ANATOMY OF FEMALE

PELVIC
By: Tiyas K

Airlangga Department of Child-Maternity Nursing

University Nursing Faculty 2010
 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: 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
 IV
H
II III
I H H
H
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
Conjugata Vera
 Sacral promontory

Left sacro-iliac joint

Iliopectineal line

Sacrospinous ligament

Sacrotuberous ligament

Ischial spine

Symphysis pubis

Ischial tuberosity
 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
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
 POST TEST
Pelvic anatomy contains of what kind of part?
What can you mention about Pelvic bone?
What can you mention about Pelvic
ligament?
What can you mention about pelvic muscle?
What do you know about pelvic shape?
What would happen if the pelvic is not
normal in measurement?
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
THANK YOU

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