A treatise on the science and practice of midwifery . ubes, which convey the ovule to the uterus,and the uterus itself—whose main function is to receive, nourish, andeventually expel the impregnated product of the ovary—may be said tobe, in fact, accessory to these viscera. Practically, however, as obstet-ricians, Ave are chiefly concerned with the uterus, and may convenientlycommence with its description. The Uterus.—The uterus is correctly described as a pyriform organ,flattened from before backward, consisting of the body, with its roundedfundus, and the cervix, which projects into the uppe
A treatise on the science and practice of midwifery . ubes, which convey the ovule to the uterus,and the uterus itself—whose main function is to receive, nourish, andeventually expel the impregnated product of the ovary—may be said tobe, in fact, accessory to these viscera. Practically, however, as obstet-ricians, Ave are chiefly concerned with the uterus, and may convenientlycommence with its description. The Uterus.—The uterus is correctly described as a pyriform organ,flattened from before backward, consisting of the body, with its roundedfundus, and the cervix, which projects into the upper part of the vaginalcanal. In the adult female it is deeply situated in the pelvis, beingplaced between the bladder in front and the rectum behind, its fundusbeing below the plane of the pelvic brim (Fig. 18). It only assumesthis position, however, toward the period of puberty; and in the foetusit is placed much higher, and lies, indeed, entirely within the cavity ofthe abdomen. It is maintained in this position partly by being slung Fig. Transverse Section of the Body, showing Relations of the Fundus Pubes. a a (in front). Remainder of hypogastric arteries, a a (behind). Spermatic vessels and Bladder. L L. Round ligaments. U. Fundus uteri, t, t. Fallopian tubes, o, o. Ovaries, r. Right ureter, resting on the psoas muscle, c. Utero-sacral ligaments, v. Last lumbar vertebra. by its ligaments, which we shall subsequently study, and partly by beingsupported from below by the pelvic cellular tissue and the fleshy columnof the vagina. The result is that the uterus, in the healthy female, is aperfectly movable body, altering its position to suit the condition of thesurrounding viscera, especially the bladder and rectum, which are sub-jected to variations of size according to their fulness or from any cause—as, for example, some peri-uterine inflammationproducing adhesions to the surrounding textures—the mobility of theorgan
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectobstetrics, bookyear1
