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ANATOMY OF FEMALE

PELVIC
By: Tiyas K
Airlangga
University

Department of Child-Maternity Nursing


Nursing Faculty 2010

PELVIC
A. Solid part

: Pelvic bone

B. Soft part
muscle

: Pelvic ligament &

A. PELVIC BONE

2 Innominate bone :
Os illium
Os ischium
Os pubic
Sacrum
Coccyx

PELVIC BONE

PELVIC BONE

PELVIC BONE

PELVIC BONE

Sacrum

PELVIC BONE

Tulang Coccygis

Ischium Function

Support body weight (tuber


ischiadica)

Fungsi os Coccygis

In labor this bone extent to


posterior in order to wider the
pelvic outlet

Pelvic Inlet/Pelvic brim

Area bordered by:

Promontorium
Sacrum
Linea inominata
Ramus Superior
ossis Pubis
Uper border of
Symphisis pubis

Pelvic outlet
Area bordered by:
Ujung bawah
Sacrum
Tulang Tuber
Ischiadica
Sacro-coccygeal
Lower border of
symphisis pubis

Normal pelvic measurement


Distansia
Cristarum

Distansia
Spinarum

Distansia Cristarum: 2829 cm


Distansia Spinarum: 2526 cm

Inside Pelvic measurement


Conjugata Diagonalis = 12,513cm
Conjugata Vera = CD (1,52cm)
Conjugata Obstetrika = terpendek

Hodge line

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

II

III

IV

B. PELVIC LIGAMENT &


MUSCLE

LIGAMENT connect the pelvic joint

Ligament
Ligament
Ligament
Ligament
Ligament

interpubic pada symphysis pubis


sacro iliaca
sacro-coccygeal
sacro-tuberous
sacro spinosus

PELVIC MUSCLE
The inner aspect of the bony pelvis is covered
with muscles:

Above the brim --- iliacus & psoas

Sidewalls ---- obturator internus & its fascia

Post wall ---- pyriformis

Pelvic floor ---- lavator ani & coccygeus

PELVIC MUSCLE

Conjugata Vera

Sacral promontory

Left sacro-iliac joint

Iliopectineal line

Sacrospinous ligament

Sacrotuberous ligament
Ischial spine
Symphysis pubis

Ischial tuberosity

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

Vaginal Touch Examintion

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

Differentiation between female and male 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
Pelvic brim APD > TD
Long & narrow pelvic canal with long sacrum
Straight pelvic sidewalls
4-PLATYPELLOID
3% of women
Pelvic brim TD >>>APD
kidney shape
Sacral promontory pushed forwards

Pelvic Shape Deviation


A. Panggul Naegele
B. Panggul Rakhitis
C. Panggul Skoliosis
D. Panggul Kifosis
E. -- dari Samping
F. Panggul Osteomalasia
G. Panggul Spondilolistesis
H. Panggul Robert

Causes of pelvic deviation

Congenital:
Narrow palvic
Simple flat
Funnel (narrow outlet)
Assimilation
Disease :
Rachitic
Osteomalasia
TBC
Lordosis
Skoliosis
Kifosis
Spondilosis

Deviation impact

Prolonged labor
CPD (Chepalo Pelvic Disproportion)
Breech presentation
Infertility

POST TEST

Pelvic anatomy contains of what kind of part?


What can you mention about Pelvic bone?
What can you mention about Pelvic
ligament?
What can you mention about pelvic muscle?
What do you know about pelvic shape?
What would happen if the pelvic is not
normal in measurement?

Daftar pustaka

Wyknyosastro , S., (2002) Ilmu


Kebidanan. Jakarta: Yayasan Bina
Pustaka Sarwono Prawiroharjo
Cunningham, H. et. al., (2005) Williams
Obstetrics. 22nd. New York: McGRAW-HILL
Bobak, LM. & Jensen, MD., (2005)
Maternity & Gynecology Care: The Nurse
and The Family. 5th Ed. St. Louis: Mosby
company

THANK YOU
PLEASE WORK HARD IN
THIS NEW SEMESTER

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