Anatomy of the female pelvis

1. Big picture

The female pelvis is not examined in OBGYN as “dry anatomy.” It is clinically important because it determines:

1. Whether the fetal head can pass through the birth canal
2. Where pelvic organs are supported
3. Where bleeding, ureteric injury, nerve injury, and prolapse occur
4. How to perform pelvic examination, vaginal delivery, cesarean section, hysterectomy, and pelvic surgery safely

For the oral exam, the examiner wants you to connect anatomy to clinical use:

Bony pelvis → birth canal and cephalopelvic disproportion Pelvic floor → continence, prolapse, perineal trauma Ligaments → uterine support and prolapse surgery Ureter and vessels → hysterectomy danger zone Nerves and lymphatics → pain, anaesthesia, cancer spread

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