File:A treatise on the science and practice of midwifery (1880) (14763859482).jpg

Identifier: treatiseonscien00play (find matches)
Title: A treatise on the science and practice of midwifery
Year: 1880 (1880s)
Authors: Playfair, W. S. (William Smoult), 1836-1903 Harris, Robert P., ed
Subjects: Obstetrics
Publisher: Philadelphia, H. C. Lea
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

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hich we shall subsequentlystudy, and partly by being supported from below by the pelvie cel-lular tissue and the fleshy column of the vagina. The result is thatthe uterus, in the healthy female, is a perfectly movable body, alter- 48 ORGANS CONCERNED IN PARTURITION ing its position to suit the condition of the surrounding viscera,especially the bladder and rectum, which are subjected to variationsof size according to their fulness or emptiness. When from anycause—as, for example, some peri-uterine inflammation producingadhesions to the surrounding textures—the mobility of the organ isinterfered with, much distress ensues, and if pregnancy supervenesmore or less serious consequences may result. Generally speaking,the uterus may be said to lie in a line roughly corresponding withthe axis of the pelvic brim, its fundus being pointed forwards andits cervix lying in such a direction that a line drawn from it wouldimpinge on the junction between the sacrum and coccyx. According Fig. 16.
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Transverse Section of the Body, showing Relations of the Fundus Uteri,m. Pubes. a, a (in front). Remainder of hypogastric arteries, a, a (behind). Spermatic vesselsand nerves. B. Bladder. L, L. Round, ligaments. U. Fundus uteri, t, t. Fallopian tubes, o, o.Ovaries, r. Rectum, g. Right ureter, res.ing on the psoas muscle, c. Utero-sacral ligaments, v.Last lumbar vertebra. to some authorities, the uterus in early life is more curved in theanterior direction, and is, in fact, normally in a state of ante-flexion.Sappey holds that this is not necessarily the case, but that the amountof anterior curvature depends on the emptiness or fulness of thebladder, on which the uterus, as it were, moulds itself in the unim-pregnated state. It is believed also that the body of the uterus isvery generally twisted somewhat obliquely, so that its anterior sur-face looks a little towards the right side, this probably depending onthe presence and frequent distension of the rectum in the left side ofthe pel

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