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
THE VAGINA.
The vagina is a membranous canal, extending from the vulva to the uterus
obliquely through the pelvic cavity, between the bladder and rectum,
having about the same direction as the axis of the pelvis. It is
described as being five or six inches in length and about two inches in
diameter, but it would be more correct to say that it is capable of
being distended to these or greater dimensions, for in its common state
the os uteri is seldom found to be more than three inches from the
external orifice, and the vagina is contracted as well as shortened. In
great part the walls of the vagina are composed of spongy erectile
tissue, and their vascularity is a cause of considerable hemorrhage
consequent on their rupture. Three layers combine to form the walls; one
external or cellulo-fibrous, a middle or muscular one, and the internal
or mucous one. The latter is of a pale red hue, which becomes violet
during menstruation and especially during pregnancy. The mucous coat is
disposed in the form of rugæ or folds anteriorly and posteriorly, which
are better developed in young virgins and aged females; during advanced
pregnancy, and for a short time after delivery, they are entirely
effaced.
[Illustration:
Fig. 12—Section of the Uterus, &c.
Fig. 12—Uterus, ovaries and Fallopian tubes. Section of the uterus,
etc. a, Fundus of the uterus; b, cavity of the womb; c, cavity of
the neck of the uterus; d, d, the cavity of the Fallopian tubes; e,
fimbriated extremity; f, f, the ovaries; g, the vagina; h, h, the
round ligaments; i, i, the ligaments of the ovaries.
]
The upper part of the vagina is connected to the circumference of the os
uteri but not in a straight line, for the former stretches beyond the
latter, and being joined to the cervix, its mucous membrane is reflected
over the os uteri, which by this mode of union is suspended with
protuberant lips in the vagina, and permitted to change its position in
various ways and directions.
THE EXTERNAL ORGANS.
The situation of the external organs of generation are indicated in the
accompanying diagram (Fig. 11.) It is not deemed necessary here to
describe these, but in regard to the hymen (the membrane that in infancy
nearly closes the orifice of the vagina), we may remark that it is not a
perfect test of virginity. There are, however, examples recorded in
works on midwifery where a slight surgical operation was necessary after
marriage, because this membrane was uncommonly strong.
CHAPTER III.
PHYSIOLOGY OF THE UTERUS AND OVARIES.
Menstruation is a periodical flow of blood having its source in the
walls of the uterus. But menstruation is excited by and dependent upon
ovulation, and the effective cooperation of both the uterus and ovaries
is necessary to both menstruation and conception. We shall consider
these functions separately.
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