Академический Документы
Профессиональный Документы
Культура Документы
of
ne
Pla
t
inle
Horizontal plane
Vertical plane
of
ne
Pla
t
inle
Plane
of outle
t
Horizontal plane
Vertical plane
Plane
of outle
t
Horizontal plane
Vertical plane
of
The inlet
Planes of least dimensions
or the mid plane
The outlet
ne
Pla
t
inle
Antero-posterior diameter
extending from middle of
sacrum promontry to middle of
the upper margin of the
symphysis pubis
Normally 11 cm, of no obstetric
significance
Approx 12.5 cm
Diagonal conjugate
Transverse
diameter
e. Oblique diameter
Oblique diameter
Anteroposterior
diameter
Distances similar at 12 cm
Ischial spines are palpable
vaginally
A. Anthropoid
B. Platypelloid
C. Android
D. Gynaecoid
B. Android (20%)
C. Anthropoid (25%)
Inlet is oval, with the AP diameter is much longer than transverse diameter
All the AP diameters are longer and all transverse diameters are shorter than in
comparison with the average gynaecoid pelvis
Forepelvis is oval and more narrow than in gynaecoid pelvis
Side walls are generally straight
Ischial spines are usually not encroaching
Pubic arch is normal or relatively narrow but well shaped
sacrum has an average curvature with a wide sacrosciatic notch ,thus creating an
increased space in the post pelvis
Engagement usually occurs in the anterioposterior or oblique diameter and
occipitoposterior are common
Fetuses in OP usually descend and deliver without rotating
Progress is good for spontaneous vaginal delivery with increased frequency of OP
deliveries
Clinical pelvimetry
Pelvimetry:
Measurement of the dimensions and
capacity of the pelvis
more accurate accomplished by
radiographic pelvimetry, however
risks of radiation to fetus
Diagonal
Conjugate
Fetal relationship
Fetal relationship
Presentation Relationship between the leading fetal
part and the pelvic inlet; cephalic, breech or shoulder
presentation
Lie Relationship between the longitudinal axis of fetus
and mother; longitudinal , oblique and transverse
Caput or Caput succedaneum: edema typically formed
by the tissue overlying the fetal skull during the vaginal
delivery process.