Malpresentation, Malposition, Cephalopelvic Disproportion and Obstetric Procedures

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review

3 Citations (Scopus)


The pregnant mother and her family expect the best outcome for herself and baby and, if possible, a normal vaginal delivery. Malpresentations, malpositions and cephalopelvic disproportion may not be preventable. They need to be carefully managed and may need obstetric interventions. Such obstetric procedures account for 20-40% of deliveries in the UK. With higher expectations, changing demographics and increasing medical litigation, the procedures need to be carefully conducted with the informed knowledge of the couple. Sound clinical knowledge of normal labour, technical expertise of intrapartum procedures, experience and the correct attitude and communication skills are essential for the best clinical outcome. The choice of procedure depends on several prerequisites, including the mother's view, the facilities available and the experience of the clinician. The NICE guidelines on intrapartum care published in 2007 provide much-needed knowledge on medical management of normal and abnormal labour, while this chapter provides detail description of some of the intrapartum procedures.

Original languageEnglish
Title of host publicationDewhurst's Textbook of Obstetrics & Gynaecology: Eighth Edition
Number of pages15
ISBN (Print)0470654570, 9780470654576
Publication statusPublished - 5 Jan 2012


  • Abnormal lie
  • Asynclitism
  • Birth trauma
  • Breech
  • Flexion point
  • Forceps
  • Malposition
  • Malpresentation
  • Perineal tears
  • Ventouse delivery


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