Analyse de la variation inter-populationnelle du canal obstétrique au sein de trois populations génétiquement différentes
Dystocia, the tightness of fit between the maternal and fetal dimensions within the birth canal, is one of the main causes of mortality during birthing. A majority of obstetrical manuals postulate that a gynecoid (round) form of the pelvic inlet is generally associated with birthing ease and that it is the normal form of the obstetrical canal. This memoir focuses on the analysis of the variation of the obstetrical canal within three genetically different populations and their possible relationship with size. The skeletal sample consists of the pelves of 74 African Americans, 59 Americans of European descent, and 19 Sadlermiuts. Twenty anatomical points have been digitized in three dimensions on the articulated pelvis defining the birth canal. A Generalized Procrustes Analysis followed by a Principal Component Analysis allowed the visualization of the morphological variations of the birth canal among the three populations. The possible relationship between size and canal form have been explored. Results: The Sadlermiuts have a birth canal that is platypelloid, i.e. wide mediolateraly and contracted anteroposteriorly, at all pelvic planes. The African Americans demonstrate a tendency for a gynecoid (round) pelvic inlet and the European Americans seem to possess an intermediate form between a gynecoid and an android morphology of the pelvic inlet. Only pelvic size (centroid size) was correlated with changes in the pelvic morphology of the pelvic inlet and midplane. Discussion: The gynecoid morphology is not the most common shape in the populations included in this study. One possible explanation for the platypelloid shape of the Sadlermiut population may be a result of behavioral activities that induce morphological changes during growth. Further studies are needed to confirm this hypothesis.
Anthropology Pelvic morphology Interpopulational variation Birth canal Generalized Procrustes Analysis