J Trop Med Hyg. 1984 Aug;87(4):173-83.
Screening for fetopelvic dystocias is one of the important objectives of an antenatal clinic. In developing countries such screening often has to be carried out by auxiliary personnel, which makes it mandatory to use simple indicators. In a prospective study of 4772 women in Kasongo (Zaire), the value of such simple indicators was tested. The results show that such screening is potentially highly effective. The obstetrical history is the backbone of such screening. Which indicator(s) will actually constitute the best screening criterion is a matter of trade-off between effectiveness (the proportion of dystocias that are correctly predicted) and acceptable cost (the number of women referred by the criterion).
筛查头盆不称是产前诊所的重要目标之一。在发展中国家，这种筛查往往必须由辅助人员进行，这使得使用简单指标成为必要。在对刚果民主共和国卡松戈的4772名妇女进行的一项前瞻性研究中，对这些简单指标的价值进行了测试。结果表明，这种筛查可能非常有效。产科病史是这种筛查的核心。究竟哪些指标将实际构成最佳筛查标准，这是在有效性（正确预测的头盆不称比例）和可接受成本（该标准转诊的妇女人数）之间进行权衡的问题。
