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Obstetricians are likely to elect for cesarean section in women with retained pelvic implants: a radiographic survey
M Kareem Shaath1, Christopher Garrett2, Naveen Pattisapu3
1Orlando Health Jewett Orthopedic Institute, Florida State College of Medicine, University of Central Florida College of Medicine, 60 Columbia St., Orlando, FL, 32806, USA. mkshaathmd@gmail.com.
Purpose:
Women with a history of pelvic fracture undergo cesarean section (CS) at a higher rate than the general population. The purpose of our study is to query obstetricians on their preferences.
Methods:
An electronic survey consisting of 22 radiographs of patients who underwent pelvic fixation was sent to obstetricians at 3 academic medical centers. For each radiograph, a hypothetical scenario was given, and the respondents were asked if they would elect for a vaginal delivery or CS.
Results:
We collected 58 responses. The overall CS rate was 59%. Respondents were significantly more likely to elect for CS with trans-symphyseal fixation or sacroiliac fixation, independently (p < 0.001).
Discussion:
Obstetricians are likely to elect for elective CS in the presence of pelvic implants especially in patients with trans-symphyseal and sacroiliac fixation. Based on there is an opportunity for collaboration between orthopedic trauma surgeons and obstetricians.
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