Curriculum of Obstetrics
TOPIC 35
CONTRACTED PELVIS AND CEPHALOPELVIC DISPROPORTION
RATIONALE
Generally speaking, a contracted pelvis is one that does not permit the passage of the fetus during delivery, with subsequent maternal and fetal complications. Due to improved health care, the incidence of this problem is decreasing markedly and currently the incidence is about 1-3 percent of all hospital deliveries in developing countries.
GOAL
Define and describe the methods of diagnosis and treatment of the common types of contracted pelvis
LEARNING OBJECTIVES
By the end of this course, the student will be able to:
l Define and describe the common types of contracted pelvis
l Describe the cephalo-pelvic disproportion (CPD) tests
l Mention the complications of CPD
l Mention the methods of delivery of CPD
l Appreciate CPD testing
CONTENT
l Definition of contracted pelvis
l Causes of contracted pelvis
l Classification of contracted pelvis, with description of the common types
l Methods of diagnosis of contracted pelvis with stress on CPD tests and partographic assessment of the progress of labor
l Complications of contracted pelvis
l Treatment of contracted pelvis including description of trial labor and indications for cesarean section
