年龄、身高、体重、腹围和BMI。使用骨盆测量仪记录骨盆直径：棘间径（DS）、粗隆间径（DT）、髂嵴间径（DC）和骶耻外径（CE）。通过将DS除以参与者的身高并将结果乘以100来计算前骨盆指数（API）。使用SPSS Statistics for Windows 17版（2008年发布；SPSS公司，美国芝加哥）对数据进行分析。结果 与自然阴道分娩的女性相比，接受剖宫产的女性年龄显著更大。观察到母亲年龄、BMI与分娩结局之间存在显著相关性。肥胖女性的DT显著高于BMI正常或超重的女性。初产妇和经产妇在CE方面存在显著差异，而其他骨盆直径无差异。在阴道分娩时，接受会阴切开术的女性的DS和CE直径显著低于未接受会阴切开术的女性。结论 母亲年龄、BMI和骨盆直径是重要的分娩结局决定因素；我们的研究结果表明，这些参数应纳入分娩结局评估，因为它们在实现个性化分娩护理和决策过程中提供了大量信息。
