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Chapter-51 Dystocia and Cephalopelvic Disproportion

BOOK TITLE: A Comprehensive Textbook of Obstetrics & Gynecology

Author

1. Gupta Sadhana

ISBN

9789350251126

DOI

10.5005/jp/books/11278_50

Edition

1/e

Publishing Year

2011

Pages

Author Affiliations

1. Ultrasound, Infertility and In Vitro Fertilization (IVF) Specialist, Jeevan Jyoti Hospital, Gorakhpur, Uttar Pradesh, India, Gorakhpur, Uttar Pradesh, Bombay Hospital, Mumbai, Jeevan Jyoti Hospital and Medical Research Center and Jeevan Jyoti Test Tube Baby Center, Gorakhpur, UP, India, Jeevan Jyoti Hospital and Medical Research Center, Jeevan Jyoti Test Tube Baby Center, Gorakhpur, UP, India, Jeevan Jyoti Hospital and Medical Research Centre, Gorakhpur, Uttar Pradesh, India, FOGSI 2011–2013; Jeevan Jyoti Hospital and Medical Research Center, Gorakhpur, Uttar Pradesh, India, Jeevan Jyoti Hospital and Medical Research Center, Jeevan Jyoti Test Tube Baby Center, Gorakhpur, Uttar Pradesh, India, Jeevan-Jyoti Hospital, Gorakhpur, Uttar Pradesh, India, Jeevan Jyoti Hospital and Medical Research Centre, Gorakhpur, Uttar Pradesh, India; FOGSI 2016, Jeeevan Jyoti Hospital and Medical Research Centre, Gorakhpur, Uttar Pradesh, India, FOGSI, 2016, FOGSI Representative to SAFOG, 2018-20; Safe Motherhood Committee, FOG

Chapter keywords

Abstract

Abstract

Dystocia, i.e. difficult labor can be caused by abnormalities of uterine contraction, maternal passage or pelvis. Definition, diagnostic criteria, and management of protracted, arrest disorder, precipitate labor and variants of in coordinate uterine action are detailed in the chapter with diagrams and photographs. Variants of female pelvis with salient characteristics and their obstetrical significance, and methods of clinical and imaging pelvimetry are explained in text and tables. Management options in varying degrees of Cephalopelvic disproportion like expectant observation, trial of labor, instrumental and cesarean delivery are well explained.

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