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Pelvimetry is the measurement of the female pelvis. [1] It can theoretically identify cephalo-pelvic disproportion, which is when the capacity of the pelvis is inadequate to allow the fetus to negotiate the birth canal. However, clinical evidence indicate that all pregnant women should be allowed a trial of labor regardless of pelvimetry results.
The term, obstetrical dilemma, was coined in 1960, by Sherwood Larned Washburn, a prominent early American physical anthropologist, in order to describe the evolutionary development of the human pelvis and its relation to childbirth and pregnancy in hominids and non-human primates. [6]
The step lengthens as the pregnancy progresses, due to weight gain and changes in posture. On average, a woman's foot can grow by a half size or more during pregnancy. In addition, the increased body weight of pregnancy, fluid retention, and weight gain lowers the arches of the foot, further adding to the foot's length and width.
[2] [5] Along with a concern for medical safety, Jordan also focuses on "maternal attitudes and participation in birth, the birth setting, and the mother's selection of birth attendants." [ 6 ] Jordan uses her observations in the field, alongside academic anthropological sources to analyze birth as it occurs in four different societies.
During childbirth, women are more likely to develop vaginal introital laxity, eventually leading to the weakening of pelvic floor muscles and may develop urinary symptoms such as OAB. [ 7 ] Vaginal introital laxity may also weaken the support structures around the urethra , which is the tube that helps carry urine outside of the body from the ...
In obstetrics, position is the orientation of the fetus in the womb, identified by the location of the presenting part of the fetus relative to the pelvis of the mother. . Conventionally, it is the position assumed by the fetus before the process of birth, as the fetus assumes various positions and postures during the course of chil
Symphysiotomy is a surgical procedure in which the cartilage of the pubic symphysis is divided to widen the pelvis allowing childbirth when there is a mechanical problem (obstructed labour). It is also known as pelviotomy [ 1 ] and synchondrotomy. [ 1 ]
Being upright during labour and birth can increase the available space within the pelvis by 28–30% giving more room to the baby for rotation and descent. There is also a 54% decreased incidence of foetal heart rate abnormalities when the mother is upright. [ 9 ]