ANATOMI PANGGUL/ JALAN

LAHIR
 The
The problem
problem with with
PASSANGER
human
human childbirth:
childbirth: A A
large
large object
object must
must
pass
pass through
through aa
constricted
constricted channel
channel
with
with both
both thethe object
object
PASSAGE- and
and the
the channel
channel
anatomi play
play aa roll
roll for
for the
the
result
result of
of vaginal
vaginal
delivery..
delivery..

ESDH, Faculty of Medicine, USU

 PEMBAGIAN
SOFT PELVIC
EXTERNAL/INTERNAL GENITALIA.

BONY PELVIC
PELVIC INLET
MIDPELVIC
PELVIC INLET

ESDH, Faculty of Medicine, USU

 FUNGSI ANATOMI
• PERANAN DARI BAGIAN – BAGIAN
PANGGUL DALAM PROSES PERSALINAN.

• MENGETAHUI LANGKAH-LANGKAH
MENGANTISIPASI RESIKO PADA
PERSALINAN

• RESIKO YANG MUNGKIN TERJADI DALAM

HUBUNGAN JANIN DAN JALAN LAHIR
ESDH, Faculty of Medicine, USU
 FUNGSI ANATOMI
• KEMAMPUAN UNTUK MERENCANAKAN
CARA PERSALINAN SESUAI DENGAN
KEADAAN PANGGUL.

• GANGGUAN PADA ORGAN PELVIC PASCA

PERSALINAN.
• MENGETAHUI JENIS TINDAKAN SESUAI
DENGAN ANATOMINYA.

ESDH, Faculty of Medicine, USU

ESDH, Faculty of Medicine, USU
ESDH, Faculty of Medicine, USU
ESDH, Faculty of Medicine, USU
ESDH, Faculty of Medicine, USU
ESDH, Faculty of Medicine, USU
 Perubahan pada uterus
• 7.5X5.0X2.5 cm menjadi 28X24X21
cm
• Berat dari 30-60 gr menjadi 1000 gr
• Dari benda yang solid menjadi
kantong besar dengan volume 4000
cc

ESDH, Faculty of Medicine, USU

ESDH, Faculty of Medicine, USU
ESDH, Faculty of Medicine, USU
ESDH, Faculty of Medicine, USU
ESDH, Faculty of Medicine, USU
ESDH, Faculty of Medicine, USU
ESDH, Faculty of Medicine, USU
 inlet midcavity outlet

Diagrammatic representation of the pelvic canal showing the

rotation of the maximum diameter from inlet to outlet
ESDH, Faculty of Medicine, USU
ESDH, Faculty of Medicine, USU
ESDH, Faculty of Medicine, USU
ESDH, Faculty of Medicine, USU
ESDH, Faculty of Medicine, USU
ESDH, Faculty of Medicine, USU
Rotation of the fetal head. The occiput usually moves forwards so that
the longest diameter of the fetal head passes through the widest
diameter of the pelvis in its different planes
Terima = kasih