* Similar study by Singh A et al showed that indication for LSCS were cephalopelvic
disproportion, foetal distress and failure to progress.
They died in the intensive care unit (ICU) from hypovolaemic shock, subsequent disseminated intravascular coagulation and multi-organ failure-secondary to placenta praevia (n=1), PPH at caesarean section for fetal distress and cephalopelvic
disproportion (with no other risk factors, n=2), and caesarean section for abruptio placentae (n=1).
The inclusion criteria covered all full-term pregnant women who were admitted to the labor ward for vaginal delivery, whereas the exclusion criteria consisted of inaccurate gestational age, placenta previa, cord prolapse, previous cesarean section, preterm birth, suspected cephalopelvic
disproportion, and any limitation on vaginal delivery.
Fetal congenital abnormalities, cephalopelvic
disproportion, mal-position and mal-presentation are important risk factors for obstructed labour.
When asked about the most important maternal-health-related factors influencing the decision to perform a CD, responses were (in descending order) the mother is suffering from a hypertensive disorder (60%), the labor is abnormal or arrested (54%), mother had a previous CD (33%), and the head of the fetus is abnormally large in relation to the size of the mother's pelvis (cephalopelvic
disproportion) (33%); though not specifically health related, another factor that must be taken into consideration is when the mother requests a cesarean (32%).
Regarding indication for cesarean section, most women in the control group had previous cesarean section, while most women in the labor pain group had cephalopelvic
Cesarean section was performed at the gestational age of 40 weeks and 3 days due to cephalopelvic
disproportion and failure to progress.
Variables Mean [+ or -] SD or number (%) Age, years 29.2 [+ or -] 6.0 Body mass index, kg/[m.sup.2] 33.9 [+ or -] 3.7 Prepregnancy body mass index, kg/[m.sup.2] 278 [+ or -] 4.4 ASA classification II, III, IV 297 (574), 216 (41.8), 4 (0.8) Indication of surgery Previous caesarean section 174 (33.7) Cephalopelvic
disproportion 189 (36.6) Preeclampsia 57 (11.0) Nonreassuring fetal status 15 (2.9) Fetal macrosomia 10 (1.9) Others 72 (13.9) Airway assessment tests Neck circumference in sitting position, cm.
Medically termed as cephalopelvic
disproportion, the baby was just too large to fit through her immature pelvis.
One of the aspects that increases risk in pregnancy is related to cephalopelvic
disproportion, which is the third cause of Cesarean section in pregnant women under 20 (Guerra Verdecia et al, 2001; Fernandez et al, 2004).
Large fetuses will have issues with cephalopelvic
disproportion, thus increasing the risk for 2 disorders: shoulder dystocia and fetal cranial bleeding.