Rima Zakiyah
PSPD FK UNISMA
PELVIC
A. Solid part
B. Soft part
: Pelvic bone
: Pelvic ligament & muscle
A. PELVIC BONE
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Bones
PELVIC BONE
PELVIC BONE
PELVIC BONE
PELVIC BONE
Sacrum
PELVIC BONE
Os Coccygis
Ischium Function
Fungsi os Coccygis
In labor this bone extent to posterior in order to wider the pelvic outlet
Pelvic Brim (green line) Imagine a line drawn between promontory of the sacrum, arcuate line of the ilium, pectineal line (pectin of pubis) and pubic crest. Greater (False) pelvis All of the bony pelvis ABOVE pelvic brim Lesser (True) pelvis All of pelvis BELOW pelvic brim.
Distansia Spinarum
Hodge line
Bidang hodge adalah bidang khayal untuk menentukan seberapa jauh bagian depan anak turun ke dalam rongga panggul Hodge I: imagination line drawn from promontorium to the upper border of symphisis pubis Hodge II: parallel with hodge I measured from lower border of symphisis Hodge III: parallel with hodge II, measured from spina ischiadica Hodge IV: parallel with hodge III, measured from coccyx tip
Conjugata Vera
Sacral promontory
Iliopectineal line
Sacrospinous ligament
Ischial tuberosity
PELVIC MUSCLE
The inner aspect of the bony pelvis is covered with muscles:
Above the brim --- iliacus & psoas Sidewalls ---- obturator internus & its fascia
PELVIC MUSCLE
PELVIC EXAMINATION
X-Ray Jangka Panggul Distansia Cristarum Distansia Spinarum Conjugata eksterna/Bouldeloque: distance
between upper border symphysis pubis with prosessus spinosus lumbal 5. the normal measurement 1820 cm
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 Long & narrow pelvic canal with long sacrum Straight pelvic sidewalls 4-PLATYPELLOID 3% of women Sacral promontory pushed forwards
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