L2: Fetal Skull Flashcards
Regions of fetal head
- Base of skull
- face
- vault
Regions of fetal head
- Base of skull
Area from junction ( ) jaw & neck anteriorly to suboccipital region posteriorly.
Regions of fetal head
- Face
- Area from junction ( ) jaw & neck to supraorbital ridges & glabella (bony prominence ( ) 2 supraorbital ridges) & is bounded laterally by 2 ears.
Regions of fetal head
- Vault
Extent of Vault of skull (cranium)
Area from root of nose & supraorbital ridges to suboccipital region.
Bones of Vault of skull (cranium)
2 frontal bones, 2 parietal bones, 2 temporal bones, squamous portion of occipital bone & wings of sphenoid bones.
Sutures of Vault of skull (cranium)
Fontanelles of Vault of skull (cranium)
Compare bwtewwn Anterior fontanelle & Posterior fontanelle in terms of
- Size
- Shape
- Formation
- Surrounding Bones
- Floor
- Overriding
Regions of Vault of skull (cranium)
Brow (sinciput or forehead)
- Area from root of nose & supraorbital ridges to
anterior fontanelle & coronal sutures.
Vertex
Occipital region
Area ( ) posterior fontanelle & lambdoid sutures & line below occipital protuberance.
Longitudinal Diameters of Fetal Skull
Transverse Diameters of Fetal Skull
Length of Suboccipito-bregmatic (SOB)
Extent of Suboccipito-bregmatic (SOB)
Importnace of Suboccipito-bregmatic (SOB)
Length of Suboccipito-frontal (SOF)
Extent of Suboccipito-frontal (SOF)
Impotance of Suboccipito-frontal (SOF)
Length of Occipito-frontal (OF)
Extent of Occipito-frontal (OF)
Importance of Occipito-frontal (OF)
Length of Submento-bregmatic (SMB)
Extent of Submento-bregmatic (SMB)
Importance of Submento-bregmatic (SMB)
Length of Submento-vertical (SMV)
Extent of Submento-vertical (SMV)
Importance of Submento-vertical (SMV)
Length of Mento-vertical (MV)
Extent of Mento-vertical (MV)
Importance of Mento-vertical (MV)
Length of Biparietal diameter (BPD)
Extent of Biparietal diameter (BPD)
Importance of Biparietal diameter (BPD)
Length of Subparietal-supraparietal
Extent of Subparietal-supraparietal
Importance of Subparietal-supraparietal
length of Bitemporal
Extent of Bitemporal
Length of Bimastoid
Extent of Bimastoid
Importance of Bimastoid
- with vertex presentation, all sutures are palpable during labor except ….. sutures, which are situated on either side covered by soft tissue parts & can’t be felt in living fetus.
temporal
Largest diameter of fetal head is: ….
Mento-vertical diameter (13.5 cm).
Smallest diameter of fetal head is: …..
Bimastoid diameter (7.5 cm).
- Smallest circumference of fetal head (32 cm) corresponds to plane of SOB diameter while largest circumference (34.5 cm) corresponds to plane of OF diameter.
…
Importance of sutures & fontanelles
1) Diagnosis of presentation, position & attitude.
2) Allow moulding.
3) Follow up of progress of labor.
Other fontanelles
There are 4 temporal fontanelles ( ) temporal bones & parietal bones.
Def of Glabella
Bony prominence ( ) 2 supraorbital ridges.
Def of Nasion
Root of nose just below glabella