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Validation of risk scoring scheme for cesarean delivery due to cephalopelvic disproportion in Lamphun Hospital.
In their analysis of 3,355 patients, the risk of C-section for cephalopelvic disproportion increased with newborn weight.
25,29-31] The prerequisites for use are the same as for forceps: the fetal head must be deeply engaged (at least zero station), the cervix must be fully dilated, the membranes ruptured, the position, and station of the fetal head identified with certainty, adequate maternal analgesia and facilities for neonatal resuscitation present, the maternal bladder empty, and cephalopelvic disproportion absent.
Furthermore, failed IOL must be differentiated from failure to progress in labour and from cephalopelvic disproportion or malpresentation.
The procedure was performed for mild-moderate cephalopelvic disproportion with delivery of the head assisted with the vacuum extractor.
If the patient had a condition that was documented to be why cesarean delivery was medically indicated, list that as a secondary diagnosis--for example, cephalopelvic disproportion (653.
For example, a patient lacking significant risk factors for dystocia having a history of a vaginal delivery followed by a cesarean for breech or a woman who has already had one or more vaginal deliveries after cesarean should not trigger the same set of mandates/guidelines as a short, obese, 36-year-old secundigravida whose initial cesarean was for an arrest disorder consistent with cephalopelvic disproportion.
This may help in predicting cephalopelvic disproportion when labour progress is poor, (1) or give early warning of possible shoulder dystocia.
Cesarean sections were indicated in the AMOR-IPAT group for cephalopelvic disproportion (CPD) in two patients, uterine rupture in one patient, and an elective repeat C-section in one patient.
Up to 77 percent of women for whom the indication for cesarean delivery was a nonprogressive labor (sometimes diagnosed as cephalopelvic disproportion or CPD) and who tried labor again, had a VBAC for a subsequent birth.
Women obtaining maternity care from family physicians were less likely to receive epidural anesthesia during labor or an episiotomy after vaginal births, and had a lower rate of cesarean section delivery rates, primarily because of a decreased frequency in the diagnosis of cephalopelvic disproportion.
Multipara may still have cephalopelvic disproportion even having previously delivered a full-term child vaginally.