Obstetrical Nursing: A Text-Book on the Nursing Care of the Expectant Mother, the Woman in Labor, the Young Mother and Her BabyVan Blarcom, Carolyn Conant
Science
Obstetrical Nursing: A Text-Book on the Nursing Care of the Expectant Mother, the Woman in Labor, the Young Mother and Her Baby
Van Blarcom, Carolyn Conant
Infants -- Care; Maternity nursing; Pregnancy
The various kinds of malformed pelves may be loosely classified as
generally contracted or small; flat; simple funnel; generally contracted
funnel; and the rachitic pelves, both flat and generally contracted.
There may be a contracted inlet, or a contracted outlet, or both may
occur in the same pelvis.[1]
Rachitic pelves are common among negroes and not altogether rare among
white women.
The normal _male pelvis_ is deep, narrow, rough and massive as compared
with the female structure (see Fig. 1.), and the angle of the pubic
arch, formed by the two pubic bones, is deeper and more acute in the
male than in the female skeleton.
The normal female pelvis, on the other hand, is light, broad, shallow,
smooth and large, giving evidence of the infinite wisdom and skill that
entered into constructing it for the high purpose it was designed to
serve.
FEMALE ORGANS OF REPRODUCTION
The female organs of reproduction are divided into two groups, the
_internal_ and the _external genitals_. With them are usually considered
certain other structures: the _ureters_, _bladder_, _urethra_, _rectum_
and the _perineum_, because of their close proximity (Fig. 10.); and the
breasts, because of their functional relation to the reproductive
organs.
=Internal Genitalia=. The internal organs of generation are contained in
the true pelvic cavity and comprise the _uterus_ and _vagina_ in the
centre, an _ovary_ and _Fallopian tube_ on each side, together with
their various ligaments, membranes, nerves and blood vessels and a
certain amount of fat and connective tissue.
The =uterus= is the largest of these organs. In its nonpregnant state,
it is a hollow, flattened, pear-shaped organ about three inches long,
one and a quarter inches wide, at its broadest point, three-quarters of
an inch thick and weighing about two ounces.
[Illustration:
FIG. 10.—Anterior view of female generative tract, showing both
external and internal organs. Drawn by Max Brodel. (Used by
permission of A. J. Nystrom & Co., Chicago.)
]
Ordinarily it is a firm, hard mass, consisting of irregularly disposed,
involuntary (unstriped or plain) muscle fibres and connective tissue,
nerves and blood vessels. The arrangement of the uterine muscle fibres
is unique, for they run up and down, around and crisscross, forming a
veritable network. This strange arrangement of the fibres is favorable
to the growth of the uterine musculature during pregnancy, and a factor
in preventing hemorrhage after delivery.
The abundant blood supply to the uterus merits a word. It is derived
from the uterine arteries, arising from the internal iliacs, and the
ovarian artery from the aorta. The arteries from the two sides of the
uterus are united by a branch where the neck and body of this organ
meet, thus forming an encircling artery. A deep cervical tear during
labor may break this vessel and a profuse hemorrhage occur as a result.
[Illustration:
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