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Severe contracted pelvis appearing after normal deliveries
Acta Obstetricia Et Gynecologica Scandinavica
|January 1, 1981
Summary
Osteomalacic contracted pelvis, a rare condition, can develop in Bedouin women after normal deliveries due to dietary phytic acid. This necessitates cesarean sections, highlighting the impact of diet on obstetric health.
Area of Science:
- Obstetrics and Gynecology
- Nutritional Science
- Radiology
Background:
- Bedouin women in the Negev area represent a significant obstetric population.
- Osteomalacic contracted pelvis is a rare condition, often requiring cesarean section.
- Previous normal vaginal deliveries do not preclude future pelvic complications.
Observation:
- Three Bedouin women presented with contracted pelvis after 2-3 normal vaginal deliveries.
- Cesarean section was required for all three cases.
- Roentgenray screening revealed osteomalacic pelves with pseudo-fractures and Looser zones.
Findings:
- Dietary intake of unleavened bread high in phytic acid (similar to Indian chapati) was identified in Bedouin women.
- Phytic acid impairs calcium absorption and may interfere with vitamin D.
- Withdrawal of this diet led to improvement of the condition.
Implications:
- Dietary interventions, specifically reducing phytic acid intake, can improve osteomalacic pelvic deformities.
- This condition highlights the importance of considering dietary factors in obstetric care, even in multiparous women.
- Further research into the link between diet and pelvic health in this population is warranted.