PELVIS

Two large bones with an

Cranium of the baby Pelvis of the mother
opening in the bottom

Attached together by cartilage Normal changes during

and ligaments pregnancy

Pelvic floor muscles support the

baby Cranium progressively increasing
Widening of the pelvic canal
in diameter

At 36 weeks, lightening occurs

Third trimester of pregnancy

Pregnancy hormones soften

the pelvic ligaments

Cranium is fully developed Pelvic canal fully widened

Allows pelvis to open so that the

baby can pass through during
labor and delivery

small wide
Uterine contractions move the
baby down the birth canal

Normal spontaneous delivery

large wide but not enough

Cephalo-Pelvic Disproportion

Cesarean section Post Operative Care

Monitor vital signs

Ibuprofen

Signs and Symptoms Cephalo-Pelvic Disproportion

Palpate Fundus

Prolonged labor Maintain of the optimum

ventilation and haemodynamic
Complications Diagnosis Medications status of the mother

Fetal disttress Introduce bond between mother

Decreased heart rate and oxygen and baby
Physical Examination Cefoxitin
deprivation

Volume of amniotic fluid Maintain fluid and electrolyte

Prolonged labor could lead to Radiologic Pelvimetry Epidural balance
critical danger for the mother
and baby

Maintain the comfort of the

Large fundal height patient
Ultrasound

Minimize patient anxiety

Management of CPD

Legend:
Check vital signs q4h

Physiology

Pathophysiology
Monitor contraction of the
mother and the fetus Signs and Symptoms

Complications
Immediately report signs Diagnosis
of fetal distress
Medication

Position the mother in a Post Operative Care

sitting or squatting
Management of CPD
position

Assess for hypoxia in the

fetus

Provide support