Juul S M, Clausen I H, Nielsen E K
Kolding Sygehus, gynaekologisk-obstetrisk afdeling.
Ugeskr Laeger. 1993 Nov 29;155(48):3912-4.
The files of 186 primiparous women with the diagnosis of fetal-pelvic disproportion were studied in order to depict maternal and fetal parameters determining the course of delivery. Three groups were compared. One group of women who delivered vaginally and two groups, that delivered by caesarean section, one with a dilated orifice and one with a non-dilated orifice. The maternal age, height and pelvic capaciousness as found by clinical examination were registered together with cardiotocography, birth weight, labour augmentation, instrumental delivery, fetal presentation, gestation age and the conjugata vera (measured at caesarian section). It was found that the maternal age and the gestational age were lower in the vaginal delivery group compared to the two caesarean section groups. There was no difference between all three groups with respect to the other parameters. On this basis it was concluded, that it was not possible to identify fetal-pelvic disproportion that would result in caesarean section in primiparous women.
为了描述决定分娩过程的母体和胎儿参数，对186例诊断为头盆不称的初产妇档案进行了研究。比较了三组。一组经阴道分娩的妇女和两组剖宫产分娩的妇女，一组宫颈口扩张，一组宫颈口未扩张。记录临床检查发现的产妇年龄、身高和骨盆容量，以及胎心监护、出生体重、产程延长、器械助产、胎位、孕周和真结合径（剖宫产时测量）。结果发现，与两组剖宫产组相比，经阴道分娩组的产妇年龄和孕周较低。在其他参数方面，三组之间没有差异。在此基础上得出结论，在初产妇中无法识别出会导致剖宫产的头盆不称。
