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Gynaecology & Obstetrics General ece7f181

X-ray pelvimetry is indicated in all of the following conditions except

A
Severe CPD
B
Breech presentation in vaginal delivery
C
Outlet obstruction
D
Osteomalacia
High-Yield Explanation
The main aim of X-ray pelvimetry is to: To confirm the diagnosis of contracted pelvis if it cannot be confirmed clinically To rule out CPD. Severe CPD can be diagnosed clinically and trial of labour is not indicated in this case. It is managed by elective cesarean section therefore, there is no role of X-ray pelvimetry. For those who feel breech presentation in vaginal delivery should be the answer, read the following lines from Callen USG Obs and Gynae 4/e, p 729 “Although pelvimetry is no longer commonly performed, it is beneficial in patient who desire a trial of labour when the fetus is in breech presentation”.

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