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KCE reports vol. 6A Prenatale zorg 65
What is the effect of pelvimetry for fetal cephalic presentations on the method of delivery, on perinatal mortality and morbidity and on
maternal morbidity?
Study Ref Population Intervention Outcomes Results Comments Study
type
EL
Pattinson, 8 4 trials of over 1000 women SR to asses the effects of Method of delivery Women undergoing The trials were SR 1a
2000
were included
pelvimetry
pelvimetry were more generally of no good
Perinatal mortality, likely to be delivered quality
morbidity by caesarean section
(OR 2.17, 95% CI
Maternal morbidity 1.63-2.88)
7. Routine monitoring of fetal movements
The implications of
such a policy of
routine counting
No significant impact
was detected on
perinatal outcome
Study Ref Population Intervention Outcomes Results Comments Study
type
EL
Grant, 10 68,654 pregnant women of Random allocation of 68,654 The rate of late No difference in Cluster allocation RCT 1b
1989
28-32 weeks in the UK, women within 33 pairs of antepartum death antepatum death rates to prevent
Belgium, Sweden, Ireland and clusters either to a policy of
contamination
USA
routine counting (with a
Routine counting by
modified count-to-ten chart) Number needed to 1250 women would Possible loss of
or standard care
treat
prevent 1 unexplained contrast by poor
antepartum late fetal compliance in the
death
counting clusters,
changes of attitudes
of care givers.
In the intervention
group:
- Extra midwifery
support
- Women counted
for about 160
The overall rate of
late fetal death
among normally