Journal - American Medical Association . we can, by hooking the finger over the fourchette into the fossa navii ularis, and pulling 1 before the Chicago Medic a The term fascia here is confii loose connective tissue, to facilitate-- c. i\ Society, I cd to the firmer tissue,1 parts. outwards just as a pain is ceasing, and the head com-mencing to recede, demonstrate two perineal external or vulval ring, formed by the edges ofthe labia majora and fourchette, is elastic, of a well-defined oval shape, and attached to the pubic boneabove the clitoris. The internal, or vaginal, ringco
Journal - American Medical Association . we can, by hooking the finger over the fourchette into the fossa navii ularis, and pulling 1 before the Chicago Medic a The term fascia here is confii loose connective tissue, to facilitate-- c. i\ Society, I cd to the firmer tissue,1 parts. outwards just as a pain is ceasing, and the head com-mencing to recede, demonstrate two perineal external or vulval ring, formed by the edges ofthe labia majora and fourchette, is elastic, of a well-defined oval shape, and attached to the pubic boneabove the clitoris. The internal, or vaginal, ringcorresponds with the labia minora and edge of theexternal perineal muscles and fascia. It feels like awhip-cord stretched from the clitoris down throughone of the labia minora, across the lower edge of thevaginal orifice, up through the other to its startingpoint. In figure i these rings are represented asseparated below by the finger over the fourchette, asalready indicated. (The vulval and vaginal tissuesabout the rings are not drawn. 1. Figurk 1 I tnus B, bladder; F, fourchette; M, muscular edee- U, UP When the head recedes so .is no longer to put thevaginal orifice on the stretch, the external rilapses, and the internal ring disappears, Later, whenthe parts bulge and become distended, the interna]? :i tally the lower edge, is lost in the flattenedor quasi membranous body of the perineum, as infigure j. I!ui of course it has a definite plaithe beginning of the muscular tissue; ami extends a- below the fourchette as the length of the an tero-posterior diametei of die somewhat stretchedii ularis, which conm 1 ts them internally. 254 PERINEAL LACERATIONS DURING LABOR. [March 6, Above or external to this vaginal, or internal, ring will have time to extend the head before the propell-there is. practically speaking, no muscular tissue, but , ing force will have driven the occiput forwards, so asonly skin, mucous membrane, loose connective tis- to put the perineum very much upon
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Keywords: ., bookcentury1800, bookdecade188, booksubjectmedicine, bookyear1883
