Problems of the Pelvic Passageway
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2 Diether Langnickel (Ed.) Problems of the Pelvic Passageway With 107 Figures and 68 Tables Springer-Verlag Berlin Heidelberg New York London Paris Tokyo
3 Dr. Diether Langnickel, EI.A.C. Director of the Department of Obstetrics and Gynecology I Zentralkrankenhaus St.-Jiirgen-Strasse St.-Jiirgen-Strasse, 2800 Bremen 1, FRG International Symposium: "Problems of the Pelvic Passageway" Bremen, September, 13-14, 1985 ISBN-13 : e-isbn-13 : : / Library of Congress Cataloging in Publication Data International Symposium "Problems of the Pelvic Passageway" (1985 : Bremen, Germany) Problems of the pelvic passageway. "International Symposium "Problems of the Pelvic Passageway", September, 13-14, 1985 Bremen"-T.p. verso. Includes index. 1. Pelvimetry-Congresses. 2. Labor-Congresses. 3. Pregnancy, Complications of-congresses. 4. Pelvis-Congresses. I. Langnickel, Diether, II. Title. [DNLM: 1. Labor-congresses. 2. Pelvimetry-congresses. 3. Pelvis-congresses. 4. Pregnancy Complications-congresses. WQ 320 I61p 1985] RG527.I This work is subject to copyright. All rights are reserved, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, re-use of illustrations, recitation, broadcasting, reproduction on microfilms or in other ways, and storage in data banks. Duplication of this publication or parts thereof is only permitted under the provisions of the German Copyright Law of September 9, 1965, in its version of June 24, 1985, and a copyright fee must always be paid. Violations fall under the prosecution act of the German Copyright Law. Springer-Verlag Berlin Heidelberg 1987 The use of registered names, trademarks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use
4 Contents Although better nutrition improved the pelvic inlet the diagnostic challenges of the pelvic outlet have remained unchanged (Opening) D. Langnickel X-ray pelvimetry B. Westin.... Ultrasound, X-ray, and CT pelvimetry compared P.-H. Persson, S. Karlsson, B.-M. WeIdner The use of Magnetic Resonance Imaging (MRI) in pelvimetry M. Kahnert, A. Kahnert Uterine contractility G.M.l.A. Wolfs. Primigravid labor l. Stronge.... Functional analysis of cephalopelvic relation R. H. Philpott.... Active management of labor B. Westin..... Some selection factors for breech delivery P. Myerscough Management of dystocia M. Arai, N. Shimada, M. Nishijima, S. Ozaki, K. Amano, H. Tatsumi, N. Uchino, T. Genda Management of relative fetopelvic disproportion W. l. Hannah Shoulder dystocia D. Langnickel The influence of premature rupture of membranes (PROM) on the course of labor V. M. Roemer, D. G. Kieback Obstetric forceps - past, present, and future L. Laufe
5 Instrumental vaginal delivery today: forceps delivery versus vacuum extraction V.M. Roemer, B. Gern, D. G. Kieback Injuries to the soft tissue passageway H. Stockhausen Panel Moderator: W. Hannah - Participants: M. Arai, M. Kahnert, D. Langnickel, L. Laufe, P. R. Myerscough, P.-H. Persson, R. H. Philpott, V. M. Roemer, H. Stockhausen, J. Stronge, B. Westin I. Clinical pelvimetry Evaluation of the pelvic outlet, B. Westin II. Pelvimetry by X-ray, ultrasound, and MRI 165 MRI pelvimetry, M. Kahnert Size of pelvis / size offetus, B. Westin III. Trial of labor - trial of forceps or vacuum extraction (in double-set-up) Trial of labor by elective induction, M. Arai, N. Shimada, M. Nishijima, H. Tatsumi, H. Tomita, T. Genda 168 IV. Cervical ripening Examination of the cervical ripening, B. Westin 176 Synthetic cervical dilators, L. Laufe 180 Index
6 Contributors Arai, Dr. M. Professor and Chairman, Department of Obstetrics and Gynecology, Kitasato University, Japan Hannah, Dr. w.j. Professor and Chairman, Department of Obstetrics and Gynaecology, University of Toronto, Canada Kuhnert, Dr. M. Department of Obstetrics and Gynecology, University of Frankfurt/Main, Federal Republic of Germany Langnickel, Dr. D. Director of the Department of Obstetrics and Gynecology I, Zentralkrankenhaus St.-Jurgen-Strasse, affil. University of Gottingen, Bremen, Federal Republic of Germany Laufe, Dr. L. Professor, Department of Obstetrics and Gynecology, Health Science Center at San Antonio, University of Texas, United States of America Myerscough, Dr. P. Senior Lecturer Department of Obstetrics and Gynaecology, University of Edinburgh, United Kingdom Persson, Dr. P.-H. Department of Obstetrics and Gynecology, Kvinnokliniken i Malmo, University of Lund, Sweden Philpott, Dr. R.H. Professor and Head of the Department of Obstetrics and Gynaecology, University of Natal, Republic of South Africa Roemer, Dr. V. M. Professor and Director of the Department of Obstetrics and Gynecology, Kreiskrankenhaus, Detmold, Federal Republic of Germany Stockhausen, Dr. H. Assistant Director, Womens Hospital, Kliniken St. Antonius, affil. University of Dusseldorf, Wuppertal, Federal Republic of Germany
7 Stronge, Dr. J. Master of the National Maternity Hospital, Dublin, Republic of Ireland Westin, Dr. B. Professor, Stockholm, Sweden Wolfs, Dr. G.M.J.A. Stichting Medish Centrum Velsen, The Netherlands
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