Magnetic resonance pelvimetry in breech presentation at term.

Abstract

In almost all previous studies on the policy for breech presentation at term, (X-ray, CT or MR) pelvimetry formed part of the selection procedure for a trial of labour, despite the fact that until now, no prospective studies were available which examined pregnancy outcome as a function of the pelvimetry results obtained before breech delivery. The dilemma of whether elective CS should be preferred to a trial of labour has not been solved by the studies described in this thesis, but it has solved the pelvimetry dilemma in breech presentation a term: it is possible to make better a priori selection of the route of delivery without increasing the overall CS rate by using MR pelvimetry. Zie: Summary and conclusions