Page 20 - 33Elctronic Book (3) Normal Labor
P. 20

•  It  bisects  the  true  conjugate  and  is  slightly  shorter  than  the

                                  anatomical transverse diameter.



                •  Oblique diameters:

                       o   Right oblique diameter =12 cm

                              •  from the right sacroiliac joint to the left iliopectineal eminence.

                       o   Left oblique diameter = 12 cm

                              •  from the left sacroiliac joint to the right iliopectineal eminence.


                       o   Sacro-cotyloid diameters = 9-9.5 cm
                              •  from the promontory of the sacrum to the right and left iliopectineal


                                  eminence, so the right diameter ends at the right eminence and vice
                                  versa.



                ➢  The Pelvic Cavity:
            The pelvic cavity is the curved bony canal between the pelvic inlet & the pelvic

            outlet. The anterior wall is short & is formed by the symphysis pubis &pubic bone.
            The posterior wall is formed by the sacrum &the coccyx. Laterally by the sides of
            pelvis.


                ➢  The pelvic outlet:
                    The lower border of the pubic bones at the front, and the lower border of the
            sacrum at the back form the pelvic outlet. The ischial spines point into this space on
            both sides. Figure 4 shows the dimensions of the space that the fetus must pass through

            as it emerges from the mother’s pelvis. As you look at Figure 4, imagine that you are
            the birth attendant who is  looking up the birth canal, waiting to see the fetal head
            emerging.














                                                            20

            Contents
   15   16   17   18   19   20   21   22   23   24   25