A new predictor of cephalopelvic disproportion
? J Obstet Gynaecol.
We determined the normal values for the pelvic parameters ACD, OCD, DCD and ISD, using CT because they are the most important for diagnosing cephalopelvic disproportion
. DCD and ISD are usually the ones subjectively examined by finger palpation during labor.
Sagittal suture overlap in cephalopelvic disproportion
: blinded and non-participant assessment.
Because of the overlap in the clinical definition of cephalopelvic disproportion
, failure to progress, and dystocia, these diagnoses were grouped together into a single category called "cephalopelvic disproportion/dystocia."
One study of over 25,000 women in England showed that prolonged second stages of labor were associated with an increased incidence of postpartum hemorrhage and infection, possibly caused by an increased risk of operative deliveries. Other studies have demonstrated that women who use epidural anesthesia during labor have a higher rate of operative deliveries, malposition, cesarean section for dystocia or cephalopelvic disproportion
, and a need for pitocin augmentation.[14,15] Operative vaginal deliveries and cesarean sections increase maternal morbidity, especially the incidence of postpartum hemorrhage, mortality, cost, days in hospital, days off work, and total days of discomfort.
Causes of obstructed labour were cephalopelvic disproportion
superimposed by lack of transport facilities and traditional family taboos against seeking medical advice.
With patients who are more at risk for decreased uterine contractility (BJOG 2007;114:343-8), abnormal and dysfunctional labor patterns, gestational diabetes, and cephalopelvic disproportion
, it should be no surprise that cesarean delivery is on the rise.
Patient's claim Protracted labor and slow descent of the baby indicated cephalopelvic disproportion
. A cesarean section should have been performed.
-- Fetal weight estimates based on ultrasound are not useful in determining which women with a history of C-section due to cephalopelvic disproportion
should undergo a trial of labor, results of a large retrospective study suggest.
Look at the million women a year in this culture who are sectioned for cephalopelvic disproportion
(CPD) and failure to progress (FTP), or who are told they have to have vacuum extractions or forceps deliveries--they were just responding to the commands they were given!
Common features of a labor complicated by pneumomediastinum have been thought to include nulliparity, a prolonged 2nd stage that requires strenuous pushing, and cephalopelvic disproportion
or dystocia.[2,7] An analysis of data from 187 cases confirmed that most women were primiparas but had a normal mean length of labor and fetal size.
Out of the 129 cases of gestational diabetes mellitus, the indication for cesarean section was foetal distress in 39 cases, obstructed labour and cephalopelvic disproportion
in 14 cases, antepartum haemorrhage in 5 cases, failure of induction in 8 cases and elective cesarean in 11 cases.