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CEPHALOPELVIC DISPROPORTION
:DEFINITION
Anatomical definition:It is a pelvis in which one or more of its
main diameters are reduced below average normal by one or more
.centimetres
Obstetric definition:It is a pelvis in which one or more of its
main diameters are reduced to the extent that interferes with the
.normal mechanism of labour
:Factors which affect the shape and the size of the pelvis
Several factors contribute to affect the shape and size of the human pelvis,
;including
,developmental factors
,)sexual factors )male or female
,).racial factors )dark and white, Caucasians and Africans, etc
,)nutritional factors )lack of calcium and proteins
.)and metabolic diseases )as rickets and osteomalacia
:AETIOLOGY
:Causes in the pelvic bone
:)Developmental causes )Abnormal shape
Small gynaecoid )generally contracted pelvis), small android,
small anthropoid, and small flat platypelloid pelvis )simple
.)non-rachitic pelvis
:History
Bad obstetric historysuggestive of contracted pelvis
:.e.g
.).Prolonged labour ending in C.S, fetal birth injury, or still birth )S.B
.Difficult forceps ending in S.B. or fetal birth injury
.Prolapse of the cord, due to the high non engaged presenting part *