Dystocia dystrophia syndrome


Characteristic features:

  • Andoid pelvis (slightly justo-minor or masculine type pelvis), with girdle obesity and other signs of dystrophia adiposogenitalis (hypopituitarism), small cervix, narrow rigid vagina
  • Aged primiparity
  • Overmaturity of the child (prolonged pregnancy)
  • Non-engagement of foetal head when labour begins
  • Occipito posterior position
  • Premature rupture of the membranes (PROM)
  • Weak pains with protracted 1st stage of labour
  • Familial dystocia

General appearance:

  • Short stature, male distribution of hair, short forearms and fingers

Pelvic anomlies:

  • Android pelvis: Bones of the pelvis are thick and heavy and with a narrow pubic arch
  • Tight and shallow vagina
  • Rigid pelvic floor

Pregnancy complications:

  • Subfertility: Pregnancy may not occur for many years
  • Tendency to abortions and toxaemia
  • Pregnancy frequently goes over term (postterm), and there is early rupture of the membranes
  • Babies are relatively large, and head fails to engage
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