Title |
Symphysiotomy for feto‐pelvic disproportion
|
---|---|
Published in |
Cochrane database of systematic reviews, October 2012
|
DOI | 10.1002/14651858.cd005299.pub3 |
Pubmed ID | |
Authors |
G Justus Hofmeyr, P Mike Shweni |
Abstract |
Symphysiotomy is an operation in which the fibres of the pubic symphysis are partially divided to allow separation of the joint and thus enlargement of the pelvic dimensions during childbirth. It is performed with local analgesia and does not require an operating theatre nor advanced surgical skills. It may be a lifesaving procedure for the mother or the baby, or both, in several clinical situations. These include: failure to progress in labour when caesarean section is unavailable, unsafe or declined by the mother; and obstructed birth of the aftercoming head of a breech presenting baby. Criticism of the operation because of complications, particularly pelvic instability, and as being a 'second best' option has resulted in its decline or disappearance from use in many countries. Several large observational studies have reported high rates of success, low rates of complications and very low mortality rates. |
X Demographics
Geographical breakdown
Country | Count | As % |
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United States | 1 | 25% |
France | 1 | 25% |
Ireland | 1 | 25% |
Unknown | 1 | 25% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 3 | 75% |
Scientists | 1 | 25% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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Ethiopia | 1 | <1% |
United Kingdom | 1 | <1% |
Canada | 1 | <1% |
Nigeria | 1 | <1% |
Spain | 1 | <1% |
Unknown | 218 | 98% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Researcher | 29 | 13% |
Student > Bachelor | 29 | 13% |
Student > Master | 26 | 12% |
Student > Ph. D. Student | 20 | 9% |
Unspecified | 14 | 6% |
Other | 43 | 19% |
Unknown | 62 | 28% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 76 | 34% |
Nursing and Health Professions | 20 | 9% |
Social Sciences | 16 | 7% |
Unspecified | 14 | 6% |
Psychology | 9 | 4% |
Other | 24 | 11% |
Unknown | 64 | 29% |