Anatomi Reproduksi Wanita
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Transcript of Anatomi Reproduksi Wanita
ANATOMI REPRODUKSI WANITA
ELIZABET C. JUSUF Obstetrics & Gynecology Department Faculty of Medicine, Hasanuddin University Makassar 20101
GENITALIA EKSTERNAL Mons Veneris Labia Mayora Labia Minora Bulbus vestibularis
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Internal Genital Vagina Uterus
Fallopian tube Ovary
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Length : 2.5 3.5 cm (prepubertal); 6 8 cm (nulli); 9 10 cm (multi) Weight : 50 70 g (non); 80 g (parous); 70 1100 g (pregnancy)8
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TULANG PANGGULThe pelvis is composed of four bones Sacrum Coccyx Two innominate bones Fusion of the iliumischium pubis13
PELVIC ANATOMYTHE FALSE PELVIS Above the linea terminalis Bounded Posteriorly by lumbar vertebrae Laterally by iliac fossae Anteriorly by lower portion of the anterior abdominal wallTHE TRUE PELVIS Important in child bearing Bounded above by : The promontory and alae of the sacrum Linea terminalis Upper margins pubic bones Below : pelvic outlet
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TRUE PELVIS :Describe as having 4 imaginary planes1. Pelvic inlet (Superior strait) 2. Greatest pelvic dimensions 3. Mid pelvis (least pelvic dimensions) 4. Pelvic outlet (inferior strait)
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CALDWELL - MOLOY CLASSIFICATION Gynecoid pelvis Android pelvis Anthropoid pelvis Platypelloid pelvis
Intermediate type pelves/ mixed types of pelves more frequent than pure types19
HODGE PLANEI = Pelvic inlet
IIIII IV
Hodge I through lower margin of the symphysisHodge I through ischial spine Hodge I through the tip of coccygis
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DIAMETER OF THE PELVIS Pelvic inlet
Diagonal conjugate (CD) True conjugate [ CD (1.5-2 cm) ]
normaly > 10 cm
Mid pelvis
(Cannot be assessed clinically) The interspinous diameter > 10 cm) The A-P diameter > 11.5 cm The A-P diameter 9.5 11.5 cm The transverse diameter 11 cm
Pelvic outlet
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Outer measurement Distantia spinarum
Distantia cristarum External conjugate (Baudelaque)
Vaginal examination
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THANK YOU
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