ArticlePloS one2016
New MRI Criteria for Successful Vaginal Breech Delivery in Primiparae.
Article in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.
- Magnetic resonance imaging in late pregnancy to improve labour and delivery outcomes - a systematic literature review.BMC pregnancy and childbirth · 2022Pooled it
- Evidence for the benefit of prenatal pelvimetry in breech presentation at term: A low intertuberous distance is associated with assisted head delivery and short-term neonatal morbidity.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026Article
- Prediction of obstetric outcome in vaginal breech birth using ultrasound pelvimetry in nulliparous women-A feasibility study.Acta obstetricia et gynecologica Scandinavica · 2025Article
- MRI-based pseudo-CT sequences as a radiation-free alternative to CT for obstetric pelvimetry: a proof-of-concept study.European radiology experimental · 2025Article
- Comparison of vaginal breech deliveries with and without magnetic resonance imaging in primigravidas: a retrospective cohort analysis and literature review.Archives of gynecology and obstetrics · 2025Review
- The interplay of body mass index, gestational weight gain, and birthweight over 3800 g in vaginal breech birth: A retrospective study.Acta obstetricia et gynecologica Scandinavica · 2025Article
- Novel Three-Dimensional Body Scan Anthropometry versus MR-Pelvimetry for Vaginal Breech Delivery Assessment.Journal of clinical medicine · 2023Article
- Magnetic resonance imaging pelvimetric measurements as predictors for emergent cesarean delivery in obstructed labor.European journal of obstetrics & gynecology and reproductive biology: X · 2023Article
- Predicting mid-pelvic interspinous distance in women using height and pubic arch angle.PloS one · 2023Article
- Combined Assessment of the Obstetrical Conjugate and Fetal Birth Weight Predicts Birth Mode Outcome in Vaginally Intended Breech Deliveries of Primiparous Women-A Frabat Study.Journal of clinical medicine · 2022Article
- Textbook typologies: Challenging the myth of the perfect obstetric pelvis.Anatomical record (Hoboken, N.J. : 2007) · 2022Article
- Revisiting the management of term breech presentation: a proposal for overcoming some of the controversies.BMC pregnancy and childbirth · 2020Article
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEven if lower vaginal delivery success rates and impaired neonatal short-term outcomes have been reported for primiparous women with breech presentation, vaginal breech delivery remains an option for carefully selected patients. Because Magnetic resonance imaging (MRI) pelvimetry can provide additional information on maternal pelvic morphology, we sought to identify new MRI parameters that predict successful vaginal breech delivery.
methodsIn this retrospective unicentre study, 240 primiparous women with breech presentation at term underwent MRI pelvimetry. For all patients vaginal delivery was planned, according to German guidelines and if the conjugata vera (CV) was ≥12 cm. The patients with uneventful vaginal deliveries and the patients who underwent a secondary caesarean section were compared according to pelvimetric parameters and outcomes. Regression analyses were performed.
resultsIn the vaginal delivery group (n = 162, (67.5%)), the distance between the spinae ischiadicae (interspinous diameter, ISD) was significantly enlarged. The ISD significantly influenced the mode of delivery in the regression analyses. The CV did not significantly differ between the groups. The patients with successful vaginal deliveries were significantly younger than the patients who underwent caesarean section. In the receiver operating characteristic (ROC) analysis, the area under the curve (AUC) for ISD was 67.7% (p<0.001, 95% CI [0.303-0.642]) and was higher considering the mother's age (AUC = 73.1%, p<0.001, 95% CI [0.662-0.800]). The neonatal short-term outcomes were comparable in both groups.
conclusionThe additional use of ISD may predict successful vaginal breech delivery and may be superior to the CV, which is more commonly used.
trial registrationDRKS00009957.
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