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Re: cephalopelvic disproportion (CPD)

From: R. Daniel Braun, MD (anonymous@obgyn.net)
Thu, 6 Jul 2000 20:58:52 -0500 (CDT)

At Thu, 6 Jul 2000, Joanne wrote: >
>I wish to know if there is any specific confirmed information on
>physical measurements or other ways of determining whether a woman has
>CPD (or small pelvic inlet). If so, can it be determined what size baby
>she would be able to deliver vaginally? If she does have CPD (or a small
>pelvic inlet), determined either by measurements or just by clinical
>experience, are there any ways to improve chances (supported by studies
>or experience)of a vaginal delivery, such as by gaining less weight or
>by being induced early, etc.?

Sadly enough, the answer to all your questions is NO. It would be wonderful to be able to predict and or prevent. We can predict in some extreme cases but they are very rare. In 35 years, I have been able to say "This is CPD" at the time of my first pelvic exam on only two cases (out of thousands).

RDB 

--
R. Daniel Braun, MD FACOG  FOG


This is for educational purposes only, and is not intended to be replacement or substitute for consultation and examination by an appropriate medical professional.  Due to time constraints, private e-mails cannot be answered.



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