This document outlines the steps for performing a clinical pelvimetry to assess the size and shape of a patient's pelvis. It describes measuring the pelvic conjugates including the diagonal, obstetric, and true conjugates. It also describes assessing features of the pelvic inlet such as the sacral promontory and midpelvis including the sacral curvature, sacrosciatic notch, ischial spines, and side wall shape. The goal is to determine if the pelvis is adequate in size for childbirth by measuring key dimensions and assessing bone configurations.
This document outlines the steps for performing a clinical pelvimetry to assess the size and shape of a patient's pelvis. It describes measuring the pelvic conjugates including the diagonal, obstetric, and true conjugates. It also describes assessing features of the pelvic inlet such as the sacral promontory and midpelvis including the sacral curvature, sacrosciatic notch, ischial spines, and side wall shape. The goal is to determine if the pelvis is adequate in size for childbirth by measuring key dimensions and assessing bone configurations.
This document outlines the steps for performing a clinical pelvimetry to assess the size and shape of a patient's pelvis. It describes measuring the pelvic conjugates including the diagonal, obstetric, and true conjugates. It also describes assessing features of the pelvic inlet such as the sacral promontory and midpelvis including the sacral curvature, sacrosciatic notch, ischial spines, and side wall shape. The goal is to determine if the pelvis is adequate in size for childbirth by measuring key dimensions and assessing bone configurations.
base of thumb and knuckle of index finger CLINICAL PELVIMETRY STEPS 1. identify the parts of bony pelvis 2. Ttrue/false pelvis True: below linea terminalis False: above linea terminalis 2. Shape (gynecoid, android, anthropoid, platypoid) 3. CONJUGATES Diagonal (CAN ONLY BE MEASURED CLINICALLY)- Measure inferior border of symphysis pubis up to sacral promontory Obstetric middle of symphysis pubis up to sacral promontory True conjugate upper border symphysis pubis up to sacral promontory 4. PELVIC INLET Sacral promontory not accessible- adequate>11.5cm 5. MIDPELVIS 1. Sacral curvature (straight or curve) 2. Sacrosciatic notch (2 finger breadths) measurement 3. Ischial spine -promince 4. Bisponousdiameter 5. Side walls divergent sidewall-ischial tuberosity is lateral to ischial spine- convergent sidewall-ischial tuberosity is medial to ischial spine-