Cephalopelvic disproportion Flashcards
1
Q
Definition
A
Imbalence between 2 body parts either baby head is too big to through birth canal or pelvis is too small for skull
2
Q
Aetiology
A
Fetal macrosomia
GDM
Obesity
Multuparity
Hydrocephalus
Overdue
Age
Position
3
Q
Diagnosis
A
Measuring baby height = fundal height
USS
4
Q
Management
A
Trial of labour with assisted equpiment
- If head has engaged however not descending, with foetal HR unstable, forceps or ventouse suction can be used.
C-section
- If head fails to engage then C-section required
5
Q
Complications
A
Shoulder dystocia
Perineal tears