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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.
Hence females generally have wider hips, permitting childbirth. Because the female pelvis is flatter, more rounded and proportionally larger, the head of the fetus may pass during childbirth. [9] The sacrum in females is shorter and wider, and also directed more toward the rear (see image). [10]
The adoption of the non-lithotomy positions is also promoted by the natural childbirth movement. 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.
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 childbirth.
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Presentation of twins in Der Rosengarten ("The Rose Garden"), a German standard medical text for midwives published in 1513. In obstetrics, the presentation of a fetus about to be born specifies which anatomical part of the fetus is leading, that is, is closest to the pelvic inlet of the birth canal.
Created Date: 8/30/2012 4:52:52 PM
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