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Faults in the birth canal

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

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Cephalopelvic disproportion

  • this is a clear indication in cases of gross pelvic contraction
  • it is borderline cases where good judgement is required
  • if a trial labour, with some hours of cautious oxytocic augmentation of uterine contraction, does not result in cervical dilatation then one should proceed to section without delay

Pelvic tumour

  • impaction of an ovarian cyst or fibroid in the pelvis is a rare indication for section

Cervical or Vaginal stenosis

Double uterus

  • the non-impregnated horn may lie below the presenting part of the foetus

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