Scribd
Upload
59 views33 pages

Female Pelvic Anatomy Guide

The document summarizes the anatomy of the female pelvis. It describes the pelvic bones including the innominate bone, sacrum, and coccyx. It also discusses the pelvic ligaments and muscles. The document differentiates between female and male pelvic shapes, describing four main female shapes: gynecoid, android, anthropic, and platypelloid. It notes how deviations in pelvic shape can impact labor and presentations. The document provides measurements and landmarks used in pelvic examinations.

Uploaded by

Hesti Vebianti
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPT, PDF, TXT or read online on Scribd
59 views33 pages

Female Pelvic Anatomy Guide

The document summarizes the anatomy of the female pelvis. It describes the pelvic bones including the innominate bone, sacrum, and coccyx. It also discusses the pelvic ligaments and muscles. The document differentiates between female and male pelvic shapes, describing four main female shapes: gynecoid, android, anthropic, and platypelloid. It notes how deviations in pelvic shape can impact labor and presentations. The document provides measurements and landmarks used in pelvic examinations.

Uploaded by

Hesti Vebianti
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPT, PDF, TXT or read online on Scribd
You are on page 1/ 33

ANATOMY OF FEMALE PELVIC

PELVIC

A. Solid part : Pelvic bone


B. Soft part : Pelvic ligament &
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
 Support body weight (tuber ischiadica)
Fungsi os Coccygis

 In labor this bone extent to posterior in


order to wider the pelvic outlet
Pelvic Inlet/Pelvic brim

 Area bordered by:


 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
Normal pelvic measurement

Distansia
Cristarum

Distansia
Spinarum

Distansia Cristarum: 28—29 cm


Distansia Spinarum: 25—26 cm
UKURAN-UKURAN PANGGUL
14

Pengukuran secara klinis


PAP
Conjugata vera adalah satu-satunya yang bisa di ukur
secara klinis yaitu :
CV = CD – 1,5 - 2 cm
CV > 10 cm  PAP dianggap cukup

Pengukuran luar (Tidak dipakai lagi) :


1. Distantia spinarum
2. Distantia Cristarum
3. Conjugata exsterna
4. Ukuran luar panggul
10/12/2019
BEBERAPA HAL MENGENAI PANGGUL
16

Bidang Hodge
H I : Sama dengan pintu atas
panggul
H II : Sejajar H I melalui pinggir
bawah Symphysis
H III : Sejajar H I melalui spinae
ischiadicae
H IV : Sejajar H I melalui ujung
os coccygis
B. PELVIC LIGAMENT & MUSCLE
 LIGAMENT connect the pelvic joint

 Ligament interpubic pada symphysis pubis


 Ligament sacro iliaca
 Ligament sacro-coccygeal
 Ligament sacro-tuberous
 Ligament sacro spinosus
PELVIC MUSCLE
The inner aspect of the bony pelvis is covered with muscles:

 Above the brim --- iliacus & psoas

 Sidewalls ---- obturator internus & its fascia

 Post wall ---- pyriformis

 Pelvic floor ---- lavator ani & coccygeus


PELVIC MUSCLE
Differentiation between female and male pelvic
Pelvic Shape
PELVIC SHAPE
1-GYNECOID
 Typical female pelvis found in 50% of women

 Rounded—slightly 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


Pelvic Shape Deviation
A. Panggul Naegele
B. Panggul Rakhitis
C. Panggul Skoliosis
D. Panggul Kifosis
E. -”- dari Samping
F. Panggul Osteomalasia
G. Panggul Spondilolistesis
H. Panggul Robert
Causes of pelvic deviation
 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
 Cara penulisan pemeriksaan panggul
 CV : - CD : -
 Promontorium : tidak teraba
 Lin Innominata : teraba 1/3 – 1/3
 Sacrum : konkaf
 Spina ischiadica : tidak menonjol
 Arcus pubis : > 900
 Dinding samping : lurus
 Kesan panggul : yang dapat dinilai baik
THANK YOU

“PLEASE WORK HARD IN


THIS NEW SEMESTER”

You might also like