The uterine fibres have been usually considered as fleshy, but they differ
from the red fibres of voluntary muscles, in being of a paler colour,
flatter, and remarkably interwoven with each other: nevertheless they
appear to be really muscular fibres from the powerful contraction with
which they expel the foetus and placenta, and nearly obliterate the cavity
of the uterus. In the unimpregnated state they resemble the fibrous coat
of an artery, whereas, those of the gravid uterus are more like the fibres
of muscle. Most anatomists agree in describing two sets of fibres, viz.
longitudinal and transverse. The external layer of fibres appears to form
the round ligaments, which seem to have the same relation with them as
tendon and muscle. "The fibres arise from the round ligaments, and
regularly diverging spread over the fundus until they unite and form the
outmost stratum of the muscular substance of the uterus. The round
ligaments of the womb have been considered as useful in directing the
ascent of the uterus during gestation, so as to throw it before the
floating viscera of the abdomen: but in truth it could not ascend
differently; and on looking to the connexion of this cord with the fibres
of the uterus, we may be led to consider it as performing rather the
office of a tendon than that of a ligament."[10] "On the outer surface and
lateral part of the womb, the muscular fibres run with an appearance of
irregularity among the larger blood-vessels, but they are well calculated
to constringe the vessels, whenever they are excited to contraction. The
substance of the gravid uterus is powerfully and distinctly muscular, but
the course of the fibres is less easily described than might be imagined:
this is owing to the intricate interweaving of the fibres with each
other--an intermixture however which greatly increases the extent of their
power in diminishing the cavity of the uterus. After making sections of
the substance of the womb in different directions, we have no hesitation
in stating that towards the fundus the circular fibres prevail, that
towards the orifice the longitudinal fibres are most apparent, and that on
the whole, the most general course of the fibres is from the fundus
towards the orifice.
"This prevalence of longitudinal fibres is undoubtedly a provision for
diminishing the length of the organ, or for drawing the fundus towards the
orifice. At the same time these longitudinal fibres must dilate the
orifice and draw the lower part of the uterus over the head of the child.
Public-domain text, read in full here on John Shaqi.
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