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PERINEAL BODY
2. INTERNAL GENERATIVE ORGAN
a. Uterus
b. Uterine Cervix
c. Body of the uterus
d. Oviducts (Fallopian tubes)
e. Ovaries
f. Embryological Remnants
Will be discussed in
g. Surgical anatomy the special chapter
a. UTERUS (anterior flat, posterior convex)
- Isthmus (Internal Cervical OS - Endometrial cavity)
- Cornua
- Fundus
PREMENARCHAL GIRL
- Body uterus : Length of the cervix = 1:2
NULLIPAROUS WOMEN
- Body uterus : Length of the cervix = 1:1
MULTIPAROUS WOMEN
- Total length of the organ : Length of the cervix = 3 : 1
C. BODY OF THE UTERUS
- Composed of serosal, muscular & mucosal layers
myometrium
endometrium
POSITION OF UTERUS
- Blood vessels
- Lymphatics
- Innervation ( Superior and inferior hypo gastric plexus, Nervi
erigentes, common iliac nerves, hypo gastric ganglion).
d. OVIDUCTS ( length 8 - 14 cm )
- Narrowest portion (isthmus) : diameter 2 - 3 mm
- Widest portion (ampulla) : diameter 5 - 8 mm
4 PORTIONS :
- Interstitial
- Isthmus
- Ampulla
- Infundibulum
e. OVARIES ( Cortex, Medulla )
Childbearing years :
- Length 2.5 - 5 cm , Breadth 1.5 - 3 cm,
Thickness 0.6 - 1.5 cm
AFTER MENOPAUSE :
- Ovarian size diminishes remarkably
THE BONY
PELVIS
THE BONY PELVIS
a. Pelvic anatomy
b. Pelvic joints
c. Planes & diameters of the pelvis
d. Pelvic shapes
e. Pelvic size and its clinical estimation
a. PELVIC ANATOMY
b. PELVIC JOINTS
- Symphysis pubis
- Sacroiliac joints
- Relaxation of the pelvic joints
( especially during pregnancy)
PLANES AND DIAMETER OF THE PELVIS
Gynecoid pelvis
Android pelvis
Anthropoid pelvis
Platypelloid pelvis
CALDWELL
MOLOY
GYNECOID PELVIS
- Almost 50% of white women (Todd Collection study)
- Ascertained the frequency of the four parent pelvic types
by study of Todds Collection ( Caldwell & CoWorkers,1939)
ANDROID PELVIS
- 1/3 of pure type pelvis ( white women), 1/6 non white women
- The extreme android pelvis presages poor prognosis for vaginal
delivery
- The frequency of difficult forceps operations increases
ANTHROPOID PELVIS
- 1/4 pure type pelvis in white women and nearly
1 1/2 of those in non white women
PLATYPELLOID PELVIS
- Rarest of the pure varieties ( < 3% )