Diagnosis of CPD (cephalopelvic disporpotion) is a state in which the baby's head is considered too large to pass through her pelvis. CPD is caused by a narrow pelvis, the fetus is large or a combination of both.
In the 18th and 19th centuries, malnutrition, rickets, and diseases such as polio cause pelvic anomalies, which resulted in death in childbirth. It was originally CPD is the most common reason for carrying out a caesarean section. In modern times, however, the CPD is rare, because the general standard of living we are very much higher than the 18.19 the last century and the incidence of CPD is more likely caused by a fracture of the pelvis due to road traffic accidents or congenital abnormality.



    disproportion. Obstet Gynecol 1998; 92:799-803.
2. Phelan et al. Vaginal birth after cesarean. AMJOG 1987; 157:1510-5.
3. VHWM Jongen et al. "Vaginal delivery after previous Caesarean section for failure of the second stage of
     labor." BJOG 1998; 105:1079-81.
4. BL Flamm and Goings JR. "Vaginal birth after Caesarean section: Is suspected fetal macrosomia (large for
    dates baby) a contra-indication." CPD is often implied diagnosed. In cases where labor has failed to advance or baby becomes distressed, the medical staff generally assume that is due to physical disability in the mother rather than looking towards the state of maternal care. This problem often occurs when the CPD is not suspected and there are other causes such as fear, difficulty adjusting to the medical environment, lack of emotional support and non-continuity of health care workers.

 
Many women worry about how something big like a baby will fall in a narrow alley in a vagina, so the implications of the inability of the pelvis can confirm the personal fears, low self-esteem, affect the progress of each subsequent delivery and add a feeling of failure occurred in the hearts and minds of mothers.
CPD is also sometimes suspected when the baby's head fails to descend into the pelvis, when a mother is assumed to CPD, x-ray pelvimetry may be suggested, both ante-natal or post-natal. maternal pelvis is measured by x-ray to assess the adequacy of the pelvis. Apart from health risks x-ray, pelvic assessment methods have been criticized because it has been proven to be inaccurate and because often the results do not affect how the management of labor. Due to concerns of x-ray exposure to the mother and baby, some hospitals offer pelvimetry by computed tomography (CT) scan that uses radiation doses much lower.
In any case, CPD is difficult to diagnose accurately because no less than four variables that can not be measured:
1. pelvic muscles and ligaments supporting the unstructured, remain firmly
During pregnancy and childbirth hormone relaxin softens the ligaments that join the pelvic bone, so that the pelvis can 'stretch'. Level of expansion achieved will vary from woman's pelvis to the woman and from pregnancy to pregnancy one another
2. Moulase on the baby's head
Baby head consists of separate bones which move relative to one another, allowing the baby's head to moulase or do overlap and thus it will reduce the diameter of the head during a trip down the birth canal. No one can predict the capacity of molasses baby's head, because this is a feature of the normal birth process, which should not affect the health and welfare of the baby.
3. Position where a woman during labor and delivery to adapt to make a difference to pelvic dimensions
Squat, for example, can enhance measurement of the pelvic area to 30%. One of the most common position for women in childbirth, with a little lean (half sitting) where the maternal weight is concentrated on his tail bone, would restrict the movement of the coccyx, which is actually really can take a compromise to extend the hip. By avoiding this position during labor, a woman may be able to deliver vaginally pervagina and more smoothly because the pelvic area increases.
4. Position the baby
Position the baby can be very important, because it will relate to how the diameter of the pelvic area that needed to be able to pass the baby's head.
What if I already have a previous diagnosis of CPD?
Indeed, many documented cases where women who have been diagnosed with CPD and then can normal vaginal delivery, but often when the diagnosis of CPD has been made, many people still believe that this is the reason for repeat cesarean.
I believe there is a case of pure CDP CPD but the incidence is very rare, several cases I have seen is the baby with the presentation asynclitic so hard to get off the hip baby directly on the value or being labeled as the CPD. In addition it is often diagnosed in the CPD has told a mother because the mother's body berpostur short. Though not necessarily dnegna mother always suffer short posture CPD. Because some of my patients have a posture of short but it turns out she can give birth normally pervagina. Sometimes there is dishonesty and lack of proper understanding of the ability of the body of a woman in labor. And this happens especially when there is a doctor who said that the mother's narrow pelvis, so the birth should be assisted by vacuum or forceps. Where is the logic if the head will only be able to enter the pelvis when pulled out by force?
Here are Some Tips If you have a CPD Worry
1. Read about how to optimize the head and the fetal position on the web Midwives We
There have been many incidents that I heard in which a mother finally made the SC due to CPD or the failure of labor progress. When in fact many instances of failure of labor progress is due to a posterior position of the baby or babies are not in a position opimal. Some of the things that we often do so resulted in a fetal position is not optimal, among others, as often we do not regulate body posture and position us well. And this is very influenced by our modern lifestyle. Often old pregnant woman reclining on her back by forming Curva C in the body. Though this position will greatly affect the position of the fetus. Besides a lot of pregnant women who are lazy to do small activities such as turning on the TV and switch channelnya they prefer to sit on the couch holding the remote rather than stand up and move to move the channel manually. And many more examples. This all can be read in www.bidankita.com is about optimizing the fetal position. 2. Find a second opinion (second opinion)
If you are unhappy or unsure when given the diagnosis from your doctor that your body can not give birth normally it is very important for you to seek a second opinion. Do not give up. You must be positive and optimistic that a woman's body is designed in such a way as to give birth normally.
3. Following classes birth education preparation
It is very important to you. By following childbirth preparation classes you will get a gambling information about labor and how your body works is extraordinary in labor. You can follow childbirth preparation classes at the clinic Midwife Kita, because there you will get a very complete information about how and what should you do to prepare the body, soul and mind in the process of normal labor.
Watch This Video.
This is a video on Youtube of ICAN of the CPD here we can see there is even a woman with 3 times the SC prior to the diagnosis of CPD was found to normal maternity pervagina in its delivery to the 4 when the baby is born is greater than the three previous babies.
What to do if the ultrasound says you Have a Big Baby?
Ultrasound estimates are not always true that what should be believed but this should still be on the watch, the most important thing is to look at first in how many weeks gestation you get this diagnosis? If at all possible to make corrections do. This means that in addition you have to find second and even third opinion, perhaps you should also go on a diet of sugar and carbohydrates to avoid an excessive increase in fetal weight.
Here the important thing is trust your body a lot of cases of babies with normal birth weight 4 and even 5 kg.
Well the conclusion is if you are diagnosed with CPD,
1. Do not stress
2. Search for second or third opinion to make sure that you will be able to make the best decision.
3. Enforce the diagnosis. Maybe dnegna measurements or x-ray pelvimetry
4. Find out your interpretation of fetal weight first.
5. Strive to expand the pelvic outlet with some way to do pelvic rocking, yoga, squatting position etc.
6. Trust your body and strength of Fetal Pelvic Narrow actually been very rare in this century.
Warmest regards
Midwives We
Here Some Studies On Pelvimetry and CPD that you can read and refer to
1. Impey L. and O'Herlihy C. First delivery after Caesarean delivery for strictly defined cephalopelvic