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Obstetric and Gynecological Nursing - The Carter Center

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Sutures <strong>and</strong> fontanelles<br />

Sutures are cranial joints <strong>and</strong> are formed where two bones<br />

adjoin. Where two or more sutures meet, a fontanell is<br />

formed.<br />

Types of sutures<br />

A. <strong>The</strong> lambdoidal suture is shped like the Greek letter<br />

lambda <strong>and</strong> separates the occipital bone from the two<br />

parital bones.<br />

B. <strong>The</strong> sagital suture lies between the parital bones<br />

C. <strong>The</strong> coronal sutrue separetes the frontal bones from the<br />

parital bones, passing from one temple to the other.<br />

D. <strong>The</strong> frontal suture runs between the two haves of the<br />

frontal bone<br />

Types of fontanelle<br />

A. <strong>The</strong> posterior fontanelle or lambda is situated at the<br />

junction of the lambdiodal <strong>and</strong> sagital sutures. It is small<br />

triangular in shape <strong>and</strong> can be recogonized vaginally.<br />

B. <strong>The</strong> anterior fontanelle or bregma is found at the junction<br />

of the sagital, coronal <strong>and</strong> frontal sutures <strong>and</strong> recognized<br />

vaginally.<br />

<strong>The</strong> sutures <strong>and</strong> fontanelles, because they consist of<br />

memberanous spaces, allow for a degree of overlapping of<br />

the skull bones during labour <strong>and</strong> delivery.<br />

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