ANATOMY OF FEMALE PELVIC

PELVIC

A. Solid part : Pelvic bone

B. Soft part : Pelvic ligament &
muscle
A. PELVIC BONE
2 Innominate bone :
- Os illium
- Os ischium
- Os pubic

Sacrum
Coccyx
PELVIC BONE
PELVIC BONE
PELVIC BONE
PELVIC BONE
Sacrum
PELVIC BONE
Tulang Coccygis
Ischium Function
Support body weight (tuber ischiadica)
Fungsi os Coccygis

In labor this bone extent to posterior in

order to wider the pelvic outlet
 Normal pelvic measurement

Distansia
Cristarum

Distansia
Spinarum

Distansia Cristarum: 2829 cm

Distansia Spinarum: 2526 cm
Inside Pelvic measurement

Conjugata Diagonalis = 12,513cm

Conjugata Vera = CD (1,52cm)
Conjugata Obstetrika = terpendek
 Hodge line
Hodge I: imagination line drawn from promontorium
to the upper border of symphisis pubis
Hodge II: parallel with hodge I measured from
lower border of symphisis
Hodge III: parallel with hodge II, measured from
spina ischiadica
Hodge IV: parallel with hodge III, measured from
coccyx tip
PELVIC MUSCLE
Conjugata Vera
 PELVIC EXAMINATION
X-Ray
Jangka Panggul
Distansia Cristarum
Distansia Spinarum
Conjugata eksterna/Bouldeloque: distance between
upper border symphysis pubis with prosessus spinosus
lumbal 5. the normal measurement 1820 cm
Vaginal Touch
Vaginal Touch Examintion

Promontorium touched/not
Conjugata Vera normal/not
Spina Ischiadica prominent/not
Arkus pubis wide/narrow
Sakrum curve/not

Note:
Touched Promontory usually indicated narrow pelvic
Height 145 cm also indicated narrow pelvic
Differentiation between female and male pelvic
Pelvic Shape
 PELVIC SHAPE
1-GYNECOID
Typical female pelvis found in 50% of women

Roundedslightly oval inlet

Straight pelvic sidewalls with roomy pelvic cavity

Good sacral curve

Ischial spines are not prominent

Pubic arch is wide

 PELVIC SHAPE
2-ANDROID
Typical male pelvis found in 1/3 white women 1/6
non-white
Pelvic brim is heart shaped

Pelvis funnels from above downwards (convergent

sidewalls)
Narrow pubic arch

Prominent spines
PELVIC SHAPE
3-ANTHROPOID
25% white women & 50% nonwhite

Pelvic brim APD > TD

Long & narrow pelvic canal with long sacrum

Straight pelvic sidewalls

4-PLATYPELLOID
3% of women

Pelvic brim TD >>>APD kidney shape

Sacral promontory pushed forwards

Deviation impact
Prolonged labor
CPD (Chepalo Pelvic Disproportion)
Breech presentation
Infertility
Daftar pustaka
Wyknyosastro , S., (2002) Ilmu Kebidanan. Jakarta:
Yayasan Bina Pustaka Sarwono Prawiroharjo
Cunningham, H. et. al., (2005) Williams Obstetrics.
22nd. New York: McGRAW-HILL
Bobak, LM. & Jensen, MD., (2005) Maternity &
Gynecology Care: The Nurse and The Family. 5th Ed.
St. Louis: Mosby company