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Summary obgyn- anatomy of the female pelvis royal college of surgeons ireland
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OG 2.2Anatomy of the Female Pelvis
OG 2.2 ANATOMY OF THE FEMALE PELVIS
Class Senior Cycle 1
Course Obstetrics and Gynaecology
Code SC1 Obs
Title Anatomy of the female pelvis
Date January 2015
Department of Obstetrics & Gynaecology
Department of Anatomy
Royal College of Surgeons in Ireland
, Knowledge and Skills Objectives
• Understand the anatomy and shape of the normal female pelvis
and its measurements
• Understand the anatomy of the pelvic floor and the perineum
• Describe the female external genitalia, internal organs and
relative ligaments, nerves and blood vessels
• Know the difference between episiotomy and 1st, 2nd, 3rd and 4th
degree perineal tear
• During the rotation, you should observe 5 cases of perineal repair
in the delivery suite including episiotomies
• Be able to describe the findings of a pelvic examination – size,
position, mobility consistency of the uterus, adnexal findings +/-
any masses
Departments of Anatomy, Obstetrics &
Gynaecology, RCSI
, The passageway for birth- the pelvis
• Pelvic inlet - the pelvic brim, the entrance into the lesser or
true pelvis. Bound by the pubis, iliopectineal lines, alae and
promontory of sacrum
• Pelvic outlet - extends from lower border of pubic symphysis
to the tip of the coccyx. Bound by the pubic arch, sacrosciatic
ligaments, ischial tuberosities and tip of coccyx
• Pubic symphysis - secondary cartilaginous joint
Departments of Anatomy, Obstetrics &
Gynaecology, RCSI
, Obstetric pelvic measurements
Inlet
• Transverse > AP
Mid cavity
• almost round
• Ischial spines palpable
vaginally used to assess
level of baby’s head =
station
Outlet
• AP > transverse
Departments of Anatomy, Obstetrics &
Gynaecology, RCSI
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