Mother, Nurse and Infant: A Manual Especially Adapted for the Guidance of Mothers and Monthly Nurses, Comprising Full Instruction in Regard To Pregnancy, Preparation for Child-birth, and the Care of Mother and Child, and Designed to Impart so Much Knowledge of Anatomy, Physiology, Midwifery, and the Proper Use of Medicines as Will Serve Intelligently to Direct the Wife, Mother and Nurse in All Emergencies.Sackett, S. P.
Science
Mother, Nurse and Infant: A Manual Especially Adapted for the Guidance of Mothers and Monthly Nurses, Comprising Full Instruction in Regard To Pregnancy, Preparation for Child-birth, and the Care of Mother and Child, and Designed to Impart so Much Knowledge of Anatomy, Physiology, Midwifery, and the Proper Use of Medicines as Will Serve Intelligently to Direct the Wife, Mother and Nurse in All Emergencies.
Sackett, S. P.
Infants -- Care; Materia medica; Obstetrics -- Popular works; Women -- Health and hygiene
There is considerable difference between the male and female pelvis, in
shape and size. The pelvis in the male is smaller but deeper; the bones
are thicker and the brim is more circular, the depth of the symphasis
pubis is greater, the sacrum is more perpendicular, the arch of the
pubis is narrower, the tuber ischii are nearer each other, and the
coccyx less movable. In the female the iliac fossæ are larger, the
interval separating the angle of the pubis from the acetabulum is
greater, causing the prominence of the hips and wider separation of the
thighs, the superior straight is larger and more elliptical, the curve
of the sacrum deeper and more regular, the tuberosities of the ischii
are further apart, and the arch of the pubis broader. From the greater
width of the female pelvis, and from the upper end of the thigh bones
being farther apart than in the male, the thigh bones approach each
other in their descent, giving a peculiarity to the movements of the
female in walking.
The soft parts lining the pelvis and covering it externally modify the
diameters of the pelvis, but the effect of these additions in
diminishing the internal diameter is not very great. The diameter of the
cavity is lessened thereby from one-fourth to one-half an inch.
USES OF THE PELVIS.
One function of the pelvis is to inclose and protect the bladder, rectum
and seminal vesicles of the male, the uterus, Fallopian tubes and
ovaries, as well as the bladder and rectum in the female. During labor
it affords a passage for the child.
TERMINAL OUTLET OF THE PELVIC CANAL.
This is not at the coccyx, but rather at the anterior commissure of the
perineum. This is so greatly distended at the last moment of labor as to
much prolong the posterior wall of the pelvic excavation and the canal
to be traversed by the fœtus. (Fig. 8).
[Illustration:
Fig. 9—Section of sacrum and pubis.
Measuring superior strait.
]
[Illustration:
Fig. 10.
Measuring inferior strait.
]
CHAPTER II.
PARTS CONTAINED IN THE PELVIS.
The internal organs of generation are the vagina and uterus with its
appendages; but I will first describe the urethra and the perineum.
The URETHRA is a membranous dilatable canal about an inch and a half in
length, and directed obliquely from before backwards, and from below
upwards, running under and behind the symphasis pubis, from which it is
separated by loose celular tissue. Its inferior portion is intimately
united to the vaginal walls. Its meatus, the outlet for the urine, is
situated about an inch from the clitoris, and immediately above the
prominent enlargement of the anterior part of the vagina.
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