ANATOMI REPRODUKSI WANITA

ELIZABET C. JUSUF Obstetrics & Gynecology Department Faculty of Medicine, Hasanuddin University Makassar 2010
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GENITALIA EKSTERNAL
Mons Veneris Labia Mayora Labia Minora Bulbus vestibularis

Internal Genital
Vagina
Uterus

Fallopian tube
Ovary

Length : 2.5 3.5 cm (prepubertal); 6 8 cm (nulli); 9 10 cm (multi) Weight : 50 70 g (non); 80 g (parous); 70 1100 g (pregnancy)
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TULANG PANGGUL
The pelvis is composed of four bones Sacrum Coccyx Two innominate bones Fusion of the ilium
ischium pubis
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PELVIC ANATOMY
THE FALSE PELVIS Above the linea terminalis Bounded Posteriorly by lumbar vertebrae Laterally by iliac fossae Anteriorly by lower portion of the anterior abdominal wall
THE TRUE PELVIS Important in child bearing Bounded above by : The promontory and alae of the sacrum Linea terminalis Upper margins pubic bones Below : pelvic outlet

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TRUE PELVIS :
Describe as having 4 imaginary planes
1. Pelvic inlet (Superior strait) 2. Greatest pelvic dimensions 3. Mid pelvis (least pelvic dimensions) 4. Pelvic outlet (inferior strait)

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CALDWELL - MOLOY CLASSIFICATION

Gynecoid pelvis Android pelvis Anthropoid pelvis Platypelloid pelvis

Intermediate type pelves/ mixed types of pelves more frequent than pure types
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HODGE PLANE
I = Pelvic inlet

II
III IV

Hodge I through lower margin of the symphysis

Hodge I through ischial spine Hodge I through the tip of coccygis

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DIAMETER OF THE PELVIS

Pelvic inlet

Diagonal conjugate (CD) True conjugate [ CD (1.5-2 cm) ]

normaly > 10 cm

Mid pelvis

(Cannot be assessed clinically) The interspinous diameter > 10 cm) The A-P diameter > 11.5 cm
The A-P diameter 9.5 11.5 cm The transverse diameter 11 cm

Pelvic outlet

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 Outer measurement
Distantia spinarum

Distantia cristarum
External conjugate (Baudelaque)

Vaginal examination

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THANK YOU

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