Document Detail


Assessing cephalopelvic disproportion: back to the basics.
MedLine Citation:
PMID:  20633305     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Dystocia, or abnormally slow progress in labor, can result from cephalopelvic disproportion (CPD), malposition of the fetal head as it enters the birth canal, or ineffective uterine propulsive forces. Cephalopelvic disproportion occurs when there is mismatch between the size of the fetal head and size of the maternal pelvis, resulting in "failure to progress" in labor for mechanical reasons. Untreated, the consequence is obstructed labor that can endanger the lives of both mother and fetus. Despite the use of imaging technology in an attempt to predict CPD, there is poor correlation between radiologic pelvimetry and the clinical outcome of labor. Clinical pelvimetry still has a place in obstetrics for predicting or confirming CPD, but without appropriate training and repeated practice of this clinical skill, it is in danger of becoming a lost art. For this review, a computerized search of the terms cephalopelvic disproportion, dystocia, pelvimetry, obstructed labor, and malposition was done using MEDLINE, PUBMED, SCOPUS, and CINAHL, and historical articles, texts, articles from indexed journals, and references cited in published works were also reviewed.
Authors:
Dushyant Maharaj
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Obstetrical & gynecological survey     Volume:  65     ISSN:  1533-9866     ISO Abbreviation:  Obstet Gynecol Surv     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-07-16     Completed Date:  2010-10-20     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0401007     Medline TA:  Obstet Gynecol Surv     Country:  United States    
Other Details:
Languages:  eng     Pagination:  387-95     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynecology, University of Otago, and Department of Obstetrics and Gynecology, Women's Health, Wellington Regional Hospital, Wellington, New Zealand. dean.maharaj@otago.ac.nz
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MeSH Terms
Descriptor/Qualifier:
Cephalopelvic Disproportion / radiography*
Dystocia / prevention & control
Female
Humans
Magnetic Resonance Imaging
Pelvimetry / methods*
Physical Examination / methods*
Pregnancy
Tomography, X-Ray Computed

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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