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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.
Pelvic inlet. The pelvic inlet or superior aperture of the pelvis is a planar surface which defines the boundary between the pelvic cavity and the abdominal cavity (or, according to some authors, between two parts of the pelvic cavity, called lesser pelvis and greater pelvis). It is a major target of measurements of pelvimetry.
An X-ray film obtained in the AP view of the pelvic inlet and outlet will show a marked gap between the pubic bones. [3] A normal pelvis will show a gap that is 4–5 mm. However, in pregnancy the hormonal influences cause relaxation of the connecting ligaments and the bones separate up to 9 mm. A gap measuring greater than 10 mm indicates a ...
The linea terminalis or innominate line consists of the pubic crest, pectineal line (pecten pubis), the arcuate line, the sacral ala, and the sacral promontory. [1] It is the pelvic brim, which is the edge of the pelvic inlet. The pelvic inlet is typically used to divide the abdominopelvic cavity into an abdominal (above the inlet) and a pelvic ...
Internal surface. (Arcuate line visible shown in red.) The arcuate line of the ilium is a smooth rounded border on the internal surface of the ilium. It is immediately inferior to the iliac fossa and Iliacus muscle. It forms part of the border of the pelvic inlet. In combination with the pectineal line, it comprises the iliopectineal line.
The anterior superior iliac spine (ASIS) is a bony projection of the iliac bone, and an important landmark of surface anatomy. It refers to the anterior extremity of the iliac crest of the pelvis. It provides attachment for the inguinal ligament, and the sartorius muscle. [1] The tensor fasciae latae muscle attaches to the lateral aspect of the ...
Female pelvis. The pelvic cavity is a body cavity that is bounded by the bones of the pelvis. Its oblique roof is the pelvic inlet (the superior opening of the pelvis). Its lower boundary is the pelvic floor. The pelvic cavity primarily contains the reproductive organs, urinary bladder, distal ureters, proximal urethra, terminal sigmoid colon ...
In obstetrics, Leopold maneuvers are a common and systematic way to determine the position of a fetus inside the woman's uterus. They are named after the gynecologist Christian Gerhard Leopold. They are also used to estimate term fetal weight. [1] The maneuvers consist of four distinct actions, each helping to determine the position of the fetus.