What is an Android Pelvis?
An
android pelvis is a type of pelvic shape characterized by a heart-shaped brim, prominent ischial spines, and a narrow anterior segment. It is one of the four main pelvic types identified in obstetrics, the other three being gynecoid, anthropoid, and platypelloid. The android pelvis is often associated with more challenging labor and delivery due to its shape.
How Common is the Android Pelvis?
The android pelvis is less common compared to the
gynecoid pelvis, which is considered the most favorable for childbirth. It is estimated that around 20-25% of women have an android pelvic shape. The prevalence of different pelvic types can vary based on ethnicity and genetic factors.
How is the Pelvic Shape Diagnosed?
The shape of a woman's pelvis can be assessed through a combination of clinical examination and imaging techniques. During a pelvic exam, a healthcare provider can feel the pelvic bones and assess the overall shape. Imaging methods like
X-ray pelvimetry or MRI may be used for a more detailed evaluation if necessary.
What are the Management Options?
Management of labor and delivery in women with an android pelvis involves careful monitoring and individualized care. Options may include:
Labor induction or augmentation to help progress labor.
Use of
epidural analgesia for pain relief and to facilitate relaxation of pelvic muscles.
Close monitoring of fetal position and descent during labor.
Consideration of cesarean section if there are signs of
fetal distress or lack of progress.
Can Pelvic Shape be Changed?
The shape of the pelvis is determined by bone structure and cannot be changed. However, some measures can be taken to optimize outcomes for women with an android pelvis. These may include
prenatal exercises to strengthen pelvic muscles, proper
nutritional support, and preparing a comprehensive birth plan with the healthcare provider.
Is an Android Pelvis Hereditary?
Pelvic shape can have a hereditary component, meaning it can be passed down through generations. If a woman has an android pelvis, it is possible that her daughters may also have a similar pelvic shape. However, a variety of factors, including genetics and environmental influences, play a role in determining pelvic anatomy.
Conclusion
Understanding the characteristics and implications of an android pelvis is crucial in
gynecology and obstetrics. With careful management and individualized care, women with an android pelvic shape can achieve successful pregnancy and childbirth outcomes. It is important to work closely with healthcare providers to address potential challenges and ensure the best possible care for both mother and baby.
