. Obstetrics for nurses. they areregularly changing in size and appearance as one menstrual cycle followsanother. Pregnancy causes a still greater change, and finally, withthe approach of tlie menopause, the ciidomctiiuni atrophies and theglands in gn-ai part (lisa])poar. Muscle and Peritoneum.—Tlic greai hulk of tlio uicrns is made upof involuntary muscle fibers supported by connective and elastic tissue. ANATOMY OF THE FEMALE ORGANS 17 During infancy the libers are quite simply arranged, but, after puberty,the arrangement becomes extremely complicated. Pregnancy is accom-panied by a hypertro
. Obstetrics for nurses. they areregularly changing in size and appearance as one menstrual cycle followsanother. Pregnancy causes a still greater change, and finally, withthe approach of tlie menopause, the ciidomctiiuni atrophies and theglands in gn-ai part (lisa])poar. Muscle and Peritoneum.—Tlic greai hulk of tlio uicrns is made upof involuntary muscle fibers supported by connective and elastic tissue. ANATOMY OF THE FEMALE ORGANS 17 During infancy the libers are quite simply arranged, but, after puberty,the arrangement becomes extremely complicated. Pregnancy is accom-panied by a hypertrophy of the existing fibers and by the formation ofsome new elements. The peritoneal covering is merely a continuation of the generallining of the abdominal and pelvic cavities, which has been reflectedover the body of the uterus wherever it is free in the pelvic cavity. Theunderlying muscle is only loosely connected to it and, at operation, a lineof cleavage is easily located. When the uterus increases rapidly in pubis Rectum Fig. 13.—Normal position of the non-pregnant uterus. in the latter part of pregnancy, the peritoneum readily stretches andis not placed under any great tension. Following delivery, the returnto normal is very rapid. Position of the Uterus.—The uterus is normally held in a positionof slight anteversion and anteflexion. When a woman stands erect theorgan is nearly horizontal with the fundus pressing slightly against thel)ladder in front and the cervix pointing backward toward the axis of the uterus normally meets that of the vagina at approximatelya right angle and is slightly concave anteriorly, while in uterine dis-placements this relation between the axis of the uterus and that of the 18 TEXTBOOK OF OBSTETRICS FOR NURSES vagina is altered. In antellexion, for example, 1he body of the uterusis sharply bent upon the cervix so that the curvature is exaggerated andits fundus occupies a lower position than normal; whereas in retro-flexi
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Keywords: ., bookcentury1900, bookdecade1920, booksubjectobstetrics, bookyear1
