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
 Pelvic Inlet/Pelvic brim

 Area bordered by:

 Promontorium

 Sacrum

 Linea inominata
 Ramus Superior ossis
Pubis
 Uper border of
Symphisis pubis
 Pelvic outlet

Area bordered by:

 Ujung bawah Sacrum

 Tulang Tuber

Ischiadica
 Sacro-coccygeal

 Lower border of

symphisis pubis
 Normal pelvic measurement

Distansia
Cristarum

Distansia
Spinarum

Distansia Cristarum: 28—29 cm

Distansia Spinarum: 25—26 cm
 UKURAN-UKURAN PANGGUL
14

Pengukuran secara klinis

PAP
Conjugata vera adalah satu-satunya yang bisa di ukur
secara klinis yaitu :
CV = CD – 1,5 - 2 cm
CV > 10 cm  PAP dianggap cukup

Pengukuran luar (Tidak dipakai lagi) :

1. Distantia spinarum
2. Distantia Cristarum
3. Conjugata exsterna
4. Ukuran luar panggul
10/12/2019
 BEBERAPA HAL MENGENAI PANGGUL
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Bidang Hodge
H I : Sama dengan pintu atas
panggul
H II : Sejajar H I melalui pinggir
bawah Symphysis
H III : Sejajar H I melalui spinae
ischiadicae
H IV : Sejajar H I melalui ujung
os coccygis
B. PELVIC LIGAMENT & MUSCLE
 LIGAMENT connect the pelvic joint

 Ligament interpubic pada symphysis pubis

 Ligament sacro iliaca
 Ligament sacro-coccygeal
 Ligament sacro-tuberous
 Ligament sacro spinosus
 PELVIC MUSCLE
The inner aspect of the bony pelvis is covered with muscles:

 Above the brim --- iliacus & psoas

 Sidewalls ---- obturator internus & its fascia

 Post wall ---- pyriformis

 Pelvic floor ---- lavator ani & coccygeus

PELVIC MUSCLE
Differentiation between female and male pelvic
Pelvic Shape
 PELVIC SHAPE
1-GYNECOID
 Typical female pelvis found in 50% of women

 Rounded—slightly 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

Pelvic Shape Deviation
A. Panggul Naegele
B. Panggul Rakhitis
C. Panggul Skoliosis
D. Panggul Kifosis
E. -”- dari Samping
F. Panggul Osteomalasia
G. Panggul Spondilolistesis
H. Panggul Robert
Causes of pelvic deviation
 Congenital:
- Narrow palvic
- Simple flat
- Funnel (narrow outlet)
- Assimilation
 Disease :
- Rachitic
- Osteomalasia
- TBC
- Lordosis
- Skoliosis
- Kifosis
- Spondilosis
Deviation impact
 Prolonged labor
 CPD (Chepalo Pelvic Disproportion)
 Breech presentation
 Infertility
 Cara penulisan pemeriksaan panggul
 CV : - CD : -
 Promontorium : tidak teraba
 Lin Innominata : teraba 1/3 – 1/3
 Sacrum : konkaf
 Spina ischiadica : tidak menonjol
 Arcus pubis : > 900
 Dinding samping : lurus
 Kesan panggul : yang dapat dinilai baik
THANK YOU

“PLEASE WORK HARD IN

THIS NEW SEMESTER”