Following are the important points of the ishial spine :-
Mnemonic SID BPL
1) Station of fetal head is calculated with respect to Ischial spine.
2) Internal rotation of fetal head occurs at this level.
3) Deep transverse arrest occurs at this level.
4) It is site for giving pudendal block.
5) Place at which ring pessory inserted.
6) Levator ani muscle is attached here.
PS : Question which was asked in central institute examination (I felt it should be mentioed here)
Which ligament is felt while giving pudendal block?
Sacrospinal ligament.
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