Bozhinova S, Anastasova P, Porozhanova V, Liubomirova A
Akush Ginekol (Sofiia). 1996;35(3):4-6.
The authors have studied the evolution of the pregnancy and delivery in 48 women with deformations of the pelvis, who have given birth at the Medical University, Pleven, for a period of 5 years. Luxatio coxae congenita (L. C. C.) has been found in 38 pregnant women, fractured pelvis in 7 cases, secondarily deformed in 2 cases and obliquely contracted in 1 case. The presents of such a limitation has been found in 7 cases (14.58%). Data for fetal hypoxia by cardiotocography have been observed in 2 cases (4.17%), which has served as an additional indication for caesarean section (s. c.). Those having luxation pelvis have had a vaginal delivery in 23 (60.53%), and in 15 (39.47%) cases by c. s. 6 out 7 women with fractured pelvis delivered by c. s. The higher rate of c. s. is more evident in fractured and deformed pelves, while in luxation and especially in the bilateral L. C. C. only 13 have operated.
作者对48例骨盆畸形的产妇进行了研究，这些产妇在普列文医科大学分娩，研究时长为5年。在38例孕妇中发现先天性髋关节脱位（L.C.C.），7例骨盆骨折，2例继发畸形，1例斜径狭窄。在7例（14.58%）中发现了这种限制情况。通过胎心监护观察到2例（4.17%）胎儿缺氧数据，这作为剖宫产的额外指征。有骨盆脱位的产妇中，23例（60.53%）经阴道分娩，15例（39.47%）行剖宫产。7例骨盆骨折的产妇中有6例行剖宫产。剖宫产率在骨折和畸形骨盆中更高，而在脱位尤其是双侧L.C.C.中，仅13例行手术。
