The ligaments that maintain the uterus in anterior tilt are

The uterus is located in the center of the pelvis, in an inverted pear shape, flat in front and slightly protruding in the back. It is the internal organ that causes menstruation and creates the fetus. Its size and shape change according to age or pregnancy status. So how do you keep it in the center of the pelvis? Today we’ll talk about the key! What are the tendons that keep the uterus in its normal position?

To maintain the normal position of the uterus, it is of course necessary to rely on the shoulder function of four pairs of tendons and the pelvic floor muscles and fascia to maintain the normal position. Includes: round ligament, latissimus tendon, main tendon and its uterosacral tendon.

The actual functions of the tendons that maintain the normal position of the uterus are as follows:

1. The round ligament originates from the front of the uterine angles on both sides in the shape of a round cord, bends and stretches forward to the pelvic walls on both sides, then passes through the groin and stops at the front of the labia majora, which has the function of maintaining the anteversion of the uterus.

2. The umbilicus is a pair of wing-shaped retroperitoneal folds that extend from the sides of the uterus to the pelvic wall, dividing the pelvis into front and back parts, and keeping the uterus in the middle of the pelvis. The uterine artery, vein, and urethra all pass over the base of the latissimus tendon.

3. The main tendon, also known as the transverse cervical tendon, runs between the sides of the cervix and the outer wall of the pelvis. It is a pair of strong smooth muscle and connective tissue fiber bundles, and is an important tissue that fixes the normal position of the cervix.

4. The uterosacral tendon starts from the posterior and superior position of the cervix, goes around the duodenum on both sides and reaches the muscle fascia in front of the 2nd and 3rd sacral vertebrae. The tendon contains smooth muscle and connective tissue, which pulls the cervix backwards and indirectly maintains the uterus in the forward position.

Is it very easy to choose a natural birth with an anteverted uterus?

1. A woman's uterus may generally be positioned relatively forward or relatively backward. The forward position is called anterior position, and the backward position is called posterior position. The so-called anteversion of the uterus is the anterior position. In fact, this is a relatively normal position for women, and this position is actually easier to get pregnant. It is neither a disease nor will it affect fertility.

2. The protrusion of the uterus has no effect on pregnancy, so does it have any impact on whether to choose a natural birth? In fact, the method of delivery used by pregnant women has no direct relationship with the position of the uterus. As mentioned above, the anteversion of the uterus can only affect pregnancy, and as the fetus in the pregnant woman's belly grows, the position and shape of the uterus will also undergo certain changes.

3. What really affects the choice of delivery method is the position of the placenta. Before the pregnant woman gives birth, she will usually undergo a B-ultrasound examination. This examination is to check the position of the placenta rather than the position of the uterus. If the embryo is relatively forward, a cesarean section will be recommended to avoid the risk of internal bleeding during the process after choosing a natural birth.