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A review in 2003 came to the conclusion that pelvimetry does not change the management of pregnant women, and recommended that all women should be allowed a trial of labor regardless of pelvimetry results. [2] It considered routine performance of pelvimetry to be a waste of time, a potential liability, and an unnecessary discomfort. [2]
The pelvic exam during pregnancy is similar to the exam for non-pregnant women; however, more attention is given to the uterus and cervix. 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.
An obstetrician can often determine the size, consistency, shape, and mobility of the form that is felt. The fetal head is hard, round, and moves independently of the trunk while the buttocks feel softer, are symmetric, and the shoulders and limbs have small bony processes ; unlike the head , they move with the trunk.
The BRI models the human body shape as an ellipse (an oval), with the intent to relate body girth with height to determine body roundness. A simple tape measure suffices to obtain waist circumference and height. [1] [2] Waist circumference and height can be in any unit of length, as long as they both use the same one. [1] [3
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.
In women, the rectouterine pouch is the deepest point of the peritoneal cavity. It is posterior to the uterus, and anterior to the rectum. [2] Its anterior boundary is formed by the posterior fornix of the vagina. [1] The pouch on the other side of the uterus near to the anterior fornix is the vesicouterine pouch.
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.
Units are directly equal to pressure change in mmHg summed over a ten-minute window. It is calculated by internally (not externally) measuring peak uterine pressure amplitude (in mmHg), subtracting the resting tone of the contraction, and adding up the numbers in a 10-minute period. [1]