{
  "schema_version": 1,
  "kind": "condition",
  "id": "cephalopelvic-disproportion",
  "name": "Fetal-maternal disproportion",
  "category": "chronic",
  "sources": "Cesarean Delivery - StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK546707/ · ICPC-3 (WONCA International Classification of Primary Care, 3rd edition) class WD71.02 - condition scope only, no dose · No dose - referral pathway, no medicine given in primary care",
  "review_status": "reviewed",
  "verified_against": "No dose - referral pathway, no medicine given in primary care",
  "verified_date": "2026-08",
  "treatments": [
    {
      "id": 387,
      "generic": "No drug therapy in primary care (Referral & Advice)",
      "line": 1,
      "is_adjunct": false,
      "form": null,
      "strength_mg": null,
      "adult_dose": "Cephalopelvic disproportion occurs when the fetal head is too large or the maternal pelvis too small to allow safe vaginal delivery. In primary care or antenatal clinic, suspect disproportion in primigravidae with unengaged fetal head at term, short maternal stature, or suspected fetal macrosomia. Refer promptly to an obstetric facility for pelvimetry, ultrasound fetal weight estimation, and planning of elective or emergency C-section to prevent obstructed labour.",
      "adult_duration": "Refer, with advice",
      "dose_source": "No dose - referral pathway, no medicine given in primary care",
      "rationale": "Cephalopelvic disproportion occurs when the fetal head is too large or the maternal pelvis too small to allow safe vaginal delivery. In primary care or antenatal clinic, suspect disproportion in primigravidae with unengaged fetal head at term, short maternal stature, or suspected fetal macrosomia. Refer promptly to an obstetric facility for pelvimetry, ultrasound fetal weight estimation, and planning of elective or emergency C-section to prevent obstructed labour.",
      "cautions": [
        "RED FLAG - Uterine rupture: assess urgently and refer.",
        "Suspected disproportion in active labour needs urgent obstetric management to avoid obstructed labour.",
        "No medicine is prescribed for this in primary care - this entry is for recognition and referral. Anything given is decided by the service it is referred to."
      ],
      "peds_mgkg_low": null,
      "peds_mgkg_high": null,
      "peds_max_mg": null,
      "peds_basis": null,
      "peds_unit": null,
      "peds_note": "Children follow the same pathway: recognise and refer. No primary-care medicine is implied.",
      "peds_min_weight_kg": null,
      "peds_max_weight_kg": null,
      "peds_age_min_months": null,
      "peds_age_max_months": null,
      "peds_age_bands": null,
      "peds_doses": null,
      "brands": [],
      "condition_id": "cephalopelvic-disproportion"
    }
  ]
}