Cephalopelvic disproportion (CPD) is a pregnancy complication in which there is a size mismatch between the mother’s pelvis and the fetus’ head. The baby’s head is proportionally too large or the mother’s pelvis is too small to easily allow the baby to fit through the pelvic opening. This can make vaginal delivery dangerous or impossible. If an attempted vaginal delivery is unsuccessful, doctors should quickly move onto a C-section. If they fail to do this, prolonged/obstructed labor from CPD may result in birth injuries such as hypoxic-ischemic encephalopathy (HIE) and cerebral palsy (CP). Some women are more likely to have a pregnancy with cephalopelvic disproportion than others. Risk factors include: Infertility treatment, Maternal obesity, Previous cesarean delivery, Polyhydramnios, Gestational diabetes, Postmaturity or gestational age over 41 weeks.

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