Cephalopelvic disproportion (CPD) is a serious labor complication

It is said that having a large pelvis for a woman is a fortune. Because the sign, you will be easier to give birth On the other hand, mothers with small hips will usually experience difficulties during normal childbirth, especially if the baby's body size is very large. A condition in which the size of the baby's head or body is greater than the size of the mother's pelvis cephalopelvic disproportion (CPD).

What is CPD? If you want to know more about cephalopelvic disproportion (CPD), here are the reviews.

What is cephalopelvic disproportion (CPD)?

If you have never heard of this condition, cephalopelvic disproportionsounds quite foreign. That's why you might be wondering what is CPD?

Definition cephalopelvic disproportion or CPD is a condition that occurs when the baby's body size is too large to fit past the mother's pelvis.

In other words, the meaning of CPD or cephalopelvic disproportion is a condition that can be triggered by a mismatch between the size of the mother's pelvis and the size of the baby's head.

Cephalopelvic disproportion or CPD is one of the many complications that can occur during childbirth.

These complications of childbirth can occur either because the baby's head is too large or the mother's pelvis is too small.

Although the size of the mother's pelvis can affect the birth process of the baby, cephalopelvic disproportion does not necessarily mean that the mother's pelvis is not sufficiently sized for delivery.

On the other hand, the position of the fetus is not right before the delivery process is one of the factors that can trigger it cephalopelvic disproportion or CPD.

Because this means that the baby in the womb is not in a suitable position to be born so it is difficult to pass through the mother's pelvis.

Given that childbirth is a process that can come suddenly, make sure the mother has provided labor preparation and delivery supplies beforehand.

What causes CPD?

CPD or cephalopelvic disproportion are conditions that do not just happen or suddenly.

There are many reasons behind CPD in pregnant women until finally giving birth.

Various things that can be the cause cephalopelvic disproportion or CPD is as follows:

The size of the baby is too large due to heredity, the mother has gestational diabetes, postmaturity (not giving birth when the gestational age is ripe), and multiparity (not the first pregnancy).
Position of the baby in the womb that is not normal or breech babies.
The size of the mother's pelvis tends to be smaller than the normal pelvis size in general.
The shape of the mother's pelvis is abnormal.
There is abnormal bone growth in the mother's pelvis.
The mother has spondylolisthesis or one of the vertebrae changes position.

What are the symptoms of cephalopelvic disproportion?

Cephalopelvic disproportionor CPD is a condition that can occur during childbirth, eventually causing certain symptoms.

The symptoms of CPD are as follows:

The possibility of CPD is greater if the baby in the womb continues to be in the same position without changing even though the mother has experienced multiple labor contractions.
Mothers who have CPD or cephalopelvic disproportion still shows various signs of childbirth, including the opening of the delivery and the water breaking.

This condition can be a sign that the baby is having difficulty passing through the mother's pelvis so that the normal delivery process takes a long time.

However, there are still symptoms cephalopelvic disproportion or any other CPD that could be a sign.

Doctors and the medical team will find out the various causes of difficulty in delivering babies vaginally during delivery in the hospital.

Then you can find out whether your condition is a symptom cephalopelvic disproportion (CPD) or not.

Meanwhile, if the mother gives birth at home, handling related complications of childbirth may not be as fast as at the hospital.

Childbirth in the hospital and at home has the same process, where mothers are asked to apply breathing techniques during childbirth and how to push during childbirth.

What are the risk factors for cephalopelvic disproportion?

Apart from the causes, cephalopelvic disproportion also have various risk factors.

Various risk factors that can increase the chances of this happening cephalopelvic disproportion or CPD is as follows:

Mothers are obese during pregnancy
Have had a previous delivery by caesarean section
There is too much amniotic fluid buildup during pregnancy (polyhydramnios)
Gestational age more than 41 weeks
Mother has been pregnant before
Pregnant at old age, for example a mother aged 35 years or more
Mother is short
The diameter of the mother's pelvis is less than 9.5 centimeters (cm)

One of the factors that can increase the risk cephalopelvic disproportion or CPD is the mother's low height.

Mothers with a height less than 145 cm are at high risk of experiencing problems during normal delivery.

This is because mothers with short stature or under 145 cm usually have a smaller pelvis size than the size of the baby's head.

This condition is one of the things that puts short mothers at risk for CPD making it difficult for a normal vaginal delivery.

How is cephalopelvic dysproportion diagnosed?

According to the American Pregnancy Association, cephalopelvic disproportion usually it can only be clearly diagnosed only when normal labor takes place.

CPD is a rare case seen before labor begins. However, there are various medical tests that doctors can do to help determine the size of the mother's pelvis and baby's head.

Various choices of examinations to determine the possibility cephalopelvic disproportionor CPD is as follows:

Physical examination of the pelvis by measuring it directly to find out its diameter
Ultrasound (USG) can help measure the mother's pelvis and baby's head
MRI (magnetic resonance imagingpelvis to assess the size of the mother's pelvis and the position of the baby in the womb

Again, again, cephalopelvic disproportion or CPD is a condition that can only be confirmed when the birth process is normal.

If during a pregnancy checkup the doctor suspects it cephalopelvic disproportion, normal delivery may still be attempted.

It's just that, doctors and the medical team must be ready to immediately switch to cesarean section if normal delivery is not possible.

How is cephalopelvic disproportion treated?

As with other medical conditions, one of the efforts to restore CPD is by taking medication.

Treatments for conditions cephalopelvic disproportion may vary.

Differences in the treatment of each condition cephalopelvic disproportionor CPD is the severity and timing of diagnosis.

If the doctor diagnoses you have cephalopelvic disproportion At the time of the pregnancy check-up, a cesarean section may be planned.

In other cases, CPD is a condition that can be treated in other ways if it becomes apparent only during normal labor.

This condition usually inevitably makes normal labor discontinued and the doctor performs a cesarean section immediately.

Another way to deal with cephalopelvic disproportionor CPD at delivery is withsymphysiotomy or pubic cartilage surgery.

What is the risk of complications from CPD?

Cephalopelvic disproportionor CPD is a condition that cannot be forced to continue the normal delivery process.

When you have CPD but still insist on a normal delivery, this puts you at risk of other complications.

Several possible complications arise because of this cephalopelvic disproportionor CPD is as follows:

Labor obstruction or dystocia (prolonged labor). The labor process that lasts too long because the baby is difficult to pass the risk of making it deficient in oxygen intake.
Shoulder dystocia. When one of the baby's shoulders is still or is stuck in the vagina, even though the head is successfully outside.
Increased pressure on the umbilical cord (umbilical cord prolapse). The effect of the small and difficult pelvis size during childbirth, risks making the baby entangled in the umbilical cord so that it lacks oxygen.

Not only that, cephalopelvic disproportion or CPD is a condition that can also cause complications.

Complications due cephalopelvic disproportion or CPD is permanent injury to the baby's head and bleeding in the brain.

So, is it true that women with small shoulders have a harder time giving birth normally?

Maybe you are wondering about the possibility of a normal delivery if you have a small pelvis. You see, the pelvic cavity is the way out of the baby at birth.

However, the size of the pelvic cavity cannot be used as a benchmark for whether there will be problems when giving birth to a baby.

If the size of the pelvis is small and the size of the baby is also small, maybe this will not be a problem when the mother wants to give birth normally.

The problem usually comes when the mother's pelvis does not match the size of the baby's head. Where the size of the pelvis of the mother is small and the size of the baby is larger than the pelvis of the mother.

This is what makes it impossible for the baby to be born in a normal way. This means that the condition you are experiencing is CPD.

This is where you need a caesarean section, even in the midst of a normal delivery that is no longer possible.

This is also described in the Scandinavian Association of Obstetricians and Gynecologists.

This is because the small pelvis makes the normal delivery process slower and this is very risky for both the mother and the baby.

However, as previously explained, cephalopelvic disproportion or CPD is a case that is relatively rare and difficult to diagnose before the time of birth.

Therefore, do not immediately assume you have a small pelvis so that you cannot give birth normally.

Because, this condition can depend on the suitability of the size between the mother's pelvis and the baby's head.