Assessment of the variability in the dimensions of the intact pelvic canal in South Africans : a pilot study

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dc.contributor.author Jagesur, Suvasha
dc.contributor.author Wiid, A.
dc.contributor.author Pretorius, Samantha
dc.contributor.author Bosman, Marius C.
dc.contributor.author Oettle, Anna Catherina
dc.date.accessioned 2018-01-17T04:48:50Z
dc.date.available 2018-01-17T04:48:50Z
dc.date.issued 2017-01
dc.description.abstract Cephalopelvic disproportion is common among Africans and is a major cause of maternal and perinatal mortality and morbidity. As the dimensions of the pelvis may vary between populations and according to stature and age, they need to be considered during childbirth and also in the planning and performance of pelvic and perineal procedures. The aim of this study was to assess the possible variations in the dimensions of the intact pelvic canal in South Africans and their implications. Eighty intact cadaver pelves, belonging to 40 white South Africans (20 males and 20 females) and 40 black South Africans (20 males and 20 females) were used for both metric and geometric morphometric analyses. Pelvic inlet shapes did not differ significantly between groups but pelvic inlet and midpelvic dimensions were the greatest in white South Africans and females. The pubic symphyseal length was the greatest in white males and the smallest in black females, resulting in a smaller pelvic cavity anteriorly than for white females. Pelvic outlet shapes varied significantly between sexes in white South Africans and between white and black males. Females presented with the greatest dimensions. Black South African females presented with an elongated anteroposterior outlet diameter. Certain transverse pelvic diameters correlated positively with age in white males and with height in females. In planning childbirth options, the smaller pelvic inlet of black females and stature-dependent diameters should be considered. Pelvic and perineal surgery may be technically more challenging because of smaller pelvic dimensions in black South Africans, especially in males. en_ZA
dc.description.department Anatomy en_ZA
dc.description.librarian hj2018 en_ZA
dc.description.uri http://www.elsevier.com/locate/jchb en_ZA
dc.identifier.citation Jagesur, S., Wiid, A., Pretorius, S., Bosman, M.C. & Oettle, A.C. 2017, 'Assessment of the variability in the dimensions of the intact pelvic canal in South Africans: a pilot study', HOMO- Journal of Comparative Human Biology, vol. 68, no. 1, pp. 30-37. en_ZA
dc.identifier.issn 0018-442X (print)
dc.identifier.issn 1618-1301 (online)
dc.identifier.issn 10.1016/j.jchb.2016.11.003
dc.identifier.uri http://hdl.handle.net/2263/63574
dc.language.iso en en_ZA
dc.publisher Elsevier en_ZA
dc.rights © 2016 Elsevier GmbH. All rights reserved. Notice : this is the author’s version of a work that was accepted for publication in HOMO - Journal of Comparative Human Biology. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. A definitive version was subsequently published in HOMO - Journal of Comparative Human Biology, vol. 68, no. 1, pp. 30-37, 2017. doi : 10.1016/j.jchb.2016.11.003. en_ZA
dc.subject Pelvic canal en_ZA
dc.subject Shape analysis en_ZA
dc.subject Pelvic outlet en_ZA
dc.subject Pelvic inlet en_ZA
dc.subject Midpelvis en_ZA
dc.subject.other Health sciences articles SDG-03
dc.subject.other SDG-03: Good health and well-being
dc.title Assessment of the variability in the dimensions of the intact pelvic canal in South Africans : a pilot study en_ZA
dc.type Postprint Article en_ZA


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