Close behind the clitoris, and a little below it, is the orifice of the
urethra, lying between the two nymphæ: it is surrounded by several lacunæ
or follicles of considerable depth, secreting a viscid mucus; its lower or
posterior edge is, like the lower portion of the urethra, covered by a
thick layer of cellular tissue, and a plexus of veins, which occasionally
become dilated and produce much inconvenience; it is this which gives the
urethra the feel of a soft cylindrical roll at the upper part of the
vagina; and in employing the catheter, by tracing the finger along it, the
orifice will be easily found.
_Labia._ The labia extend from the pubes to within an inch of the anus,
the space between the vulva and anus receiving the name of _perineum_.
The opening between the labia is called the _fossa magna_: it increases a
little in size and depth, as it descends, forming a scaphoid or boat-like
cavity, viz. the _fossa navicularis_.
The labia are thicker above, becoming thinner below, and terminate in a
transverse fold of skin, called the _frænulum perinei_, or _fourchette_,
the edge of which is almost always slightly lacerated in first labours.
They are composed of skin cushioned out by cellular and fatty substance,
and lined by a very vascular membrane, which is thin, tender, and red,
like the inside of the lips; they are also provided with numerous
sebaceous follicles, by which the parts are kept smooth and moist.
CHAPTER III.
DEVELOPMENT OF THE OVUM.
_Membrana decidua.--Chorion.--Amnion.--Placenta.--Umbilical
cord.--Embryo.--Foetal circulation._
_Membrana decidua._ The earliest trace of impregnation which is to be
observed in the cavity of the uterus, and even before the ovum has reached
it, is the presence of a soft humid paste-like secretion, with which the
cavity of the uterus is covered, and which is furnished by the secreting
vessels of its lining membrane. This is the _membrana decidua_ of Hunter:
properly speaking, it should be called the _maternal membrane_, in
contra-distinction to the chorion and amnion, which, as belonging
peculiarly to the foetus, are called the _foetal_ membranes.[17]
Although at first in a semi-liquid state, it soon becomes firmer and more
compact, assuming the character of a membrane: it appears to be nothing
else than an effusion of coagulable lymph on the internal surface of the
uterus, having "scarcely a more firm consistence than curd of milk or
coagulum of blood." (Hunter, _op. cit._ p. 54.) Hence, although much
thicker than the other membranes, it is weaker; it is also much less
transparent.
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