Разделы презентаций
- Разное
- Английский язык
- Астрономия
- Алгебра
- Биология
- География
- Геометрия
- Детские презентации
- Информатика
- История
- Литература
- Математика
- Медицина
- Менеджмент
- Музыка
- МХК
- Немецкий язык
- ОБЖ
- Обществознание
- Окружающий мир
- Педагогика
- Русский язык
- Технология
- Физика
- Философия
- Химия
- Шаблоны, картинки для презентаций
- Экология
- Экономика
- Юриспруденция
ABNORMALITIES OF BONY PELVIS
Содержание
- 1. ABNORMALITIES OF BONY PELVIS
- 2. Derived from latin word means BasinRing of
- 3. The False Pelvis is that portion above
- 4. Слайд 4
- 5. The True Pelvis is that portion below
- 6. Pelvic inletPelvic inlet is formed from behind
- 7. Слайд 7
- 8. A-P diameter or anatomical conjugate Extends from
- 9. Слайд 9
- 10. Pelvic cavityExtends downwards and backwards from pelvic
- 11. Pelvic cavityAnterior posterior diameter:From middle of the
- 12. .Pelvic outletIt is diamond shaped and wider
- 13. Pelvic outlet ( inferior view )
- 14. Pelvic outletAnterior –posterior diameter:from lower border of
- 15. Слайд 15
- 16. Types of pelvisesGynaecoidAnthrapoidAndroidPlatypelloid
- 17. Gynaecoid pelvisIdeal pelvis favouring a normal delivery;50.6%
- 18. Male-type pelvis favouring OP positions and apt
- 19. Ape-like pelvis favouring OP positions often requiring
- 20. Platypelloid pelvisLeads to cephalo-pelvic disproportion; 4.4% of
- 21. Asymmetrical pelvises
- 22. Слайд 22
- 23. Clinical Assessment Body build
- 24. Engagement defined as the point when the
- 25. In Gynaecoid & Android pelvis distance between
- 26. vaginal examination
- 27. Clinical Assessment vaginal examination
- 28. vaginal examination
- 29. Presentation of the fetus at the time of delivery
- 30. Clinical Assessment radiological examinationTrue AP ConjugateObstetric ConjugateMid-cavity
- 31. Thank you
- 32. Скачать презентанцию
Derived from latin word means BasinRing of bone:Two hip boneSacro-coccygeal part of vertebral columnThe pubic part of hip bone connected by pubic Symphysis.Pelvic bone is made up of various sections:For obstetrical
Слайды и текст этой презентации
Слайд 1ABNORMALITIES OF BONY PELVIS
TEACHER NAME: IRINA KAMILOVA
STUDENT NAME: SACHIN PANDEY
GROUP
NO. 163-B- LA-1
Слайд 2Derived from latin word means Basin
Ring of bone:
Two hip bone
Sacro-coccygeal
part of vertebral column
The pubic part of hip bone connected
by pubic Symphysis.Pelvic bone is made up of various sections:
For obstetrical purposes, the pelvis is divided by the pelvic brim into two parts:
The False Pelvis
The True Pelvis
Introduction
Слайд 3The False Pelvis is that portion above the pelvic brim.
It does not take part in the mechanism of delivery
and is of no obstetric interest.Intercristal diameter [IC ~29 cm]: widest point on lateral aspect of iliac crest
Interspinous diameter [IS ~26 cm]: distance between the lateral tips of the anterior superior iliac spines
External conjugate [AP] diameter [EC ~20 cm]: distance between apex of spine of 5th lumbar vertebra and centre of the superior border of symphysis pubis.
False Pelvis
Слайд 5The True Pelvis is that portion below the pelvic brim.
It determines the size and shape of the birth canal.
Pelvic
Brim or Pelvic inlet: formed by the upper margins of pubic bones, the ilio-pectineal lines and the anterior upper margin of the sacrum.Cavity: formed by the pubic bones, ischium, ilium, and sacrum
Outlet: diamond-shaped made up of the pubic bones, ischium, ischial tuberosities, sacrotuberous ligament, and 5th segment of sacrum
True Pelvis
Слайд 6Pelvic inlet
Pelvic inlet is formed from behind forward by
Sacral promontory
Anterior
margins of ala of the sacrum
Linea terminalis
Upper end of symphysis
pubis.
Слайд 8A-P diameter or anatomical conjugate Extends from middle of sacral
promontory To the upper margin of symphysis pubis.
Oblique diameter:
Sacroiliac joint
of one side to the iliopubic Eminence of other side.Transverse diameter:
Widest of all the diameters.
Pelvic inlet
Слайд 10Pelvic cavity
Extends downwards and backwards from pelvic inlet,intervenes between inlet
and outlet.
Posterior wall of the cavity longer than anterior wall.
Boundaries
AnteriorlyBy symphysis pubis and body of the
pubis with its rami
Posteriorly
Concave pelvic surface of sacrum and
coccyx.
On each side
Quadrangular area formed by pelvic surface of ilium and ischium.
Слайд 11Pelvic cavity
Anterior posterior diameter:
From middle of the back of symphysis
pubis to the pelvic surface of third sacral vertebrae.
Oblique diameter:
Lower
end of sacroiliac joint to the centre ofobturator membrane.
Transverse diameter:
Across the lateral bony walls of pelvic cavity.
Слайд 12.
Pelvic outlet
It is diamond shaped and wider in female.
Boundaries In
front
Lower margin of symphysis pubis
connected by arcuate pubic ligament
Behind
Tip of
the coccyxAnterolaterally
Conjoint ischiopubic rami.
Laterally
Ischial tuberosities.
Posterolaterally
The sacrotuberous ligament.
Слайд 14Pelvic outlet
Anterior –posterior diameter:
from lower border of symphysis pubis to
tip of the coccyx.
Oblique diameter:
Between the junction of ischio-pubic ramus
of one side and middle of the sacrotuberous ligament of the opposite side.Transverse diameter:
between the medial surfaces of the lower ends of ischial tuberosities.
Слайд 17Gynaecoid pelvis
Ideal pelvis favouring a normal delivery;
50.6% of women
Brim slightly
ovaltransversely but almost Rounded.
Sacrum curved Ischial spines not prominent
Short-cone pelvis
Obtuse
greater sciatic notchTriangular obturator foramen
Sub-pubic arch rounded [Roman arch] angle at least 900
Слайд 18Male-type pelvis favouring OP positions and apt to cause deep
transverse arrest of head; 22.4% of women.
Brim heart-shaped Sacrum curved
Ischial
spines prominent Long-cone funnel pelvis Acute greater sciatic notch Oval obturator foramenSub-pubic arch very narrow [Gothic arch]
Android pelvis
Слайд 19Ape-like pelvis favouring OP positions often requiring operative vaginal deliveries;
22.7% of women.
Brim AP oval
Sacrum very slightly curved Ischial spines
prominentLong-cone funnel pelvis with straight sidewalls
Obtuse greater sciatic notch
Oval obturator foramen
Sub-pubic arch narrow
Anthrapoid pelvis
Слайд 20Platypelloid pelvis
Leads to cephalo-pelvic disproportion; 4.4% of women.
Brim oval transversely
Sacrum very slightly curved Ischial spines prominent Short-cone shallow pelvis
Acute greater sciatic notch Triangular obturator foramen Wide arch narrow
Слайд 24Engagement defined as the point when the engaging diameter [BPD(biparietal
diameter = ~10 cm] goes past the pelvic brim.
Five fingers
= 10 cm.Fifths palpable above symphysis pubis
Clinical Assessment foetal head as pelvimeter
![Engagement defined as the point when the engaging diameter [BPD(biparietal diameter = ~10 cm] goes past the](/img/tmb/6/596365/734fec1401373352197ed7930f97e522-800x.jpg "ABNORMALITIES OF BONY PELVIS Engagement defined as the point when the engaging diameter [BPD(biparietal diameter")
Слайд 25In Gynaecoid & Android pelvis distance between ischial spine to
brim is ~5 cm.
In Anthropoid pelvis distance is ~7 cm
In
Platypelloid pelvis distance is ~3cm
Station of the head in
relation to ischial spines
Clinical Assessment foetal head as pelvimeter
Слайд 30Clinical Assessment radiological examination
True AP Conjugate
Obstetric Conjugate
Mid-cavity AP Conjugate
Outlet AP
conjugate
Angle Greater Sciatic notch
Angle of inclination of pelvic brim
Angle of
inclination of sacrumIschial spine
Ischio-tuberous distance
Foetal head
lie, position, engagement
