Πέμπτη 28 Ιουνίου 2012
Human birth observed in real-time open magnetic resonance imaging
OBJECTIVE: Knowledge about the mechanism of labor is based on as- sumptions and radiographic studies performed decades ago. The goal of this study was to describe the relationship between the fetus and the pelvis as the fetus travels through the birth canal, using an open mag- netic resonance imaging (MRI) scanner.
RESULTS: Delivery occurred by progressive head extension. However, extension was a very late movement that was observed when the occiput was in close contact with the inferior margin of the symphysis pubis, occurring simultaneously with gliding downward of the fetal head.
CONCLUSION: This observational study shows, for the first time, that birth can be analyzed with real-time MRI. MRI technology allows assessment of maternal and fetal anatomy during labor and delivery.
Key words: delivery, imaging, mechanism of labor, magnetic resonance imaging
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