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[Pelvimetry in Norwegian maternity departments]
1Kvinneklinikken, Regionsykehuset i Trondheim.
Summary
Pelvimetry is widely available in Norway, but its use varies significantly among maternity departments. Obstetricians question its value and potential risks, advocating for alternative imaging methods.
Area of Science:
- Obstetrics and Gynecology
- Radiology
- Public Health
Background:
- Pelvimetry, a radiographic examination of the maternal pelvis, has been used to assess fetopelvic relationships during pregnancy.
- Concerns exist regarding the necessity and potential risks associated with ionizing radiation exposure for both mother and fetus.
Purpose of the Study:
- To survey the current indications for and utilization of pelvimetry in Norwegian maternity departments.
- To discuss the potential adverse effects of pelvimetry and explore alternative diagnostic methods.
Main Methods:
- A questionnaire was distributed to 39 maternity departments across Norway.
- 36 departments (92.3%) responded, providing data on pelvimetry practices.
Main Results:
- Pelvimetry is accessible to all pregnant women in Norway, yet significant variability exists in its indications and application.
- Many obstetricians express doubts about the clinical value of pelvimetry, particularly in cases of vertex presentation.
- Concerns persist regarding the harmful effects of ionizing radiation from pelvimetry.
Conclusions:
- There is a need for critical evaluation of pelvimetry use in all maternity departments.
- Alternative imaging techniques should be prioritized to eliminate radiation exposure from pelvimetry for mothers and fetuses.