Inlet
 

In clinical assessment of the inlet dimensions, the diagonal conjugate diameter is the single most important measurement to be taken. It measures the diameter from the inferior surface of the pubic symphysis to the sacral promontory. This is best assessed by vaginal (pelvic) examination with the use of the index finger. The examine first of all measures his own index finger length and determines during examination whether he can feel for the sacral promontory or not.

  1. If the examining finger just touches the sacral promontory then the diagonal conjugate diameter is equal to the length of he examining finger.

  2. If the examining finger does not reach the sacral promontory then the diagonal conjugate diameter is less then the length of the examining finger.

 

 

 

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