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Cephalopelvic disproportion (CPD) exists when the capacity of the pelvis is inadequate to allow the fetus to negotiate the birth canal.This may be due to a small pelvis, a nongynecoid pelvic formation, a large fetus, an unfavorable orientation of the fetus, or a combination of these factors.
Pelvimetry is the measurement of the female pelvis. [1] It can theoretically identify cephalo-pelvic disproportion, which is when the capacity of the pelvis is inadequate to allow the fetus to negotiate the birth canal.
In obstetrics a trial of labour is the conduction of spontaneous labour in a moderate degree of cephalopelvic disproportion. [1] [2] It is performed under close observation by an obstetrician in order to assess a woman's chances of a successful vaginal birth. [3]
Pubic symphysis diastasis (also known as diastasis symphysis pubis) is the separation of normally joined pubic bones, as in the dislocation of the bones, without a fracture that measures radiologically more than 10 mm. Separation of the symphysis pubis is a rare pathology associated with childbirth and has an incidence of 1 in 300 to 1 in 30,000 births.
Cephalopelvic disproportion is the issue that arises when the fetus' body or head is too large to pass through the woman’s pelvis. [12] Common conditions that lead to CPD are diabetes, multiple pregnancies, small or abnormally shaped pelvis, atypical fetal positions, hereditary factors, and first time pregnancies. [12]
Mismatch between birth canal size and infant cranial width and length due to bipedal locomotion requirements have often been referred to as the obstetric dilemma, since compared to other great apes, modern humans have the greatest disproportion between infant cranial size and birth canal size. [16]
Consequently, there is an unusually high incidence of cephalopelvic disproportion and obstructed labor in humans. [ 1 ] The obstetrical dilemma claims that this difference is due to the biological trade-off imposed by two opposing evolutionary pressures in the development of the human pelvis : smaller birth canals in the mothers, and larger ...
An obstetric labor complication is a difficulty or abnormality that arises during the process of labor or delivery.. The Trust for America's Health reports that as of 2011, about one third of American births have some complications; many are directly related to the mother's health including increasing rates of obesity, type 2 diabetes, and physical inactivity.