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Quantification of Levator Ani Hiatus Enlargement by Magnetic Resonance Imaging in Males and Females with Pelvic Organ Prolapse
Published on: April 17, 2019
Sexual dimorphism in the human pelvis: testing a new hypothesis
H Correia1, S Balseiro, M De Areia
1Departamento de Antropologia, Universidade de Coimbra, 3000-056 Coimbra, Portugal. hamilton.correia@clix.pt
Summary
Human pelvic sexual dimorphism is linked to childbirth difficulties. Key birth canal dimensions are larger in females, potentially impacting neonate survival and reflecting evolutionary pressures.
Area of Science:
- Anthropology
- Human Anatomy
- Evolutionary Biology
Background:
- Sexual dimorphism in the human pelvis is debated regarding its obstetric significance.
- Previous studies have not definitively linked specific pelvic dimensions to parturition challenges.
Purpose of the Study:
- To investigate the relationship between human pelvic sexual dimorphism and parturition.
- To identify specific pelvic dimensions that exhibit significant sexual dimorphism and their obstetric implications.
Main Methods:
- Analysis of a large sample of complete human skeletons from the Coimbra Identified Skeletal Collection.
- Measurement of key dimensions of the true pelvis (birth canal), including inlet, midplane, and outlet diameters.
Main Results:
- Significant sexual dimorphism was observed in pelvic dimensions related to the birth canal.
- Specifically, anteroposterior diameter of the inlet, transverse diameter of the bispinous midplane, and transverse diameter of the outlet were notably larger in females.
- These dimensions are associated with biparietal deformation, a risk factor for neonatal mortality.
Conclusions:
- Human pelvic sexual dimorphism reflects differential selection pressures on males and females.
- The observed dimorphism has direct implications for the biomechanics of human parturition and neonatal outcomes.
- Findings provide a basis for further research into the evolution of modern human birth patterns.
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