I’ve got a really small pelvis apparently, I’m not too posh to push but I’ve been told I may need a caesarean section – is this right?

Cephalopelvic disproportion is the term used to describe an obstructed labour (one that is not progressing) due to the size or shape of the mother’s pelvis in relation to the size and position of the baby entering it. If your pelvis is smaller than average and possibly a less desirable shape for labour, then this will mean that the baby may find it difficult to pass through it. Usually this presents with good contractions, yet no signs of the cervix dilating further. Later on, baby’s can become distressed and you may become dehydrated and in a lot of constant pain. Some hospitals will allow you to trial a labour and the first signs of lack of progress, they will advise a caesarean section (CS). Depending on your individual situation, some doctors may recommend an elective CS to avoid any complications.

See: Chaffer, D. and Royle, L. (2000) The use of audit to explain the rise in caesarean section. British Journal of Midwifery. 8(11) pp677-84.