Podcast
Questions and Answers
What is the characteristic of the sacrum in a platypelloid pelvis?
What is the characteristic of the sacrum in a platypelloid pelvis?
Which type of pelvis is more triangular in shape at the inlet?
Which type of pelvis is more triangular in shape at the inlet?
What is the effect of the boney prominences in an android pelvis on fetal rotation and extension?
What is the effect of the boney prominences in an android pelvis on fetal rotation and extension?
Which type of pelvis favors transverse presentations?
Which type of pelvis favors transverse presentations?
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What is the characteristic of the subpubic arch in an anthropoid pelvis?
What is the characteristic of the subpubic arch in an anthropoid pelvis?
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What shape is the pelvic inlet in a male pelvis?
What shape is the pelvic inlet in a male pelvis?
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What is the shape of the pubic arch in a female pelvis?
What is the shape of the pubic arch in a female pelvis?
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Which muscle forms part of the pelvic diaphragm?
Which muscle forms part of the pelvic diaphragm?
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What is the function of the pelvic floor?
What is the function of the pelvic floor?
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What is the characteristic of the sacrum in a female pelvis?
What is the characteristic of the sacrum in a female pelvis?
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Which of the following is a characteristic of a male pelvis?
Which of the following is a characteristic of a male pelvis?
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What is the shape of the sacrum bone?
What is the shape of the sacrum bone?
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What is the function of the pelvic diaphragm?
What is the function of the pelvic diaphragm?
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What is the name of the joint formed by the articulation of the sacrum and iliac bone?
What is the name of the joint formed by the articulation of the sacrum and iliac bone?
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What is the characteristic of the gynecoid pelvis?
What is the characteristic of the gynecoid pelvis?
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What is the purpose of the obturator membrane?
What is the purpose of the obturator membrane?
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What is the characteristic of the sacral canal?
What is the characteristic of the sacral canal?
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Study Notes
Pelvic Types and Their Characteristics
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Platypelloid Pelvis
- Comprises 2% of pelvis types.
- Flattened at the inlet with a prominent sacrum; sacral promontory is forward.
- Wide subpubic arch but prominent ischial spines.
- Predominantly favors transverse fetal presentations.
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Anthropoid Pelvis
- Seen in 24% of white women and 41% of black women.
- Oval shape at the inlet, narrow with a long axis.
- Slight narrowing of the subpubic arch.
- Tends to favor occiput posterior fetal presentations.
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Android Pelvis
- Found in 33% of white females and 16% of black females.
- Triangular shape at the inlet with a narrowed subpubic arch.
- Larger fetuses struggle due to blocked normal areas for rotation and extension; smaller ones may still pass through.
- Known as male or funnel-shaped pelvis; deeper compared to female pelvis.
Comparisons Between Male and Female Pelvis
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Male Pelvis
- Pelvic inlet: heart-shaped; narrower than female.
- Pelvic cavity: deeper, narrower; pelvic outlet smaller.
- Pubic arch: narrower.
- Long and narrow structure.
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Female Pelvis
- Pelvic inlet: oval, transversely wider.
- Pelvic cavity: roomier and shallower than male.
- Pelvic outlet: larger and more rounded.
- Pubic arch: wider and more rounded.
- Short and wide structure.
Anatomy of the Pelvis
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Pelvic Floor
- Supports pelvic viscera, formed by the pelvic diaphragm and associated fascia.
- Divides the pelvic cavity from the perineum.
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Pelvic Diaphragm
- Composed of levatores ani and coccygeous muscles.
- Incomplete anteriorly to allow passage of urinary and reproductive structures.
Sacrum and Coccyx
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Sacrum
- Composed of five fused vertebrae forming a wedge-shaped bone.
- Articulates with the 5th lumbar vertebra at the upper border and fuses with the coccyx at the inferior border.
- Forms the sacroiliac joint with the iliac bone.
- Sacral promontory serves as an important obstetric landmark.
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Coccyx
- Formed by four fused vertebrae, resulting in a small triangular bone.
- Articulates with the base of the sacrum.
Obstetric Considerations
-
Sacral Hiatus
- Formed when laminae of the 5th or sometimes 4th vertebra do not fuse.
- Houses the anterior and posterior roots of spinal nerves.
-
Obturator Foramen
- Formed by the hip bone and other ligaments; covered by obturator membrane for nerve passage.
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Description
Test your knowledge of the differences between the male and female pelvis in terms of shape, size, and structure. Learn about the pelvic inlet, outlet, and cavity, as well as the public arch and false pelvis. Get ready to distinguish between the male and female pelvis anatomy!