Practice Quiz

CPM Certified Professional Midwife

Category - The Postpartum Period

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In terms of moderate cephalopelvic disproportion (CPD), which of the following is a disadvantage in deciding upon a trial labor for a patient with this condition?
  1. Eliminates unnecessary c-section
  2. Test of disproportion remains unproven
  3. Eliminates injudicious use of premature induction of labor
  4. Ensures the woman is in good obstetrical condition for surgery
Explanation
Answer: B - Test of disproportion remains unproven

In a pregnant woman with a moderate degree of cephalopelvic disproportion (CPD, trial labor may be attempted in an institution under supervision (and with watchful expectancy). However, arrangements should be made for operative delivery (if trial labor is a failure and c-section is necessary).

Disadvantages of trial labor include:
1. Test of disproportion remains unproven
2. increased perinatal morbidity or mortality
3. Increased risk of maternal mortality
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