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Fetal skull — sutures & fontanelles

Landmarks felt on vaginal examination.

Source: GFMER · textbooks

Landmark

Sagittal sutureBetween the parietal bones.
Coronal sutureFrontal–parietal.
Lambdoid sutureOccipital–parietal.
Anterior fontanelleDiamond, ~3 × 3 cm, 4 sutures; closes ~18 months.
Posterior fontanelleTriangular (Y), small, 3 sutures.
Posterior fontanelle central and easily felt = well flexed. Anterior fontanelle easily felt = deflexed.
A summary for trained clinicians. Always check the full guideline, the patient in front of you and your hospital's protocol. Spotted an error? Tell us.