Novel Three-Dimensional Body Scan Anthropometry versus MR-Pelvimetry for Vaginal Breech Delivery Assessment
In this prospective, monocentric study, we investigated the potency of a novel three-dimensional (3D) body scanner for external pelvic assessment in birth planning for intended vaginal breech delivery. Between April 2021 and June 2022, 73 singleton pregnancies with intended vaginal birth from breech...
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| Veröffentlicht in: | Journal of clinical medicine 2023-09, Vol.12 (19), p.6181 |
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| creator | Dathan-Stumpf, Anne Lia, Massimiliano Meigen, Christof Bornmann, Karoline Martin, Mireille Aßmann, Manuela Kiess, Wieland Stepan, Holger |
| description | In this prospective, monocentric study, we investigated the potency of a novel three-dimensional (3D) body scanner for external pelvic assessment in birth planning for intended vaginal breech delivery. Between April 2021 and June 2022, 73 singleton pregnancies with intended vaginal birth from breech presentation (>36.0 weeks of gestation) were measured using a pelvimeter by Martin, a three-dimensional body scanner, and MR-pelvimetry. Measures were related to vaginal birth and intrapartum cesarean section. A total of 26 outer pelvic dimensions and 7 inner pelvic measurements were determined. The rate of successful vaginal breech delivery was 56.9%. The AUC (area under the curve) of the obstetric conjugate (OC) measured by MRI for predicting the primary outcome was 0.62 (OR 0.63;
= 0.22), adjusted for neonatal birth weight 0.66 (OR 0.60;
= 0.19). Of the 22 measured 3D body scanner values, the ratio of waist girth to maternal height showed the best prediction (AUC = 0.71; OR 1.27;
= 0.015). The best predictive pelvimeter value was the distantia spinarum with an AUC of 0.65 (OR = 0.80). The 3D body scanner technique is at least equal to predict successful vaginal breech delivery compared to MRI diagnostics. Further large-scale, prospective studies are needed to verify these results. |
| doi_str_mv | 10.3390/jcm12196181 |
| format | Article |
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= 0.22), adjusted for neonatal birth weight 0.66 (OR 0.60;
= 0.19). Of the 22 measured 3D body scanner values, the ratio of waist girth to maternal height showed the best prediction (AUC = 0.71; OR 1.27;
= 0.015). The best predictive pelvimeter value was the distantia spinarum with an AUC of 0.65 (OR = 0.80). The 3D body scanner technique is at least equal to predict successful vaginal breech delivery compared to MRI diagnostics. Further large-scale, prospective studies are needed to verify these results.</description><identifier>ISSN: 2077-0383</identifier><identifier>EISSN: 2077-0383</identifier><identifier>DOI: 10.3390/jcm12196181</identifier><identifier>PMID: 37834825</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Analysis ; Anthropometry ; Birth weight ; Breech delivery ; Breech presentation ; Cesarean section ; Childbirth & labor ; Complications and side effects ; Gestational age ; Magnetic resonance imaging ; Medical examination ; Obstetrics ; Pelvis ; Pregnancy ; Scanners ; Services ; Software ; Vagina ; Vertebrae</subject><ispartof>Journal of clinical medicine, 2023-09, Vol.12 (19), p.6181</ispartof><rights>COPYRIGHT 2023 MDPI AG</rights><rights>2023 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2023 by the authors. 2023</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c435t-20d5411ad4b2b22b1e9d59b674cb207e2ee78bbe0cf436e558f0b9e10b33f0643</cites><orcidid>0000-0003-4331-6569</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10573905/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10573905/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27903,27904,53769,53771</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37834825$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Dathan-Stumpf, Anne</creatorcontrib><creatorcontrib>Lia, Massimiliano</creatorcontrib><creatorcontrib>Meigen, Christof</creatorcontrib><creatorcontrib>Bornmann, Karoline</creatorcontrib><creatorcontrib>Martin, Mireille</creatorcontrib><creatorcontrib>Aßmann, Manuela</creatorcontrib><creatorcontrib>Kiess, Wieland</creatorcontrib><creatorcontrib>Stepan, Holger</creatorcontrib><title>Novel Three-Dimensional Body Scan Anthropometry versus MR-Pelvimetry for Vaginal Breech Delivery Assessment</title><title>Journal of clinical medicine</title><addtitle>J Clin Med</addtitle><description>In this prospective, monocentric study, we investigated the potency of a novel three-dimensional (3D) body scanner for external pelvic assessment in birth planning for intended vaginal breech delivery. Between April 2021 and June 2022, 73 singleton pregnancies with intended vaginal birth from breech presentation (>36.0 weeks of gestation) were measured using a pelvimeter by Martin, a three-dimensional body scanner, and MR-pelvimetry. Measures were related to vaginal birth and intrapartum cesarean section. A total of 26 outer pelvic dimensions and 7 inner pelvic measurements were determined. The rate of successful vaginal breech delivery was 56.9%. The AUC (area under the curve) of the obstetric conjugate (OC) measured by MRI for predicting the primary outcome was 0.62 (OR 0.63;
= 0.22), adjusted for neonatal birth weight 0.66 (OR 0.60;
= 0.19). Of the 22 measured 3D body scanner values, the ratio of waist girth to maternal height showed the best prediction (AUC = 0.71; OR 1.27;
= 0.015). The best predictive pelvimeter value was the distantia spinarum with an AUC of 0.65 (OR = 0.80). The 3D body scanner technique is at least equal to predict successful vaginal breech delivery compared to MRI diagnostics. Further large-scale, prospective studies are needed to verify these results.</description><subject>Analysis</subject><subject>Anthropometry</subject><subject>Birth weight</subject><subject>Breech delivery</subject><subject>Breech presentation</subject><subject>Cesarean section</subject><subject>Childbirth & labor</subject><subject>Complications and side effects</subject><subject>Gestational age</subject><subject>Magnetic resonance imaging</subject><subject>Medical examination</subject><subject>Obstetrics</subject><subject>Pelvis</subject><subject>Pregnancy</subject><subject>Scanners</subject><subject>Services</subject><subject>Software</subject><subject>Vagina</subject><subject>Vertebrae</subject><issn>2077-0383</issn><issn>2077-0383</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNptkstv1DAQxiNERavSE3dkiQsSSvEjjp0T2ra8pBYQFK6W7Ux2vTjxYicr7X-Pt9vHFmEfbI1_3zee0RTFC4JPGWvw26XtCSVNTSR5UhxRLESJmWRP9-6HxUlKS5yXlBUl4llxyIRklaT8qPj9JazBo-tFBCgvXA9DcmHQHp2FdoN-WD2g2TAuYliFHsa4QWuIaUro6nv5Dfza7YJdiOiXnrsbYXayC3QB3mV2g2YpQUrZeHxeHHTaJzi5PY-Lnx_eX59_Ki-_fvx8PrssbcX4WFLc8ooQ3VaGGkoNgabljalFZU0uCiiAkMYAtl3FauBcdtg0QLBhrMN1xY6Ldzvf1WR6aG1OHbVXq-h6HTcqaKcevwxuoeZhrQjmIjeVZ4fXtw4x_Jkgjap3yYL3eoAwJUWlyCBpxDbZq3_QZZhibsQNVXOCay4fqLn2oNzQhZzYbk3VTAiaf13zrdfpf6i8W-idDQN0LscfCd7sBDaGlCJ090USrLbzofbmI9Mv9_tyz95NA_sLTW21cA</recordid><startdate>20230925</startdate><enddate>20230925</enddate><creator>Dathan-Stumpf, Anne</creator><creator>Lia, Massimiliano</creator><creator>Meigen, Christof</creator><creator>Bornmann, Karoline</creator><creator>Martin, Mireille</creator><creator>Aßmann, Manuela</creator><creator>Kiess, Wieland</creator><creator>Stepan, Holger</creator><general>MDPI AG</general><general>MDPI</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-4331-6569</orcidid></search><sort><creationdate>20230925</creationdate><title>Novel Three-Dimensional Body Scan Anthropometry versus MR-Pelvimetry for Vaginal Breech Delivery Assessment</title><author>Dathan-Stumpf, Anne ; Lia, Massimiliano ; Meigen, Christof ; Bornmann, Karoline ; Martin, Mireille ; Aßmann, Manuela ; Kiess, Wieland ; Stepan, Holger</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c435t-20d5411ad4b2b22b1e9d59b674cb207e2ee78bbe0cf436e558f0b9e10b33f0643</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Analysis</topic><topic>Anthropometry</topic><topic>Birth weight</topic><topic>Breech delivery</topic><topic>Breech presentation</topic><topic>Cesarean section</topic><topic>Childbirth & labor</topic><topic>Complications and side effects</topic><topic>Gestational age</topic><topic>Magnetic resonance imaging</topic><topic>Medical examination</topic><topic>Obstetrics</topic><topic>Pelvis</topic><topic>Pregnancy</topic><topic>Scanners</topic><topic>Services</topic><topic>Software</topic><topic>Vagina</topic><topic>Vertebrae</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Dathan-Stumpf, Anne</creatorcontrib><creatorcontrib>Lia, Massimiliano</creatorcontrib><creatorcontrib>Meigen, Christof</creatorcontrib><creatorcontrib>Bornmann, Karoline</creatorcontrib><creatorcontrib>Martin, Mireille</creatorcontrib><creatorcontrib>Aßmann, Manuela</creatorcontrib><creatorcontrib>Kiess, Wieland</creatorcontrib><creatorcontrib>Stepan, Holger</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of clinical medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Dathan-Stumpf, Anne</au><au>Lia, Massimiliano</au><au>Meigen, Christof</au><au>Bornmann, Karoline</au><au>Martin, Mireille</au><au>Aßmann, Manuela</au><au>Kiess, Wieland</au><au>Stepan, Holger</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Novel Three-Dimensional Body Scan Anthropometry versus MR-Pelvimetry for Vaginal Breech Delivery Assessment</atitle><jtitle>Journal of clinical medicine</jtitle><addtitle>J Clin Med</addtitle><date>2023-09-25</date><risdate>2023</risdate><volume>12</volume><issue>19</issue><spage>6181</spage><pages>6181-</pages><issn>2077-0383</issn><eissn>2077-0383</eissn><abstract>In this prospective, monocentric study, we investigated the potency of a novel three-dimensional (3D) body scanner for external pelvic assessment in birth planning for intended vaginal breech delivery. Between April 2021 and June 2022, 73 singleton pregnancies with intended vaginal birth from breech presentation (>36.0 weeks of gestation) were measured using a pelvimeter by Martin, a three-dimensional body scanner, and MR-pelvimetry. Measures were related to vaginal birth and intrapartum cesarean section. A total of 26 outer pelvic dimensions and 7 inner pelvic measurements were determined. The rate of successful vaginal breech delivery was 56.9%. The AUC (area under the curve) of the obstetric conjugate (OC) measured by MRI for predicting the primary outcome was 0.62 (OR 0.63;
= 0.22), adjusted for neonatal birth weight 0.66 (OR 0.60;
= 0.19). Of the 22 measured 3D body scanner values, the ratio of waist girth to maternal height showed the best prediction (AUC = 0.71; OR 1.27;
= 0.015). The best predictive pelvimeter value was the distantia spinarum with an AUC of 0.65 (OR = 0.80). The 3D body scanner technique is at least equal to predict successful vaginal breech delivery compared to MRI diagnostics. Further large-scale, prospective studies are needed to verify these results.</abstract><cop>Switzerland</cop><pub>MDPI AG</pub><pmid>37834825</pmid><doi>10.3390/jcm12196181</doi><orcidid>https://orcid.org/0000-0003-4331-6569</orcidid><oa>free_for_read</oa></addata></record> |
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| source | PubMed Central Open Access; MDPI - Multidisciplinary Digital Publishing Institute; EZB-FREE-00999 freely available EZB journals; PubMed Central |
| subjects | Analysis Anthropometry Birth weight Breech delivery Breech presentation Cesarean section Childbirth & labor Complications and side effects Gestational age Magnetic resonance imaging Medical examination Obstetrics Pelvis Pregnancy Scanners Services Software Vagina Vertebrae |
| title | Novel Three-Dimensional Body Scan Anthropometry versus MR-Pelvimetry for Vaginal Breech Delivery Assessment |
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