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PELVIC
By: khodijah, SST
Akbid budi mulia
Palembang
PELVIC
A. Solid part
: Pelvic bone
B. Soft part
muscle
A. PELVIC BONE
2 Innominate bone :
Os illium
Os ischium
Os pubic
Sacrum
Coccyx
PELVIC BONE
PELVIC BONE
PELVIC BONE
PELVIC BONE
Sacrum
PELVIC BONE
Tulang Coccygis
Ischium Function
Fungsi os Coccygis
Promontorium
Sacrum
Linea inominata
Ramus Superior
ossis Pubis
Uper border of
Symphisis pubis
Pelvic outlet
Area bordered by:
Ujung bawah
Sacrum
Tulang Tuber
Ischiadica
Sacro-coccygeal
Lower border of
symphisis pubis
Distansia
Spinarum
Hodge line
II
III
IV
Ligament
Ligament
Ligament
Ligament
Ligament
PELVIC MUSCLE
The inner aspect of the bony pelvis is covered
with muscles:
PELVIC MUSCLE
Conjugata Vera
Sacral promontory
Iliopectineal line
Sacrospinous ligament
Sacrotuberous ligament
Ischial spine
Symphysis pubis
Ischial tuberosity
PELVIC EXAMINATION
X-Ray
Jangka Panggul
Distansia Cristarum
Distansia Spinarum
Conjugata eksterna/Bouldeloque:
Vaginal Touch
Promontorium touched/not
Conjugata Vera normal/not
Spina Ischiadica prominent/not
Arkus pubis wide/narrow
Sakrum curve/not
Note:
Touched Promontory usually indicated narrow pelvic
Height 145 cm also indicated narrow pelvic
Pelvic Shape
PELVIC SHAPE
1-GYNECOID
Typical female pelvis found in 50% of
women
Roundedslightly oval inlet
Straight pelvic sidewalls with roomy pelvic
cavity
Good sacral curve
Ischial spines are not prominent
Pubic arch is wide
PELVIC SHAPE
2-ANDROID
Typical male pelvis found in 1/3 white
women 1/6 non-white
Pelvic brim is heart shaped
Pelvis funnels from above downwards
(convergent sidewalls)
Narrow pubic arch
Prominent spines
PELVIC SHAPE
3-ANTHROPOID
25% white women & 50% nonwhite
Pelvic brim APD > TD
Long & narrow pelvic canal with long sacrum
Straight pelvic sidewalls
4-PLATYPELLOID
3% of women
Pelvic brim TD >>>APD
kidney shape
Sacral promontory pushed forwards
Congenital:
Narrow palvic
Simple flat
Funnel (narrow outlet)
Assimilation
Disease :
Rachitic
Osteomalasia
TBC
Lordosis
Skoliosis
Kifosis
Spondilosis
Deviation impact
Prolonged labor
CPD (Chepalo Pelvic Disproportion)
Breech presentation
Infertility
POST TEST
Daftar pustaka
THANK YOU
PLEASE WORK HARD IN
THIS NEW SEMESTER