U.S. flag

An official website of the United States government

Format

Send to:

Choose Destination

Cephalopelvic disproportion

MedGen UID:
43260
•Concept ID:
C0085988
•
Finding
Synonyms: Cephalopelvic Disproportion; Disproportion, Cephalopelvic
SNOMED CT: Disproportion between fetus and pelvis (25749005); Disproportion of mixed maternal AND foetal origin with normally formed foetus (199397009); Cephalopelvic disproportion (199397009); Disproportion of mixed maternal AND fetal origin with normally formed fetus (199397009); CPD - Cephalopelvic disproportion (199397009); Fetopelvic disproportion (25749005); Disproportion between fetal head and pelvis (199397009)

Definition

After complete dilatation, failure of the fetal presenting part to descend through the pelvis. [from NCI]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVCephalopelvic disproportion

Professional guidelines

PubMed

Cephalopelvic disproportion as primary diagnosis for cesarean section: Role of neonatal birthweight in relation to maternal height at a Hospital in Merida, Mexico.
Mendez-Dominguez N, Vazquez-Vazquez GG, Laviada-Molina HA, de Jesus Inurreta-Diaz M, Fajardo-Ruiz LS, Azcorra H
Am J Hum Biol 2021 Mar;33(2):e23463. Epub 2020 Jul 13 doi: 10.1002/ajhb.23463. PMID: 32662158
Management of osteogenesis imperfecta type I in pregnancy; a review of literature applied to clinical practice.
Cozzolino M, Perelli F, Maggio L, Coccia ME, Quaranta M, Gizzo S, Mecacci F
Arch Gynecol Obstet 2016 Jun;293(6):1153-9. Epub 2016 Jan 18 doi: 10.1007/s00404-016-4012-2. PMID: 26781260
Diagnosis and management of face presentation.
Duff P
Obstet Gynecol 1981 Jan;57(1):105-12. PMID: 7005774

Recent clinical studies

Etiology

The Pathophysiology of Labor Dystocia: Theme with Variations.
Kissler K, Hurt KJ
Reprod Sci 2023 Mar;30(3):729-742. Epub 2022 Jul 11 doi: 10.1007/s43032-022-01018-6. PMID: 35817950Free PMC Article
Clinical evaluation of labor: an evidence- and experience-based approach.
Cohen WR, Friedman EA
J Perinat Med 2021 Mar 26;49(3):241-253. Epub 2020 Oct 19 doi: 10.1515/jpm-2020-0256. PMID: 33068385
Defining arrest in the first and second stages of labor.
Gimovsky AC
Minerva Obstet Gynecol 2021 Feb;73(1):6-18. Epub 2020 Sep 3 doi: 10.23736/S2724-606X.20.04644-4. PMID: 32882117
Factors associated with successful vaginal birth after a cesarean section: a systematic review and meta-analysis.
Wu Y, Kataria Y, Wang Z, Ming WK, Ellervik C
BMC Pregnancy Childbirth 2019 Oct 17;19(1):360. doi: 10.1186/s12884-019-2517-y. PMID: 31623587Free PMC Article
Obesity and pregnancy.
Andreasen KR, Andersen ML, Schantz AL
Acta Obstet Gynecol Scand 2004 Nov;83(11):1022-9. doi: 10.1111/j.0001-6349.2004.00624.x. PMID: 15488115

Diagnosis

The active phase of labor.
Friedman EA, Cohen WR
Am J Obstet Gynecol 2023 May;228(5S):S1037-S1049. Epub 2023 Mar 15 doi: 10.1016/j.ajog.2021.12.269. PMID: 36997397
The Pathophysiology of Labor Dystocia: Theme with Variations.
Kissler K, Hurt KJ
Reprod Sci 2023 Mar;30(3):729-742. Epub 2022 Jul 11 doi: 10.1007/s43032-022-01018-6. PMID: 35817950Free PMC Article
Clinical evaluation of labor: an evidence- and experience-based approach.
Cohen WR, Friedman EA
J Perinat Med 2021 Mar 26;49(3):241-253. Epub 2020 Oct 19 doi: 10.1515/jpm-2020-0256. PMID: 33068385
Defining arrest in the first and second stages of labor.
Gimovsky AC
Minerva Obstet Gynecol 2021 Feb;73(1):6-18. Epub 2020 Sep 3 doi: 10.23736/S2724-606X.20.04644-4. PMID: 32882117
Cesarean section.
Danforth DN
JAMA 1985 Feb 8;253(6):811-8. PMID: 3881613

Therapy

The Pathophysiology of Labor Dystocia: Theme with Variations.
Kissler K, Hurt KJ
Reprod Sci 2023 Mar;30(3):729-742. Epub 2022 Jul 11 doi: 10.1007/s43032-022-01018-6. PMID: 35817950Free PMC Article
Factors associated with successful vaginal birth after a cesarean section: a systematic review and meta-analysis.
Wu Y, Kataria Y, Wang Z, Ming WK, Ellervik C
BMC Pregnancy Childbirth 2019 Oct 17;19(1):360. doi: 10.1186/s12884-019-2517-y. PMID: 31623587Free PMC Article
Symphysiotomy for feto-pelvic disproportion.
Hofmeyr GJ, Shweni PM
Cochrane Database Syst Rev 2012 Oct 17;10(10):CD005299. doi: 10.1002/14651858.CD005299.pub3. PMID: 23076913Free PMC Article
Symphysiotomy for feto-pelvic disproportion.
Hofmeyr GJ, Shweni PM
Cochrane Database Syst Rev 2010 Oct 6;(10):CD005299. doi: 10.1002/14651858.CD005299.pub2. PMID: 20927742
Cesarean section.
Danforth DN
JAMA 1985 Feb 8;253(6):811-8. PMID: 3881613

Prognosis

Clinical evaluation of labor: an evidence- and experience-based approach.
Cohen WR, Friedman EA
J Perinat Med 2021 Mar 26;49(3):241-253. Epub 2020 Oct 19 doi: 10.1515/jpm-2020-0256. PMID: 33068385
Evolution of the human pelvis and obstructed labor: new explanations of an old obstetrical dilemma.
Pavličev M, Romero R, Mitteroecker P
Am J Obstet Gynecol 2020 Jan;222(1):3-16. Epub 2019 Jun 25 doi: 10.1016/j.ajog.2019.06.043. PMID: 31251927Free PMC Article
VBAC: antenatal predictors of success.
Trojano G, Damiani GR, Olivieri C, Villa M, Malvasi A, Alfonso R, Loverro M, Cicinelli E
Acta Biomed 2019 Sep 6;90(3):300-309. doi: 10.23750/abm.v90i3.7623. PMID: 31580319Free PMC Article
Cephalopelvic disproportion.
Payne PR
Trop Doct 1997 Jul;27(3):129-30. doi: 10.1177/004947559702700301. PMID: 9227001
Cesarean section.
Danforth DN
JAMA 1985 Feb 8;253(6):811-8. PMID: 3881613

Clinical prediction guides

Antepartum sonographic prediction of cephalopelvic disproportion: are we getting any closer?
Ramirez Zegarra R, Dall'Asta A, di Pasquo E, Ghi T
Am J Obstet Gynecol MFM 2023 Feb;5(2):100828. Epub 2022 Dec 17 doi: 10.1016/j.ajogmf.2022.100828. PMID: 36529655
Clinical evaluation of labor: an evidence- and experience-based approach.
Cohen WR, Friedman EA
J Perinat Med 2021 Mar 26;49(3):241-253. Epub 2020 Oct 19 doi: 10.1515/jpm-2020-0256. PMID: 33068385
Defining arrest in the first and second stages of labor.
Gimovsky AC
Minerva Obstet Gynecol 2021 Feb;73(1):6-18. Epub 2020 Sep 3 doi: 10.23736/S2724-606X.20.04644-4. PMID: 32882117
Evolution of the human pelvis and obstructed labor: new explanations of an old obstetrical dilemma.
Pavličev M, Romero R, Mitteroecker P
Am J Obstet Gynecol 2020 Jan;222(1):3-16. Epub 2019 Jun 25 doi: 10.1016/j.ajog.2019.06.043. PMID: 31251927Free PMC Article
Cesarean section.
Danforth DN
JAMA 1985 Feb 8;253(6):811-8. PMID: 3881613

Recent systematic reviews

Incidence, causes, and maternofetal outcomes of obstructed labor in Ethiopia: systematic review and meta-analysis.
Ayenew AA
Reprod Health 2021 Mar 10;18(1):61. doi: 10.1186/s12978-021-01103-0. PMID: 33691736Free PMC Article
Factors associated with successful vaginal birth after a cesarean section: a systematic review and meta-analysis.
Wu Y, Kataria Y, Wang Z, Ming WK, Ellervik C
BMC Pregnancy Childbirth 2019 Oct 17;19(1):360. doi: 10.1186/s12884-019-2517-y. PMID: 31623587Free PMC Article
Caesarean section rates following pelvic fracture: a systematic review.
Riehl JT
Injury 2014 Oct;45(10):1516-21. Epub 2014 Apr 3 doi: 10.1016/j.injury.2014.03.018. PMID: 24830904
Symphysiotomy for feto-pelvic disproportion.
Hofmeyr GJ, Shweni PM
Cochrane Database Syst Rev 2012 Oct 17;10(10):CD005299. doi: 10.1002/14651858.CD005299.pub3. PMID: 23076913Free PMC Article
Symphysiotomy for feto-pelvic disproportion.
Hofmeyr GJ, Shweni PM
Cochrane Database Syst Rev 2010 Oct 6;(10):CD005299. doi: 10.1002/14651858.CD005299.pub2. PMID: 20927742

Supplemental Content

Table of contents

    Practice guidelines

    • PubMed
      See practice and clinical guidelines in PubMed. The search results may include broader topics and may not capture all published guidelines. See the FAQ for details.
    • Bookshelf
      See practice and clinical guidelines in NCBI Bookshelf. The search results may include broader topics and may not capture all published guidelines. See the FAQ for details.

    Related information

    • MeSH
      Related Medical Subject Headings
    • PMC Articles
      Related information in PubMed Central Links
    • PubMed
      Related literature resources in PubMed

    Recent activity

    Clear Turn Off Turn On

    Your browsing activity is empty.

    Activity recording is turned off.

    Turn recording back on

    See more...