Modern methods for diagnosing disproportions between the sizes of fetus head and pelvis

Abstract

Reducing perinatal morbidity is a priority for obstetric care worldwide. Clinically narrow pelvis has a certain role in the structure of etiological causes of perinatal morbidity and mortality. According to a number of authors, the frequency of clinical narrow pelvis in the world is 1.4-8.5%, the frequency of fetal-pelvic disproportions during childbirth with a large fetus is 5.8-60%. The high percentage of birth injuries (24-60%) due to fetal and pelvic disproportions determines the relevance of this review article. The article collected and examined literary data from foreign and domestic authors for the years 1959-2022. It is necessary to determine the optimal algorithm for timely diagnosis, as well as prediction of a clinically narrow pelvis, which will allow optimizing the management of pregnancy and childbirth.