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Cephalopelvic disproportion (CPD) occurs when a baby's head or body is too large to fit through the mother's pelvis during delivery. CPD may be caused by a large baby due to hereditary factors, diabetes, postmaturity, or multiparity. It can also be caused by an abnormally small pelvis or shaped pelvis. CPD is difficult to diagnose before labor but during labor, ultrasound estimates of fetal size are not always accurate and pelvic exams best determine if CPD exists. If labor progress stalls, CPD may be diagnosed but often a trial of oxytocin is given first to aid progress before performing a cesarean delivery. While rare, most women diagnosed with CP

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Christian Mark Alberca
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3K views1 page

Case Study

Cephalopelvic disproportion (CPD) occurs when a baby's head or body is too large to fit through the mother's pelvis during delivery. CPD may be caused by a large baby due to hereditary factors, diabetes, postmaturity, or multiparity. It can also be caused by an abnormally small pelvis or shaped pelvis. CPD is difficult to diagnose before labor but during labor, ultrasound estimates of fetal size are not always accurate and pelvic exams best determine if CPD exists. If labor progress stalls, CPD may be diagnosed but often a trial of oxytocin is given first to aid progress before performing a cesarean delivery. While rare, most women diagnosed with CP

Uploaded by

Christian Mark Alberca
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
  • Case Study: Cephalopelvic Disproportion

Alberca, Christian Mark CASE STUDY Cephalopelvic Disproportion (CPD)

BSN II-2 Group A

the accurate definition of cephalopelvic disproportion (CPD) is when a baby's head or body is too large to fit through the mother s pelvis. It is believed that true CPD is rare, but many cases of failure to progress during labor is given a diagnosis of CPD. When an accurate diagnosis of CPD has been made, the safest type of delivery for mother and baby is a cesarean delivery. What causes cephalopelvic disporoprtion (CPD)? The possible causes of cephalopelvic disproportion (CPD) include:
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Large baby due to:


   

Hereditary factors Diabetes Postmaturity (still pregnant after due date has passed) Multiparity (not the first pregnancy)

Abnormal fetal positions Small Pelvis Abnormally shaped pelvis How is cephalopelvic disproportion diagnosed (CPD)? The diagnosis of cephalopelvic disproportion is often used when labor progress is not sufficient and medical therapy such as use of oxytocin is not successful or attempted. CPD can rarely be diagnosed before labor begins even if the baby is thought to be large or the mom s pelvis is known to be small. During labor, the baby s head molds and the pelvis joints spread, creating more room for the baby to pass through the pelvis. Ultrasounds are used to estimate fetal size, however they are not 100% accurate in determining fetal weight. A physical examination that measures pelvic size can often be the most accurate at determining a diagnosis of CPD. If a true diagnosis of CPD cannot be made, the use of oxytocin is often administered to see if this aides in labor progresssion or change in fetal postioning. What about future pregnancies? Cephalopelvic disproportion is a rare occurance. According to the American College of Nurse Midwives(ACNM), CPD occurs in 1 out of 250 pregnancies. If you have been diagnosed with CPD, this does not automatically mean that you will have this problem in future deliveries. According to a study published by the American Journal of Public Health, over 65 % of women who had been diagnosed with CPD in previous pregnancies, were able to deliver vaginally in subsequent pregnancies.

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