Anatomi Reproduksi Wanita

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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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