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Cephalo Pelvic Disproportion

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Cephalo Pelvic Disproportion


  • size of the foetus relative to the mothers pelvis

Management

  • elective Caesarean Section
    • medical complications
    • head has not entered pelvic brim
  • trial of labour
    • 30% risk of Forceps Delivery
    • 30% risk of Caesarean Section
    • abandon if
      • no increase in dilatation over 4 hours (2 hours if membranes ruptured) with strong uterine contractions
      • foetal distress
      • full dilatation not achieved within 12 hours
 

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