Narrow pelvis in obstetrics. Malposition

ANATOMIC narrow pelvis

- This reduction in one or more dimensions

Rare forms of female pelvis

Kososmeschenny kososuzhenny and pelvis infantile pelvis Osteomalyatichesky pelvis Android or

Classification according to the degree of narrowing of the pelvis (By

REASONS

Violations of fetal development girl violation of mineral metabolism Infantilism Rickets Severe

Diseases of the bone (osteomalacia, etc.). osteomyelitis, bone tuberculosis. . Injury (lesion

NARROW DIMENSIONS pelvic

By narrowing the shape of the pelvis D.Spinarum

Pelviometriya

index Solovyov

Simple flat pelvis 1. All direct size is reduced, due to the

Ploskorahitichesky pelvis The sacrum can be described as   "There are four" (ears)

Ploskorahitichesky pelvis

Significant expression of expansion of the ilium. Distancia spinarum = distancia

Poperechnosuzhenny pelvis :

1. An elongated diamond sacral 2. Reduction of the

The angle of inclination of the pelvis.

Clinical signs of growth - below 150 cm or above 180

Diamond shaped Michaelis at anatomically narrow pelvis

Complications of labor with a narrow pelvis
FIRST PERIOD
Prenatal and early rupture

Complications of labor with a narrow pelvis
SECOND PERIOD Prolonged standing Head in

Complications of labor with a narrow pelvis

Delivery in OUT

With 1-degree of narrowing of the pelvis - 90%

Clinically narrow pelvis: Size mismatch pelvic size of the fetal head Reasons: -

Prolonged labor. Causes clinically narrow pelvis:

∙   The combination of small and large

CLINICALLY narrow pelvis Size mismatch HEAD size of the pelvis during

diagnostics: The diagnosis of clinically narrow pelvis is set to end

SIGNS inappropriate:
Symptom Vasta Symptom Tsangemeystra
Thinning of the lower uterine segment

Certain symptoms Vasta

Delivery in clinically narrow pelvis: 1st degree - relative disparity -

Prevention OUT

In children: proper nutrition, hardening, prevention of rickets, prevention of