Doctor insights on:
Does Congenital Small Pelvis Cause Cephalopelvic Disproportion
Doctor: Truly, only an xray can make the definitive diagnosis. ...Read more
Poor advice: Even though you HAV a clinically small pelvis, there are many other factors that you cannot predict - ultimate size of baby, how much the head can mold, the power of the contractions and the distensibilty of the soft tissues. In any event, recent acog guidelines require 39 completed weeks before elective delivery. This is because of increased admission to the nicu before 39 weeks. ...Read more
5'4 112 pds, small pelvis. Will ligament pains b/c of growing belly hurt more as baby gets big b/c of my size? Is back pain guaranteed? How do I deal?
Can you describe what delivery exactly feels like? Doc says I have small pelvis but vaginal birth can still happen. I would like to experience it.
Worst pain: Well as a pediatrician who has had three wonderful children vaginally with no pain meds, I can tell you it is the worst possible pain I can imagine. Stay in good shape, gain the recommended weight, try yoga or meditation. It is a beautiful process, but if you choose to get assistance with pain, feel no guilt about that. Listen to your OB's advice. A healthy baby is the most important outcome! ...Read more
Probably not.: A small pelvis might make child bearing difficult, but the size of the vagina is much more relevant. Under the right conditions, even a very small adult vagina can accomodate a normal male penis. ...Read more
Does pant size give any indication as to having a small pelvis? I wear a size 2, or 27'' pants size. And the bone pops out a bit on both sides, normal
I suppose: Since you are petit according to your clothing then it is safe to say that your pelvis is smaller than a very large person. ...Read more
I'm 33 weeks pregnant yet I'm measuring 40. I do have placenta praevia and a small pelvis. Does that mean I'll have the baby early?
Yes: Woman who have placent previa are usually delivered a little early to avoid the risk of labor. Labor with a placenta previa can cause severe bleeding. Exactly when will be determined by your Ob/Gyn who knows your situation fully. Its a complex decision and many factors must be taken into account. Best wishes! ...Read more
Head is too large...: The easiest way to visualize this is that the head is too large to pass through the birth canal. Cephalo means head and pelvic is the birth canal. ...Read more
Small pelvis: If pelvic size is not large enough, a fetus may not be able to pass through the birth canal during delivery. ...Read more
Is a distended renal pelvis congenital, or can it have another cause? I am 53 and it is only recently discovered after hysterectomy
See below: A distended renal pelvis can indicate obstruction of urine flow from the kidney into the ureter. This can be due a congenital malformation called upj obstruction, but can also be due to other blockages such as a stricture or stone in the ureter, or from extrinsic compression of ureter from something else. Then again, it can just be a redundant renal pelvis that is not blocked. See a urologist. ...Read more
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