CS because of cephalopelvic
disproportion, fetal distress, and labor stagnation was considered an emergency CS as it was performed after the onset of labor.
Signs of cephalopelvic
disproportion (CPD) leading to obstructed labour must, however, be excluded.
Also, women with either two previous scars or one previous scar with a percieved recurrent indication for CS, such as cephalopelvic
disproportion, were excluded.
They died in the intensive care unit (ICU) from hypovolaemic shock, subsequent disseminated intravascular coagulation and multi-organ failure-secondary to placenta praevia (n=1), PPH at caesarean section for fetal distress and cephalopelvic
disproportion (with no other risk factors, n=2), and caesarean section for abruptio placentae (n=1).
The inclusion criteria covered all full-term pregnant women who were admitted to the labor ward for vaginal delivery, whereas the exclusion criteria consisted of inaccurate gestational age, placenta previa, cord prolapse, previous cesarean section, preterm birth, suspected cephalopelvic
disproportion, and any limitation on vaginal delivery.
Fetal congenital abnormalities, cephalopelvic
disproportion, mal-position and mal-presentation are important risk factors for obstructed labour.
Mal-presentations, previous LSCS and cephalopelvic
disproportion, multiple pregnancies.
Self-Ratings of most important maternal reasons in decision making for CS delivery # Reason n % 1 Hypertensive disorders 34 60% 2 Abnormal labor pattern or arrest in progress of labor 31 54% 3 Previous cesarean section 19 33% 4 Cephalopelvic
disproportion 19 33% 5 Maternal request 18 32% 6 Maternal complications 12 21% 7 Malpresentation of Fetus 12 21% 8 Diabetes mellitus 11 19% 9 Abnormal fetal well-being parameters 11 19% 10 Fetal macrosomia 6 11% Other causes 46 81% Missing 5 9% Total 57 100% Table 3.
Medically termed as cephalopelvic
disproportion, the baby was just too large to fit through her immature pelvis.
Malpresentation, malposition, cephalopelvic
dysproportion and obstetric procedures.
The most frequent indication for cesarean section was cephalopelvic
disproportion, which occurred in 37.
Large fetuses will have issues with cephalopelvic
disproportion, thus increasing the risk for 2 disorders: shoulder dystocia and fetal cranial bleeding.