Lectures hard to mechanize
Non-clinical detection of an abnormal pelvis can do an ultrasound, but especially a pelvic Télé, especially an upper waist scan with a plane divided by square centimetres.
The reasons for being difficult to mechanize are possible
Childhood Rickets, pelvic injuries due to accident or deformation due to occupation or nutrition.
Clinical examination to detect motorized labor
Measure the mother's height: If the mother is short, the pelvis is narrow.
Measure the outer diameters of the pelvis (macroscopy):
Thorns ³ 22.5 cm.
Crest ³25,5 cm.
Double-clawed ³27,5 cm.
Before after (Baudelocque) ³17.5 cm.
Measure fillings (Michaelis) to see if the pelvis is not distorted.
Measure the diameters of the subframe (small pelvis):
The most important is the upper waist diameter and also the most important one: Front - back or overhang - defender ³10.5 cm.
If protruding - defender <8.5 cm is the narrow pelvis.
Waist under a mound diameter is bisexual sit ³11 cm. If the upper waist is narrow, the fetus cannot fall, and the lower waist cannot record the fetus.
Non-clinical findings abnormal pelvic ultrasound may be done, but especially telephoto pelvis, especially shooting the waist on a plane with each cell division cm 2 a.
Standing in front of a case of mechanically difficult delivery that suspects pregnancy and pelvic mismatch, the throne is the crown. People do the trial of the throne.
Conviculatory testing must be done in places with surgical conditions in order to be able to the cesarean section when the laparotomy fails, to have real labour means that the cervix must be open more than 4 cm.
During the procedure, you can use drugs to increase uterine contractions or reduce contractions to correct cervical dilation and cervical emollients.
After the test of the crown, it is necessary to carefully analyze and learn from the experience why it succeeds or fails.
Good pregnancy management examination for early detection of motorized delivery cases and counselling for pregnant women. Limit the complications caused by motorized delivery to the mother and fetus.