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Palpating head above pelvic brimFrom: rmodugno@aol.comFri Mar 21 10:12:04 2008
In residency in South Africa ( many moons ago in the 70s) -we were always taught to assess "station" transabdominally, rather than using the ischial spines when assesing a patient for operative delivery.. This? is the concept of "fifths" of head above the pelvic brim to assess CPD. Degree of Caput and molding transvaginally were also assessed.Most operative deliveries were vacuum extractions.Kiellands/Kjellands were banned. ? 0/5 - no head felt - operative delivery very likely to succeed. 1/5 -?? consider symphysiotomy ! Anything 2/5 and above - C/S ? Robert Modugno MD MBA FACOG Sylva, NC
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