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Intermediate Technical IVT

moulding

Temporary reshaping of the fetal head during passage through the birth canal due to pressure.

Full Definition

Moulding is the temporary overlapping and reshaping of fetal skull bones that occurs during labor as the head passes through the maternal pelvis. This physiological adaptation is possible due to the presence of fontanelles and sutures in the fetal skull, which allow the bones to overlap and compress. Moulding helps accommodate the fetal head to the dimensions of the birth canal and is typically reversible within days after delivery. Excessive moulding may indicate cephalopelvic disproportion or prolonged labor.

Usage

Usage note: British spelling 'moulding' preferred in medical contexts; American 'molding' also acceptable.

In Context

  • "Significant moulding was noted during examination in active labor." — labor assessment notes
  • "The newborn showed mild moulding that resolved by 48 hours of age." — newborn examination

Also known as

molding skull compression

Don't confuse with

caput succedaneum cephalohematoma

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