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L’accouchement de nos ancêtres était-il dystocique ?

机译:我们祖先的出生难产吗?

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The aim of this study was to assess the risk of foetal-pelvic disproportion in extinct hominins through a comparison of current obstetrical data with fossil data. For the modern sample, we collected pelvic diameters, foetal cranial diameters and delivery outcomes from 92 obstetrical cases (spontaneous vaginal, N = 43; c-section for foetal-pelvic disproportion, N = 34; operative vaginal, N = 15). For the fossil sample, the diameters of 12 pelvises and 6 juvenile skulls were gathered from the literature. Our estimations of neonatal skull sizes were based on (1) juvenile skull measurements and cranial growth curves and (2) the neonatal brain size estimations of DeSilva and Lesnik (2008). A linear discriminant analysis (LDA) was performed on the obstetrical cases. Despite a 35% misclassification error, the results showed a vaginal delivery range, an obstructed delivery range and an intermediate range where delivery outcomes were unpredictable. The multiple combinations between pelvic reconstructions and neonatal cranial estimations were projected onto the LDA and were mostly within the range of normal labour, with probabilities being within the range of normal labour (eutocia) at 0.99 ± 0.01 for Australopithecines; 0.76 ± 0.15 for Homo erectus s.l.; and 0.86 ± 0.08 for Neandertals.
机译:这项研究的目的是通过比较当前的产科数据与化石数据来评估已灭绝的人乳中胎儿骨盆比例失调的风险。对于现代样本,我们收集了92例产科病例的盆腔直径,胎儿颅骨直径和分娩结局(自发性阴道,N = 43;剖腹产胎儿骨盆-不对称的比例,N = 34;经手术的阴道,N = 15)。对于化石样品,从文献中收集了12个骨盆和6个少年头骨的直径。我们对新生儿颅骨尺寸的估计基于(1)少年颅骨尺寸和颅骨生长曲线,以及(2)DeSilva和Lesnik(2008)对新生儿脑部尺寸的估计。对产科病例进行线性判别分析(LDA)。尽管存在35%的错误分类错误,但结果显示阴道分娩范围,分娩范围受阻以及分娩结果无法预测的中间范围。骨盆重建和新生儿颅骨评估之间的多种组合被投影到LDA上,并且大多在正常分娩范围内,古猿茶碱的概率在正常分娩范围内(自然产)(0.99±0.01);直立人为0.76±0.15;而尼安德特人则为0.86±0.08。

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