OBJECTIVES To evaluate the effect of the Clinical Practice Guideline (CPG) for cesarean section due to Cephalopelvic Disproportion (CPD) on physician compliance, pregnancy outcomes and cesarean section rate. The study also wants to identify factors associated with physician non-compliance. MATERIAL AND METHOD 455 medical records of women undergoing a cesarean section due to CPD from January 1...

Twenty-seven vesico-vaginal fistulae are presented. Cephalopelvic disproportion is shown to play an important part in their causation. Treatment was by vaginal repair in 17 cases, transplantation of the ureters in four, and reconstruction of the anus with closure of the vaginal introitus in one case. Three patients left hospital before their treatment was finished, and the completion of treatme...

OBJECTIVE To identify risk factors of cesarean section due to cephalopelvic disproportion SETTING Department of Obstetrics and Gynecology, Faculty of Medicine, Siriraj Hospital. STUDY DESIGN Case-control study. MATERIAL AND METHOD One hundred and three singleton, viable, term pregnant women in cephalic presentation delivered by cesarean section due to cephalopelvic disproportion (CPD) and...

Objectives. To evaluate the effect of a clinical practice guideline for cesarean section due to dystocia on physician compliance, pregnancy outcome, and cesarean delivery rates, and to identify factors associated with physician non-compliance. Design. A cross-sectional study. Setting. A university hospital, Southern Thailand. Study participants. All 719 medical records of women undergoing a ces...

Achondroplastic pregnant patients almost invariably lead to caesarean section due to cephalo-pelvic disproportion. We report a twenty year old short stature primigravida in labour taken for elective caesarean section for cephalopelvic disproportion. On physical examination she was short statured with height of 110 cm and weight of 37 kg. She had large head with frontal bossing and short limb. E...

The anatomic features of achondroplastic patients pose many challenges for anesthesiologists. The achondroplastic parturient has a high likelihood of delivery by cesarean section due to cephalopelvic disproportion. Hence, anesthesiologist involvement is crucial. It is not uncommon for these patients to have a narrow spinal canal and areas of spinal stenosis. These features might prove a challen...