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The posterior fontanelle (lambdoid fontanelle, occipital fontanelle) is a gap between bones in the human skull (known as fontanelle), triangular in form and situated at the junction of the sagittal suture and lambdoidal suture. It generally closes in 6–8 weeks from birth. The cranial point in adults corresponding the fontanelle is called lambda.
During birth, fontanelles enable the bony plates of the skull to flex, allowing the child's head to pass through the birth canal. The ossification of the bones of the skull causes the anterior fontanelle to close over by 9 to 18 months. [3] The sphenoidal and posterior fontanelles close during the first few months of life.
The greater, or anterior fontanel, is a lozenge-shaped space that is situated at the junction of the sagittal and the coronal sutures. The lesser, or posterior fontanel, is represented by a small triangular area at the intersection of the sagittal and lambdoid sutures. The localization of these fontanels gives important information concerning ...
In obstetrics, a cephalic presentation or head presentation or head-first presentation is a situation at childbirth where the fetus is in a longitudinal lie and the head enters the pelvis first; the most common form of cephalic presentation is the vertex presentation, where the occiput is the leading part (the part that first enters the birth canal). [1]
The posterior fontanelle usually closes by eight weeks, but the anterior fontanel can remain open up to eighteen months. The anterior fontanelle is located at the junction of the frontal and parietal bones; it is a "soft spot" on a baby's forehead.
Presentation of twins in Der Rosengarten ("The Rose Garden"), a German standard medical text for midwives published in 1513. In obstetrics, the presentation of a fetus about to be born specifies which anatomical part of the fetus is leading, that is, is closest to the pelvic inlet of the birth canal.
In a newborn, the junction of the parietal bones with the frontal and occipital bones, form the anterior (front) and posterior (back) fontanelle, or soft spots. The separation of the cranial bone plates at time of birth facilitate passage of the head of the fetus through the mother's birth canal, or pelvic girdle. The parietal bones, and ...
Use the middle finger to identify the posterior fontanelle, then move the finger forward along the sagittal suture approximately 3 cm / 1 inch.; With the finger on the flexion point and palmar surface in a superior direction, note where the back of the finger makes contact with the fourchette (this is used to determine how far the ventouse cup must be inserted).