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Obstetric and Gynecological Nursing - The Carter Center

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sacrum is concave <strong>and</strong> is referred to as the hallow of the<br />

sacrum.<br />

C. <strong>The</strong> coccyx: - is avestigial tail. It consists of four fused<br />

vertebrae forming a small triangular bone.<br />

Pelvic Joints<br />

<strong>The</strong>re are four pelvic joints<br />

- One Symphysis pubis<br />

- Two Sacro illiac joint<br />

- One Sacro coccygeal joint<br />

- <strong>The</strong> symphysis pubis is a cartilgeous joint formed by<br />

junction of the two pubic bones along the midline.<br />

• <strong>The</strong> sacro iliac joints are the strongest joints in the<br />

body.<br />

- <strong>The</strong> sacro coccygeal joint is formed where the base of the<br />

coccyx articulates with the tip of the sacrum.<br />

In non pregnant state there is very little movement in these<br />

joints but during pregnancy endocrine activity causes the<br />

ligaments to soften which allows the joints to give & provide<br />

more room for the fetal head as it passes through the pelvis.<br />

Pelvic ligaments<br />

Each of the pelvic joints is held together by ligaments<br />

- Interpubic ligaments at the symphysis pubis (1)<br />

7

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