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MARC A. KELLEY
Department of Anthropology, Case Western Reserve Uniuerszty, Cleueland, Ohio 44106
ABSTRACT
A detailed analysis of the female bony pelvis in relation to
parity status was made. A total of 198 complete pelves were inspected for five
features considered to be associated with pregnancy and parturition. During
final analysis two features were eliminated. Three remaining features - dorsal
pubic pitting, pre-auricular grooves, and grooves located a t the site of interosseous ligament insertion were found to be significantly related to parturition. Other findings of interest were: (1) pits and grooves acquired through
pregnancy and parturition appear to become obliterated in old age, ( 2 ) the
preauricular groove is the most sensitive indicator of pregnancy and parturition, (3) moderate-large pitting in the dorsal pubic region rarely occurs in
nulliparous females, and (4)it is doubtful t h a t more precise statements than
no children and (one or more children can be made on the basis of skeletal
remains alone.
The formation of pits and grooves a t sites of
ligamentous attachments in the female bony
pelvis is a subject that warrants consideration
in both physical and forensic anthropology.
These bony changes are considered by most
investigators to be related to pregnancy and
parturition (Putschar, 31, 76; Wiltse and
Frantz, 56; Stewart, 57, 70; Angel, 69; Gilbert and McKern, 73; Houghton, 74, 75;
Ullrich, 75; Ashworth et al., 76; Suchey et
al., 79; Dunlap, 79). With the exception of
Houghton, Dunlap, and Ullrich, these studies
have dealt primarily with changes arising in
the 0s pubis. Houghton and Dunlap have analyzed the pre-auricular sulcus while Ullrich
considered the pubis, ilium, and sacrum in relation to childbearing. The work by Stewart
(701, Gilbert and McKern (731, and Holt (78)
suggest that pelvic changes are of limited
usefulness in parity estimation. Sucheys (79)
work with the 0s pubis in exceptionally well
documented material showed a statistical association, but no close correlation between pitting and full term pregnancies.
The present study examines several regions
of the female pelvis where pits and grooves are
known to occur. The purpose of this investigation is to determine what degree of reliability
AM. J. PHYS. ANTHROP. (1979)51: 541-546.
541
542
MARC A
\
Fig. 1 Location and appearance of dorsal puhc pitting
(l), pre-auricular groove (2).and interosseous groove (3).
White, 123 Black) meeting the above standards were located and examined. Utilizing
both innominate bones and the sacrum, 5 features were recorded: (1)dorsal pubic pitting,
(2) pre-auricular groove, (3) groove associated
with t h e interosseous ligament insertion
(hereafter designated interosseous groove),
(4) bony lipping of the dorsal pubic margin,
and (5) sacral pitting, For reasons discussed
below, the last 2 features were omitted from
the final analysis. Figure 1 illustrates the
location and typical appearance of the 3 remaining features of interest here. All pelves
were inspected for bilateral involvement. In
cases where the pits or grooves were of unequal severity, the side displaying the most extensive markings was used for analysis. Pitting on the dorsal pubis was recorded as absent, trace to small, or moderate to large
(after Stewart, 70).Trace to small IS defined
here as being either very shallow, poorly
demarcated depressions or as small well-defined pits not exceeding 2 millimeters in diam-
KELLEY
No significant differences were found between the Blacks and Whites in the frequency
of dorsal pubic pitting, pre-auricular grooves
or interosseous grooves (chi-square values
were 0.06, 1.15, and 1.21 < 3.84 respectively
with 1 degree of freedom). These results are in
agreement with Holts (78) smaller sample
where only dorsal pubic pitting was examined.
As already mentioned, bony lipping of the
dorsal pubic margin and sacral pits were
eliminated from the final analysis. Dorsal
pubic lipping occurred indiscriminantly in
multiparous and nulliparous women alike and
reflects concomitant age-progressive, degenerative arthritis (Putschar. 76). Sacral pitting, which occurs immediately adjacent to
the pre-auricular groove, was discarded because it was noted in only 12 out of 198 cases
and therefore is of extremely limited utility.
TABLE 1
U V l U I l
No parturition
N = 107
Parturitiun
N = 91
76.6
22.4
1.0
56.0
23.1
20.9
54.2
25.2
20.6
20.9
35.2
43.9
67.3
15.9
16.8
36.2
31.9
31.9
y**AE.
Absent
Slight
Mod-severe
Preauricular groove
GL
Broad-shallow
Developed
Interosseous groove
Absent
Slight
Developed
543
544
MARC A. KELLEY
5 0
40
30
URlTlON
20
1 0
PARTURITION
//NO
31 4 0
41-50
51-60
61.70
714-
0
15-20
21-30
A G E
Fig. 2 Percentage of women by decade of life displaying moderate to large pitting or grooves for t h e dorsal
pubic surface, pre-auricular region, and site of interosseous ligament attachment in relation to parity status.
TABLE 3
3 absent
2 absent, 1trace
2 absent, 1present
2 trace, I absent
38
18
15
. . . . . . . . . . . . . . . . . . . . . - -15- _ - _
1 absent, 1 trace, 1 present
13
1
3 trace
2 trace, 1 present
3
2 present, 1 absent
3
2 present, 1 trace
1
3 present
0
107
Total
Parturition
6
13
9
10
---.
16
4
8
14
5
6
91
the dorsal pubic region is that hormonal secretions during pregnancy relax and cause
hypertrophy of the ligaments (Wiltse and
Frantz, '56; Putschar, '31, '76). The subsequent tearing and hemorrhaging associated
with parturition further contribute t o pubic
changes. The contention made by Holt ('78)
that moderate to large dorsal pubic pitting occurs in approximately equal frequencies in
childbearing and non-childbearing females is
not supported by the data in the present study.
I t would appear t o occur infrequently in
nulliparous women, and then usually as a result of some other form of trauma. Wiltse and
Frantz ('56) reported 13 cases of osteitis pubis,
ten of which were related t o parturition. The
three remaining cases were related to: an auto
accident, sports accident, and pelvic surgery
respectively.
Houghton ('74) suggested that pre-auricular grooves are a more sensitive indicator of
parity than dorsal pubic pitting because body
weight stresses coupled with hormonally induced changes are especially pronounced during pregnancy. The data presented here largely agree with this statement, but it is extremely important for investigators to be
aware that "developed" pits and grooves occasionally do occur in the sacroiliac region in
nulliparous women (approx. 20% in this
study). Houghton (74) could not have detected this since his sample consisted of undocumented material. Dunlap (79) examined
pre-auricular sulcus morphology in relation
to body weight for both nulliparous and
multiparous women and found no positive
correlation. Future studies might profit by
examining sulcus morphology in relation to
such variables as the degree of lordosis and
the sacral angle (Cockshott, personal communication).
The fact that many women experiencing
childbirth displayed little or no bony changes
probably reflects a complex interaction of hormonal levels, maternal birth canal diameter,
fetal head circumference, amount of physical
activity during pregnancy, number of pregnancies, obstetrical care, and age a t time of
death. I t is proposed here that parity status is
best assessed by employing the three pelvic
features discussed in this paper. The presence
of moderate to large pits and grooves a t two or
more locations is strongly suggestive of a
multiparous woman. Conversely, the absence
of two or more traits is suggestive (but somewhat less so) of a nulliparous female. The occurrence of intermediate traits presents the
most difficult situation. In cases where the
three pelvic features do fall into ambiguous
trait combinations, the investigator must
assign individual weights to each feature. I t is
suggested t h a t the most weight be assigned to
the pre-auricular groove, followed by the interosseous groove, and finally dorsal pubic pitting. One exception to this rule is moderate to
large dorsal pubic pitting, especially characteristic of females experiencing parturition.
Lw-RLT ub7-UR-s
545