Difference between Gynaecoid pelvis, Anthropoid pelvis, Android pelvis & Platypelloid pelvis
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Difference between Gynaecoid pelvis, Anthropoid pelvis, Android pelvis & Platypelloid pelvis
The articulated skeleton of pelvis is four main types based on its shape and dimensions. Pelvic types influence childbirth and the ease of vaginal delivery.
1.
Gynaecoid Pelvis which is most Favorable for Vaginal Delivery
Most common type (50%), typical of
females.
Best suited for childbirth due to its round shape and spacious all dimensions
of pelvis .
🔹 Shape: Oval (transversely rounded).
🔹 Inlet: Spacious, wide, and circular.
🔹 Sacrum: Well-curved, allowing smooth fetal descent.
🔹 Subpubic Angle: >90° (wide) than male type of
pelvis .
🔹 Ischial Spines: Less prominent and everted allowing more space.
🔹 Outlet diameter is large and well-adapted for
vaginal birth.
⭐ Best pelvis for normal vaginal delivery (NVD).
2.
Anthropoid Pelvis (Common in Some Populations)
More common in African and some
Asian women (25%). It is also fvorable for vaginal birth but may cause occiput
posterior (OP) fetal positions during birth process
🔹 Shape: Oval (anteroposteriorly elongated).
🔹 Inlet: Long AP diameter, narrow transverse diameter
different from gynaecoid pelvis .
🔹 Sacrum: Deep and curved.
🔹 Subpubic Angle: Narrow (~70°-80°) than
gyneacoid pelvis
🔹 Ischial Spines: Prominent but less obstructive.
🔹 Outlet: Large but vertically elongated.
⭐ it favors vaginal delivery but often results in OP
positions, causing prolonged labor.
3.
Android Pelvis (Typical Male Pelvis)
More common in males, seen in ~20% of
females which is difficult for vaginal delivery; higher risk of C-section. Its
shape: Heart-shaped, like a funnel.
🔹 Inlet: Narrow, triangular and Sacrum is like
flat, limiting fetal descent.
🔹 Subpubic Angle: <70° (narrow, V-shaped).
🔹 Ischial Spines: Prominent, reducing the space
for the baby.
🔹 Outlet: Small, making labor difficult.
⭐ Often results in obstructed labor which need more time ,
requiring C-section.
4.
Platypelloid Pelvis (Least Common, Difficult Delivery)
Rare (~5%), most unfavorable for vaginal
birth and baby's head may not engage properly, leading to prolonged labor. The
shape of this type of pelvis is flat, wide, kidney-shaped.
🔹 Inlet: Wide transverse diameter, very short AP
diameter.
🔹 Sacrum: Flat and shallow and Subpubic Angle: Wide
(~90° or more).
🔹 Ischial Spines: Not prominent, but the AP
space is reduced.
🔹 Outlet is small anteroposteriorly, making fetal
descent difficult.
⭐ High chance of C-section due to poor fetal engagement.
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It is the normal female type.
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It is ape-like type. . |
It is a male type.
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It is a flat female type.
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Inlet is slightly transverse oval. Side walls are straight with blunt ischial spines. .
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All anteroposterior diameters are long. All transverse diameters are short.
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Inlet is triangular or heart-shaped with anterior narrow apex.Side walls are converging (funnel pelvis) with projecting ischial spines.
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All anteroposterior diameters are short. All transverse diameters are long.
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Sacro-sciatic notch is wide |
Sacro-sciatic notch is wide.
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Sacro-sciatic notch is narrow.
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Sacro-sciatic notch is narrow.
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Subpubic angle is 90-100o.
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Subpubic angle is narrow |
Subpubic angle is narrow <90o.
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Subpubic angle is wide |
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Sacrum is wide with average concavity and inclination.
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Sacrum is long and narrow.
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Sacrum is narrow |
Sacrum is short |
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