Document Type : Original Article
Authors
1
Professor of Radiology, Faculty of Medicine, Fayoum University, Fayoum, Egypt
2
Assistant Professor of Gynecology and Obstetrics, Faculty of Medicine, Fayoum University, Fayoum, Egypt
3
Lecturer of Radiology, Faculty of Medicine, Fayoum University, Fayoum, Egypt
4
MSc, Assistant Lecturer of Radiology, Faculty of Medicine, Fayoum University, Fayoum, Egypt
https://doi.org/10.21608/aimj.2025.446582
Abstract
Introduction: The prevalence of unjustified caesarean section (CS) is significantly increasing in Egypt, resulting in high maternal morbidity and mortality; however, CS is indicated in a lot of cases, including dystocia. Three-dimensional (3D) magnetic resonance imaging (MRI) pelvimetry is a safe, valuable measure in the detection of dystocia and, therefore, prevention of complications to the mother or the fetus.
Objective: To evaluate the validity of 3D MR pelvimetry and to predict labor dystocia.
Patients and methods: In this study, fifty patients were included that are suspicious of labor dystocia. All these patients did MRI study with post imaging 3D reconstruction, and measurement of dimensions of pelvic inlet, mid pelvis and pelvic outlet dimensions, that would allow us to determinate cases susceptible of labor dystocia and prevention of foetal and maternal morbidity and mortality.
Results: Our study revealed forty-two patients delivered by normal vaginal delivery, however eight patients delivered by CS. The results showed highly significant difference between pelvic dimensions in Caesarean section and normal delivery groups. Moreover, other contributing factors as foetal birth weight and maternal body mass index.
Conclusion: Three-dimensional MRI pelvimetry is a safe and effective method for antenatal prediction of labor dystocia.
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