birth canal and fetal skull Flashcards
false pelvis
P: lumbar
L: iliac fossa
A: abdominal wall
true pelvis
P: pelvic outlet
A: promontory, alae, linea terminalis, pubic bones
shortest diameter of true pelvis
ischial spines
pelvic inlet
P: promontory & sacrum
L; linea terminalis
A: pubic symphysis
AP diameter
widest diameter
true conjugate (upper symphysis)
11cm
inlet transverse diameter
13cm
inlet oblique diameter
<13cm
inlet obstetric conjugate
10.5cm
point of most bulging back of symphysis
diagonal conjugate
12cm
lower edge of symphysis
midpelvis
ischial spine (st 0) AP diameter of 11.5cm
pelvic outlet
A: pubic arch
L: ischiopubic arm, ischial tuberosity, sacrotuberous ligament
P: coccyx tip
bituberous diameter
11cm
outlet AP diameter
9.5-11.5cm
outlet posterior sagittal diameter
> 7cm
outlet transverse diameter
11cm
caldwell-molloy classification: type of pelvis
posterior segment
caldwell-molloy classification: tendency
anterior segment
round; AP equal & spacious; well curved (90) sacrum, backwards; wide & shallow sacrosciatic notch; divergent sidewalls; curved pubic arch: wide subpubic angle N bituberous angle
gynecoid
AP oval; AP inc. w/ A narrowing; long & narrow (90) sacrum, posterior; more wide & shallow sacrosciatic notch; divergent sidewalls; long & curved pubic arch: slightly narrow subpubic angle N/short bituberous angle
anthropoid
triangular; P short w/ A narrowing; straught (<90) sacrum, forward; narrow & deep sacrosciatic notch; convergent sidewalls; long & straight pubic arch: narrow subpubic angle short bituberous angle
android
transverse oval; AP reduced & flat; (>90) sacrum, posterior; slightly narrow & small sacrosciatic notch; divergent sidewalls; short & curved pubic arch: very wide subpubic angle wide bituberous angle
platypelloid
anterior fontanel
bregma
posterior fontanel
lambda
biparietal diameter
9.5cm
supra-occipitomental diameter
13.5cm
submentobregmatic diameter
9.5cm
sub-occipitobregmatic diameter
9.5cm
occipitofrontal diameter
11cm
min. req. of interspinous diameter?
> 10cm
presenting part? vertex sinciput brow face
vertex - sub-occipitobregmatic
sinciput - sub-occipitofrontal
brow - sub-occipitomental
face - submentobregmatic
most common fetal head position
OA / OT
assess adequacy of pelvis for vaginal delivery?
trial of labor