Examination of the Female Pelvis Flashcards
(35 cards)
Distance along the cavity from the sacral promontory to the tip of the sacrum
12 cm
Length of the sacral promontory to the tip of the sacrum
10 cm
Onset of pubic symphysis relaxation
first half of pregnancy
Peak of pubic symphysis relaxation
last 3 months
Ligaments comprising the arcuate ligament
superior and inferior pubic ligaments
By how much does the dorsal lithotomy position increase the pelvic diameter during labor?
1.5-2 cm
The name of the position used in aiding shoulder delivery
McRoberts Position
Name of the position to hasten the 2nd stage of labor by increasing the interspinous diameter and increasing the diameter of the pelvic outlet
Modified Squatting Position
Four planes of the pelvis
Superior Strait/ Inlet
Midpelvis
Outlet/ Inferior Strait
Plane of Greatest Pelvic Dimension
Normal value for the obstetric conjugate
10 cm
Normal value for diagonal conjugate
12 cm
Normal value for true conjugate
11 cm
Normal value for the transverse diameter
13.5 cm
Normal value for the oblique diameter
<13 cm
AP diameter at the level of the ischial spines
11.5 cm
Normal value for the post. sagittal diameter of the midpelvis
4 cm
Normal value for the AP diameter of the Outlet
11 cm
Normal value for the Intertuberous diameter of the outlet
11 cm
Normal value for the Post. Sagittal diameter of the outlet
7.5 cm
Thoms Rule
Post. Sagittal diameter + Transverse diameter > 15
When may the descent of fetal biparietal diameter/plane to the level below pelvic inlet occur in nulliparas?
During the last few weeks if pregnancy
Distance from plane of the pelvic inlet to the level of the ischial spines
approx. 5 cm
Distance of the biparietal plane of the unmolded fetal head to the vertex?
3-4 cm
What do you check for when estimating the mid-pelvis?
Prominence of ischial spines
Sidewalls (convergence)
Sacrum concavity (deep/shallow)
Sacrosciatic notch