[X-ray pelvimetry practice survey in Northeast French maternities].

Area of Science:

• Obstetrics and Gynecology
• Medical Imaging
• Radiology

Background:

• X-ray pelvimetry is a diagnostic tool used in obstetrics.
• Its indications and application vary across clinical settings.
• Understanding current practices is crucial for guideline adherence.

Purpose of the Study:

• To describe and compare the indications for X-ray pelvimetry.
• To analyze the modalities of X-ray pelvimetry in Northeast French maternities.

Main Methods:

• An anonymous questionnaire was distributed to heads of obstetrics departments.
• The survey covered hospital characteristics, obstetrical prognosis assessment, and X-ray pelvimetry indications/modalities.

Main Results:

• The response rate was 47%.
• Common indications included breech presentation (86%), suspected fetal-pelvic disproportion (78%), maternal height <150cm (64%), and prior Cesarean section (42%).
• Pelvic CT scans were prevalent (94%), typically between 35-37 weeks gestation; however, indications were deemed excessive compared to national guidelines.

Conclusions:

• Current practices regarding X-ray pelvimetry indications in French maternities appear to exceed established recommendations.
• There is a need for healthcare professionals to reassess their application of X-ray pelvimetry.