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A 25-year-old primigravida woman presented with 4 hours of hypogastric and lumbosacral pain and scanty bloody discharge. Examination found the fetal head at -4 station and 4 cm cervical dilation. Clinical pelvimetry showed a small sub-pubic angle and ischial spines close together, indicating a small pelvis. After 9 hours of labor, the woman underwent abdominal delivery due to failure to progress beyond 8-9 cm dilation and +1 station over 3 hours, suggesting cephalopelvic disproportion as cause of dystocia.

Author

ROY ALPHY

Language

EN