Fetal skull,Maternal Pelvic and Pelvic

Floor Muscle

dr.Puja Agung Antonius,SpOG.Subps.Onk

pujaagungantonius@gmail.com

Department of Obstetrics and Gynecology

Gynecology Oncology Division
Faculty of Medicine Andalas University
FETAL SKULL
 SUTURES

• The sagittal or longitudinal

suture lies between two
parietal bones.
• The coronal sutures run
between parietal and frontal
bones on either side.
• The frontal suture lies
between two frontal bones.
• The lambdoid sutures
separate the occipital bone
and the two parietal bones.
 FONTANELS
Wide gap in the suture line is called
fontanel

• Anterior fontanel
• Posterior fontanel
• Sagittal fontanel
DIAMETERS OF SKULL
 The transverse diameters which are
concerned in the mechanism of labor

• Biparietal diameter—9.5
cm
• Super-subparietal—8.5cm
• Bitemporaldiameter—8cm
• Bimastoiddiameter—7.5
 MOLDING
• Alteration of the shape of the fore-coming
head while passing through the resistant
birth passage during labor
• Grade-1—the bones touching but not
overlapping
• Grade-2— overlapping but easily separated
• Grade-3—fixed overlapping.
 CAPUT SUCCEDANEUM
• swelling due to stagnation of fluid in the
layers of the scalp beneath the girdle of
contact 🡪 venous return and lymphatic
drainage from the unsupported area of scalp
stagnation of fluid and appearance of a
swelling in the scalp
 MATERNAL PELVIS
• False Pelvis
• True pelvis 🡪
• Inlet
• Mid pelvic ( cavity)
• Outlet
 Pelvic Inlet

• Symphysis pubis 🡪 Pubic

crest 🡪 Pubic tubercle 🡪
Upper border of pubie
ramus 🡪Ilio-peetineal
eminence 🡪Ilio-pectineal line
🡪Sacroiliac joint 🡪Ala of
sacrum 🡪 Sacral promontory
Anteroposterior
Transverse diameters
Oblique diameters
Pelvic cavity ( mid pelvic)
Pelvic outlet
Pelvic outlet
 PELVIC FLOOR
• Pelvic Peritoneum
• Pelvic fascia
• Pelvic diaphragm
• Perineum
Pelvic peritoneum
Pelvic fascia
Pelvic diaphragm
Perineum
 Levator ani

• Pubocoocygeus
• Iliococcygeus
• Ischiococcygeus
Pubocoocygeus
Iliococcygeus
Ischiococcygeus
THANK YOU