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Cephalo Pelvic Disproportion

Information about Cephalo Pelvic Disproportion

We Have to Know about the Cephalo Pelvic Disproportion

  • The contracted pelvis is one where the contraction may be at Brim, cavity or outlet or all of them may be involved. In disproportion, pelvis may be normal but foetal head may be too big for that pelvis

Signs & Symptoms of Cephalo Pelvic Disproportion

  • Unengaged head or floating head in first pregnancy should arouse suspicion of a contracted pelvis or cephalopelvic disproportion

Medical advice for Cephalo Pelvic Disproportion

  • Routine Antenatal checkup

Risk factors of Cephalo Pelvic Disproportion

  • Rickets
  • Osteomalacia
  • Poliomyelitis
  • Tuberculosis Hip joint
  • In a multiparous woman, the history of previous deliveries give important information

Treatment for Cephalo Pelvic Disproportion

  • The trial of labor for the disproportion
  • Elective cesarean section for contracted pelvis

Signs of good Prognosis in the trial of Labor – Good Uterine contractions, easy engagement of head, Rupture of the membrane after full cervical dilation

Signs of Bad Prognosis – Weak uterine contractions, slow descent of head, premature rupture of membranes, partially dilated cervix hanging out loose, edema of anterior tip of the cervix, contracted pelvis

Symptoms of Cephalo Pelvic Disproportion
Elective cesarean section for contracted pelvis