CP & CPD Flashcards
Read Dystocia
Def of Contracted Pelvis
Etiology of Contracted Pelvis
- Causes in Pelvis
- Causes in Spine
- Causes in LLs
Contracted Pelvis
- Causes of Pelvis
- Congenital
- Metabolic
- Trauma
- Tumor
Pelvic Causes of Contracted Pelvis
- Congenital
Naegele’s Pelvis
Absence of 1 ala of sacrum (obliquely CP or asymmetric pelvis).
Robert’s Pelvis
Absence of 2 alae of sacrum (transversely (PI)
High assimilation Pelvis
Sacrum is made of 6 fused segments.
Low assimilation Pelvis
Sacrum is made of 4 fused segments.
Split Pelvis
Absent pubic bone usually associated e ectopia vesica)
Pelvic Causes of Contracted Pelvis
- Metabolic Causes
Pelvic Causes of Contracted Pelvis
- Trauma
Fractures
Pelvic Causes of Contracted Pelvis
- Tumor
osteoma, …..
Causes of Contracted Pelvis
- Spine Causes
Causes of Contracted Pelvis
- LLs Causes
Etiology of CPD
Complications of CP & CPD
- Maternal
- Fetal
Complications of CP & CPD
- Maternal
- During pregnancy
- During Labor
- During Puerperium
Complications of CP & CPD
- Maternal (During Pregnancy)
Complications of CP & CPD
- Maternal (During Labor)
Complications of CP & CPD
- Maternal (During Puerperium)
PPH & puerperal sepsis.
Complications of CP & CPD
- Fetal & Neonatal
Time of CPD Tests
After 36 weeks if head isn’t engaged especially in primigravidas).
Methods of CPD Tests
Methods of CPD Tests
- Pinard Maneuver (External Method)
Methods of CPD Tests
- Muller-Kerr’s Maneuver (External & Internal Method)
“More accurate”
Disadvantages of CPD Tests
Results of CPD Tests
- No disproportion
Head can be made to enter pelvis
Results of CPD Tests
- Disproportion
Def of Pelvic Inlet Contraction
Degrees of Pelvic Inlet Contraction
Management of Pelvic Inlet Contraction
Def of Trial Labor
Patient Selection for Trial Labor
Prerequisities in Trial Labor
Technique of Trial Labor
Manifestations of Progress in Trial Labor
(Good Omens)
Termination (Results) of Trial Labor