Page 17 - 33Elctronic Book (3) Normal Labor
P. 17

Figure 3 the pelvic canal seen from the side, with the body facing
            to the left.


                ➢  The size and shape of the pelvis

                    The size and shape of the pelvis is important for labor and delivery. Well-built
            healthy women, who had a good diet during their childhood growth period, usually have

            a broad pelvis that is well adapted for childbirth. It has a round pelvic brim and short,
            blunt ischial spines (a ‘gynecoid’ pelvis.) It gives the least difficulty during childbirth,
            provided the fetus is a normal size and the birth canal has no abnormal tissue growth
            causing an obstruction.



            There is considerable variation in pelvis shapes, some of which create problems in labor
            and delivery. A narrow pelvis can make it difficult for the fetus to pass through the


                                                            17

            Contents
   12   13   14   15   16   17   18   19   20   21   22