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CPD Concept Map

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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

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