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References in periodicals archive ?
Validation of risk scoring scheme for cesarean delivery due to cephalopelvic disproportion in Lamphun Hospital.
The indications for the use of a vacuum extractor are the same as for forceps deliveries: prolonged second stage, fetal compromise, maternal disease requiring limited maternal expulsive efforts or elective outlet delivery.[25,29-31] Contraindications include presentation other than cephalic, gestational age <32 weeks, or absolute cephalopelvic disproportion.[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.
Short stature as an independent risk factor for cephalopelvic disproportion in a country of relatively small-sized mothers.
In most patients it indicated that a caesarean section for cephalopelvic disproportion, it is not based with a pelvimetry based on an imaging study (Santin, 2011).
This investigation of SFH measurement was part of a larger study, which was to evaluate clinical assessment in prediction of cephalopelvic disproportion. The methods have been described previously.
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.
Delivery outcomes showed that patients of family physicians were less likely to have an episiotomy during vaginal delivery (53.7% vs 74.5%, P<.001) and a lower frequency of cesarean section deliveries (9.3% vs 16.0%, P<.001), especially for cephalopelvic disproportion. When adjusted for potential confounders, rates for cesarean section and episiotomy for obstetricians were still significantly higher than those of family physicians.
Cases (Out of Total Cases) Maternal Medical Condition (n = 60) Anaemia (Clinically) 25 21.9 Maternal Hypertension 30 26.2 1 Diabetes 2 1.8 Cirrhosis 1 0.87 Hypothyroidism 1 0.87 Nephritic Syndrome 1 0.87 Obstetrical Condition (n = 36) APH 15 13.1 Birth defect 4 3.5 Post CS 4 3.5 PROM 3 2.6 2 Transverse Lie 3 2.6 Rupture of Uterus 2 1.8 Cord Prolapse 2 1.8 Cephalopelvic Disproportion 1 0.87 Face Presentation 1 0.87 Uterovaginal Prolapse 1 0.87 4 Medical + Obstetrical Condition 12 10.5 3 Cause Unknown 30 25.43
Seven women had CS due to cephalopelvic disproportion (CPD) or poor progress during labour.
Risk of low birth weight, cephalopelvic disproportion, dystocia, caesarean section increase with short stature of the mother.
The indications for previous c/section in these 62 patients mainly included Failure to progress (n=17, 27.5%), Fetal distress (n=9, 14.5%), Breech presentation (n=7, 11.3%), Placenta Previa (n=5, 8.1%) and Cephalopelvic disproportion (n=8, 8.1%) [Table 2].
Persistence for vaginal delivery in patients with a history of CS, cephalopelvic disproportion and prolonged course of labour were presumably the leading causes.