GynaePulse
Fetal position & pelvisFree in the app

Moulding & caput

Grading on VE — a clue to disproportion.

Source: WHO partograph

Moulding

0Bones apart, sutures easily felt.
+Bones touching.
++Overlapping, reducible.
+++Overlapping, not reducible.
+++ moulding with poor progress suggests cephalopelvic disproportion.
A summary for trained clinicians. Always check the full guideline, the patient in front of you and your hospital's protocol. Spotted an error? Tell us.