{"title":"SEVERE CONTRACTED PELVIS APPEARING AFTER NORMAL DELIVERIES","authors":"W. Chaim, A. Alroi, J. R. Leiberman, A. Cohen","doi":"10.1111/j.1600-0412.1981.tb00024.x","DOIUrl":null,"url":null,"abstract":"Three cases of contracted pelvis in Bedouin women, appearing after two and three previous normal vaginal deliveries, are presented. In these three cases cesarean section had to be performed to deliver the babies. A roentgen‐ray screening revealed osteomalacic pelves in all cases with typical pseudo‐fractures (Milkman) and Looser zones. Pelvic deformities of the osteomalacic type are considered rare medical curiosities, and elective cesarean section is usually indicated.It has been found that Bedouins consume large quantities of “raghif”, an unleavened bread with high content of phytic acid, very similar to Indian “chapati”. Phytic acid impairs the absorption of calcium from the intestine by the precipitation of an amorphous calcium phytate and causes probably some interference with the action of vitamin D. Withdrawal of this alimentation improves the illness. There is emphasis on the fact that vaginal delivery is not granted from a pelvic point of view for multiparous women who have delivered normally in the past.Bedouin women constitute a rather important fraction of the obstetric population admitted to our hospital, the only one in the Negev area. Almost 15 per cent of the deliveries in our Obstetrics Department belong to Bedouin women. The sudden appearance of three consecutive cases of contracted pelvis in which we had to perform cesarean section on women who had previously delivered vaginally at least twice, produced this investigation, whose interesting results we describe herewith.","PeriodicalId":6990,"journal":{"name":"Acta Obstetricia et Gynecologica Scandinavica","volume":null,"pages":null},"PeriodicalIF":3.5000,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Acta Obstetricia et Gynecologica Scandinavica","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1111/j.1600-0412.1981.tb00024.x","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"OBSTETRICS & GYNECOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Three cases of contracted pelvis in Bedouin women, appearing after two and three previous normal vaginal deliveries, are presented. In these three cases cesarean section had to be performed to deliver the babies. A roentgen‐ray screening revealed osteomalacic pelves in all cases with typical pseudo‐fractures (Milkman) and Looser zones. Pelvic deformities of the osteomalacic type are considered rare medical curiosities, and elective cesarean section is usually indicated.It has been found that Bedouins consume large quantities of “raghif”, an unleavened bread with high content of phytic acid, very similar to Indian “chapati”. Phytic acid impairs the absorption of calcium from the intestine by the precipitation of an amorphous calcium phytate and causes probably some interference with the action of vitamin D. Withdrawal of this alimentation improves the illness. There is emphasis on the fact that vaginal delivery is not granted from a pelvic point of view for multiparous women who have delivered normally in the past.Bedouin women constitute a rather important fraction of the obstetric population admitted to our hospital, the only one in the Negev area. Almost 15 per cent of the deliveries in our Obstetrics Department belong to Bedouin women. The sudden appearance of three consecutive cases of contracted pelvis in which we had to perform cesarean section on women who had previously delivered vaginally at least twice, produced this investigation, whose interesting results we describe herewith.
本报告介绍了贝都因妇女在两次和三次正常阴道分娩后出现骨盆收缩的三个病例。在这三个病例中,必须进行剖腹产才能顺利分娩。X光检查显示,所有病例都有骨骶骨盆,并伴有典型的假骨折(Milkman)和Looser区。骨盆畸形被认为是罕见的医学奇观,通常需要进行选择性剖腹产。植酸会沉淀出无定形的植酸钙,从而影响肠道对钙的吸收,并可能干扰维生素 D 的作用。我们的医院是内盖夫地区唯一一家产科医院,贝都因妇女在我们医院住院的产科病人中 占了相当大的比例。我们医院是内盖夫地区唯一一家产科医院,贝都因妇女在我们产科的分娩人数中几乎占 15%。连续三例骨盆收缩的病例突然出现,我们不得不对之前至少经阴道分娩过两次的产妇实施剖宫产手术。
期刊介绍:
Published monthly, Acta Obstetricia et Gynecologica Scandinavica is an international journal dedicated to providing the very latest information on the results of both clinical, basic and translational research work related to all aspects of women’s health from around the globe. The journal regularly publishes commentaries, reviews, and original articles on a wide variety of topics including: gynecology, pregnancy, birth, female urology, gynecologic oncology, fertility and reproductive biology.