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Re: 36 1/2 weeks and a question on cephalopelvic disproportion

From: Garry (anonymous@obgyn.net)
Mon, 13 May 2002 20:54:47 -0500 (CDT)


At Mon, 13 May 2002, kerry wrote: >
>hello Dr, Ladies.
>
>I Am currently 36w4d LMP with our first baby..a boy.
>I went to L&D Friday night due to contractions and after an hour or so
>they became irregular again and I was sent home and told to monitor
>them.
>My baby's head is strating to engage, but not fully.
>
>My mother had cephalopelvic disproportion, and I am concerned about
>this, however have been told that they will not be able to tell until I
>am in the delivery room.
>
>I was just wondering, if the babies head is not going to fit, will it
>have problems even engaging?

Probably, but not all heads engage before labor, so it is not reliable enough to act on.

>
>Also, do women with this problem usually have to be induced rather than
>go into spontaneous labor?
>

In general, a spontaneous labor is your best shot at a vaginal delivery.

--
Garry E. Siegel, M.D., F.A.C.O.G.
Private Practice
Roswell, GA

No private emails; advice here does not constitute a physician-patient relationship.




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