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Grunstra Nicole | Fellow Postdoctoral
2019-09-01 - 2021-12-31 | Research area: EvoDevo
Towards Resolving the Human Obstetric Conundrum: Theoretical, Computational and Comparative Mammalian Approaches

Childbirth in humans is difficult compared to most other mammals. There is a high risk of mortality and morbidity to both mother and baby associated with childbirth arising from the tight fit or mismatch between the size of the baby and the maternal birth canal. So why has the human birth canal not evolved to be wider? This 'obstetric conundrum' has long been debated and several explanations have been advanced. However, explanatory factors are manifold, interact, vary among human populations, and often pertain to different levels of explanation, impeding our understanding of this conundrum and attempts to resolve it. To help overcome this challenge, a theoretical framework is required, grounded in evolutionary theory and integrating principles from developmental and evolutionary biology, which helps to reconcile different levels of explanation and identify methodological challenges and outstanding questions pertaining to the obstetric conundrum.

Furthermore, few evolutionary hypotheses of why the human pelvis evolved to be relatively narrow exist, and the ones that do have received little empirical attention. One in particular, the pelvic floor hypothesis, will be the focus of applied research. Using numerical finite element simulations, the pelvic floor will be modeled as an idealized membrane and subjected to sensitivity analysis to establish the relationship between membrane geometry and its level of deformation. Lastly, not only pelvic size and shape are relevant for childbirth; the degree of mobility at the pelvic joints can also facilitate or hinder easy passage of the fetus through the birth canal. Mammals document a range of pubic symphysis morphologies, reflecting a combination of adaptations and constraints related to positional behavior, birth, and phylogeny, the study of which can yield valuable insight into the human condition.