MATERNAL ANATOMY

PGI- AZIZA MELODY N. PERALTA

 ANTERIOR ABDOMINAL WALL
LAYERS:
 SKIN
 CAMPER'S FASCIA (FATTY LAYER)
 SCARPA'S FASCIA (MEMBRANOUS LAYER)
 EXTERNAL OBLIQUE MUSCLE
 INTERNAL OBLIQUE MUSCLE
 TRANSVERSUS ABDOMINIS MUSCLE
 TRANVERSALIS FASCIA

LANGER LINES-
describes the
orientation of dermal
fibers within the skin
 ARCUATE LINE

SUPERIOR TO ARCUATE LINE - anterior rectus sheath

- rectus abdominis
- posterior rectus sheath
- transversalis fascia
INFERIOR TO ARCUATE LINE - anterior rectus sheath
- rectus abdominis
- transversalis fascia
 BLOOD SUPPLY
 Superficial epigastric artery - skin, subcutaneous, mons pubis
 Deep/Inferior Epigastric artery - muscle, fascia
 INNERVATION

 Intercostal nerve (T7-T11)

 Subcostal nerve (T12)
 Iliohypogastric nerve (L1) -
suprapubic area
 Ilioinguinal nerve (L1) - mons
pubis, upper labia majora, medial
upper thigh
EXTERNAL GENERATIVE ORGAN
 VULVA (PUDENDA)

 Mons pubis
 Labia majora
 Labia minora
 Clitoris
 hymen
 Vestibule
BORDERS:
Superior: mons pubis
lateral: labiocrural fold
inferior: perineal body
 VESTIBULE
BORDERS:
 Lateral: Hart line
 Medial: External surface of
hymen
 Anterior: Clitotal frenulum
 Posterior: Fourchette

SIX (6) OPENINGS

 Urethra
 vagina
 2 Bartholin's glands ( 5 and
7 o'clock position)
 2 Skene's glands
(periurethral)
VAGINA AND HYMEN
 PERINEUM
Superficial Space of the anterior
triangle contains:
 Bartholin glands
 Vestibular bulbs
 Clitoral body and crura
 Pudendal vessels and nerves
 Ischiocavernous muscle
 Bulbospongiosus muscle
 Superficial transverse perineal
muscle

Boundaries:
Superiorly : pubic rami
Laterally: ischial tuberosity
Posteriorly: superficial transverse
perineal muscle
Deep space of the Anterior
Triangle contains:
• Portions of urethra and
vagina
• Portions of internal
pudendal artery branches
• Muscles of the striated
urogenital sphincter
complex
Pelvic Diaphragm

Components:
 Levator Ani
- Pubococcygeus
- Puborectalis
- Iliococcygeus
 Coccygeus muscle
Anterior Triangle
( Urogenital ) boundaries
• Symphysis pubis (tip)
• Ischiopubic rami (lateral)
• Ischial tuberosities

Posterior Triangle ( Anal )

boundaries
• Ischial tuberosities
• Sacrotuberous ligaments
(lateral)
• coccyx (tip)
Posterior triangle
contains:
• Ischioanal fossae (fat-
filled space)
• anal canal
• anal sphincter
complex
• puborectalis muscle
INTERNAL
GENERATIVE
ORGANS
UTERUS
 BLOOD SUPPLY
• OVARIAN ARTERY
• UTERINE ARTERY

• The ureter lies underneath

the uterine artery
• The ovaries are medial to
the internal iliac vessels
CERVIX
 LIGAMENTS
 ROUND LIGAMENT
 BROAD LIGAMENT
 CARDINAL OR
TRANSVERSE CERVICAL
(MACKENRODT
LIGAMENT)
 UTEROSACRAL LIGAMENT

STRUCTURES IN THE BROAD

LIGAMENT:
- Blood vessels,lymph nodes and
nerves (uterine and ovarian)
- Round Ligament and parametrium
- Ovarian ligament and mesovarium
- Ureter
- Duct (oviduct or fallopian tube) and
mesosalpinx
 VAGINA

REGION BLOOD SUPPLY SUPPORT

UPPER 1/3 Cervicovaginal • cardinal

branch of uterine ligament
artery • parametrium

MIDDLE 1/3 inferior vesical • cardinal

artery ligament
• levator ani
LOWER 1/3 middle rectal • urogenital
artery diaphragm
internal pudendal • pelvic
artery diaphragm
FALLOPIAN TUBES
 OVARIES

• Fossa of Waldeyer
• 2 parts:
- medulla
- cortex
PELVIC ANATOMY
PLANES AND DIAMETERS OF THE PELVIS

PARTS:
 FALSE PELVIS
 TRUE PELVIS
 pelvic inlet
 midpelvis (least pelvic dimension)
 pelvic outlet
 Pelvic Diameters

OC = DC- 1.5 or 2
PELVIC SHAPES
THANK YOU