About Cephalopelvic Desproportion (CPD) Lawsuits

Cephalopelvic Disproportion injuries (CPD) occur when the baby’s head or body is too large to pass through the mother’s pelvis.  It happens in one out of every 250 pregnancies.  The only way to deliver a baby in this situation is by cesarean section.

How is Cephalopelvic Disproportion Identified?

Initially, doctors will have information about the mother’s pelvis type (gynecoid, android, anthropoid, platypelloid) and size by x-ray and examination.  Ultrasounds also give the obstetrician a rough idea of the baby’s head measurements.  One other factor is how the baby’s head is positioned in the pelvis—some parts of the baby’s head can mold to conform to the mother’s pelvis.  Except for macrosomia (a large baby, usually measuring over 8 lbs., 13 oz), doctors will not usually assume CPD based on the measurements alone.  That is one piece of information that should be considered when deciding whether to abort vaginal delivery in favor of a cesarean section.  Another risk factor for CPD is gestational diabetes.

One indication of cephalopelvic disproportion is failure to progress.  Failure to Progress means that the labor does not move as quickly as it should.

What Should My Doctors Do When CPD is a Concern?

Cephalopelvic Disproportion is the most common reason for cesarean section by first-time pregnant mothers.  Careful doctors should identify any risk factors for CPD before the start of labor.  Those risk factors include:

    • Small or abnormal pelvis
    • Large baby head measurements
    • Post-term pregnancy

The only correct method of treatment for cephalopelvic disproportion is a cesarean section.  Attempts to deliver the baby vaginally will cause undue trauma and possibly permanent injury to the baby.

What Injuries Does Cephalopelvic Disproportion Cause?

Doctors faced with cephalopelvic disproportion sometimes act negligently.  Here are some common mistakes that obstetricians make:

    • Pitocin/Oxytocin:  One of the major problems with cephalopelvic disproportion is that doctors can react by administering Pitocin or Oxytocin in an effort to speed up delivery.  Too much of these drugs can cause excessive and traumatic contractions, which can injure the baby.
    • Continued Labor:  Unsure of what to do, many doctors allow labor to progress for far too long.  Labor is stressful for babies, and when prolonged, it can cause oxygen-deprivation injuries to the baby.  Those injuries can lead to cerebral palsy and developmental delays.
    • Prolapsed Umbilical Cord:  when there is less room in the uterus, either because of a large baby or a small pelvis, lack of oxygen injuries because of a trapped umbilical cord are more likely.

Contact Us

If you baby suffered injuries during labor and delivery, contact our medical malpractice lawyers at (855) 712-7818 or online for a free consultation.  We can help you to find out whether your doctor properly reacted to cephalopelvic disproportion (CPD), or whether your baby’s injuries were caused by medical mistakes.

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