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Pelvis Definitions
Doll & Pelvis
Question | Answer |
---|---|
Borders of pelvic inlet | Posteriorly: sacral promontory, sacral ala Lateral: ileopectineal line Anterior: pubic symphysis |
Borders of pelvic outlet | Post: tip of coccyx Lat: inf margin of sacrotuberous lig & ischial tub Ant: pubic arch (inf border of ischiopubic rami) |
Definition of Obstetric conjugate? | AP diameter (minimal AP dia): midpoint of sacral promontory & post surface of pubis symphysis (5mm less than TRUE ) |
Definition of diagonal conjugate | Inf border of pubic symphysis to sacral prom |
Definition of true conjugate | Midpoint of sacral promontory & centre of upper border of pubic symphysis |
Measurement of diagonal conjugate | 13cm |
Measurement of true conjugate | 1.5 to 2 cm less than diagonal |
Measurement of obstetric conjugate | 0.5cm less than true |
Oblique diameter | Upper border of SI joint to ilio-pectineal eminence of opposite side |
What is the widest diameter of 1. pelvic inlet 2. pelvic cavity 3. pelvic outlet | Pelvic inlet: transverse, Pelvic cavity: oblique, Pelvic outlet: AP diameter |
What is the 3 main divisions of the pelvis as it relates to obstetrics? | 1. pelvic inlet 2. Pelvic cavity 3. pelvic outlet |
What is the AP diameter landmarks 4 the pelvic cavity? | jxn of 2nd to 3rd sacral vertebrae, to centre of post surface of symphysis pubis |
What is the oblique diameter landmark for pelvic cavity? | lower margin of SI joint to centre of obturator membrane |
AP diam landmarks of pelvic outlet? | lower border of symp pub to tip of coccyx |
transverse diam landmarks, pelvic outlet | inner surfaces of ischial tuberosities. inner surface of ischial spines more important diameter as it is most narrow |
transverse diam landmarks, pelvic cavity | widest diameter |
oblique diameter, pelvic outlet | middle of sacrotuberous ligamnts and jxn of rami of ischial and pubic bone on opposite side |
what are the 5 critical measurements of the pelvis that influence labour? | 1. true conjugate 2. transverse diameter of pelvic inlet 3. diameter b/w ischial spines 4. plane of least pelvic dimension 5. suprapubic angle |