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Fundal height, or McDonald's rule, is a measure of the size of the uterus used to assess fetal growth and development during pregnancy. It is measured from the top of the mother's uterus to the top of the mother's pubic symphysis.
[1] [5] A 2003 study by the group of Pendergrass et al. also using castings as a measurement method, measured vaginal surface areas ranging from 66 to 107 cm 2 (10.2 to 16.6 sq in) with a mean of 87 cm 2 (13.5 sq in) and a standard deviation of 7.8 cm 2 (1.21 sq in) [6]
The uterus can be divided anatomically into four regions: the fundus – the uppermost rounded portion of the uterus above the openings of the fallopian tubes, [4] the body, the cervix, and the cervical canal. The cervix protrudes into the vagina. The uterus is held in position within the pelvis by ligaments, which are part of the endopelvic ...
Pelvimetry is the measurement of the female pelvis. [1] It can theoretically identify cephalo-pelvic disproportion, which is when the capacity of the pelvis is inadequate to allow the fetus to negotiate the birth canal. However, clinical evidence indicate that all pregnant women should be allowed a trial of labor regardless of pelvimetry ...
The uterus or womb is the major female reproductive organ. The uterus provides mechanical protection, nutritional support, and waste removal for the developing embryo (weeks 1 to 8) and fetus (from week 9 until the delivery). In addition, contractions in the muscular wall of the uterus are important in pushing out the fetus at the time of birth.
Measurement From To Length Transverse diameter (of inlet) Between extreme lateral points of pelvic inlet: 13.5–14 cm Oblique diameter I: Right sacroiliac joint: Left iliopubic eminence: 12-12.5 cm Oblique diameter II: Left sacroiliac joint: Right iliopubic eminence: 11.5–12 cm Anatomical conjugate (true conjugate) Pubic symphysis ...
The intramural part or interstitial part of the fallopian tube lies in the myometrium, the muscular wall of the uterus. This is the narrowest part of the tube that crosses the uterus wall to connect with the isthmus. The intramural part is 0.7 mm wide and 1 cm long. [12]
The size of the uterus is assessed at the initial visit, and the growth of the uterus is assessed at subsequent visits. In the first trimester the uterine size can be assessed on bimanual examination. Subsequently, beyond the 12th week of gestation, the uterus can be felt above the pubic bone, and abdominal examinations assess growth. [24]