PELVIS
Two large bones with an
Cranium of the baby Pelvis of the mother
opening in the bottom
Attached together by cartilage Normal changes during
and ligaments pregnancy
Pelvic floor muscles support the
baby Cranium progressively increasing
Widening of the pelvic canal
in diameter
At 36 weeks, lightening occurs
Third trimester of pregnancy
Pregnancy hormones soften
the pelvic ligaments
Cranium is fully developed Pelvic canal fully widened
Allows pelvis to open so that the
baby can pass through during
labor and delivery
small wide
Uterine contractions move the
baby down the birth canal
Normal spontaneous delivery
large wide but not enough
Cephalo-Pelvic Disproportion
Cesarean section Post Operative Care
Monitor vital signs
Ibuprofen
Signs and Symptoms Cephalo-Pelvic Disproportion
Palpate Fundus
Prolonged labor Maintain of the optimum
ventilation and haemodynamic
Complications Diagnosis Medications status of the mother
Fetal disttress Introduce bond between mother
Decreased heart rate and oxygen and baby
Physical Examination Cefoxitin
deprivation
Volume of amniotic fluid Maintain fluid and electrolyte
Prolonged labor could lead to Radiologic Pelvimetry Epidural balance
critical danger for the mother
and baby
Maintain the comfort of the
Large fundal height patient
Ultrasound
Minimize patient anxiety
Management of CPD
Legend:
Check vital signs q4h
Physiology
Pathophysiology
Monitor contraction of the
mother and the fetus Signs and Symptoms
Complications
Immediately report signs Diagnosis
of fetal distress
Medication
Position the mother in a Post Operative Care
sitting or squatting
Management of CPD
position
Assess for hypoxia in the
fetus
Provide support