uteri in a second pregnancy so little altered by the effects of the
previous labour, that it would be extremely difficult to come to a
decision.
When labour is over, the uterus contracts very considerably, and, in a few
days after, its parietes will be found at least an inch in thickness. It
now gradually diminishes in size, and continues to do so for some weeks;
the blood-vessels contract, and losing the peculiarly loose spongy
structure of pregnancy it becomes harder, firmer, and more compact. It
nevertheless remains softer and larger than in the virgin state, and does
not attain its original size and hardness until an advanced period of
life.
The os uteri, which in the latter months of pregnancy had formed a
circular opening, resumes its former shape, except that its lips,
especially the posterior one, which are more or less irregular and uneven,
are thicker and longer than in the virgin state. For the first weeks after
labour, the os uteri is high in the pelvis, soft, and easily admits the
tip of the finger; at the end of the second week it is much lower in the
pelvis, and no longer permits the finger to pass. Immediately after
labour, the contracted uterus forms a hard solid ball, the size of a
new-born child's head; this state of contraction is not, however, of long
continuance: in the course of half an hour, or even less, it begins to
increase in size, becoming softer and larger, and continuing to increase
slowly for some hours, when it again gradually diminishes, until, as
before observed, it approaches its original size in the unimpregnated
state. The state of powerful contraction in which the uterus is felt
immediately after labour, after a time gradually relaxes; its spongy
texture, from which the blood had been forcibly expelled by the violent
action of its fibres, becomes again filled with blood; the organ swells
and becomes softer and more bulky, and the orifices of the vessels which
open into the cavity of the uterus are again partly pervious, and emit a
sanious fluid called the _lochia_. This state lasts for two or more days
after delivery, when the vessels begin to recover their former caliber,
and lose that degree of dilatation peculiar to the gravid state. The
lochia become less and less coloured, and now, and not before the uterus
undergoes that gradual diminution of size and bulk which we have just
alluded to.
The copulative or external organs of generation are the _vagina_, _hymen_,
_clitoris_, _nymphæ_, and _labia_, the three last being known by the term
_vulva_.
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