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 Fallopian tubes= are two tortuous, muscular tubes, four or five
inches long, extending laterally in an upward curve, from the cornua of
the uterus and within the folds of the upper margin of the _broad
ligament_, by which they are covered. At their juncture with the uterus,
the diameter of these tubes is so small as to admit of the introduction
of only a fine bristle, but they gradually increase in size toward their
termination in wide trumpet-shaped orifices, which open directly into
the peritoneal cavity. Finger-like projections called _fimbriæ_, fringe
the margins of these openings.
The mucous lining of the tubes is covered with ciliated epithelium and
is continuous with that of the uterus. At the fimbriated extremities of
the tubes this lining merges into the peritoneum, the serous lining of
the abdominal cavity.
Just here it will be well to say a word about the peritoneum because of
the possibility of its becoming infected during labor and the lying-in
period, and the very grave consequences of such infection. It is a
delicate, highly vascular, serous membrane which both lines the
abdominal cavity and covers the abdominal and pelvic organs, which press
into its outer surface and are covered much as one’s fingers would be
covered by pushing them into the outer surface of a child’s toy balloon.
The continuity of this membrane is broken only where it is entered by
the Fallopian tubes.
=The ovary=, the sex gland of the female, is a small, tough ductless
gland, about an inch long and three-quarters of an inch wide, or about
the size and shape of an almond. It is greyish pink in color and
presents a more or less irregular, dimpled surface. An ovary is
suspended on either side of the uterus, in the posterior fold of the
broad ligament, by which it is partly covered. Its outer end is usually
attached to the longest of the fimbriated extremities of the Fallopian
tube, the _fimbria ovarica_, which has the form of a shallow gutter, or
groove. The inner end of the ovary is attached to the _ovarian
ligament_, which in turn is attached to the uterus below and behind the
tubal entrance.
The ovary consists of two parts, the central part or _medulla_, composed
of connective tissue, nerves, blood and lymph vessels, and the _cortex_,
in which are embedded the vesicular _Graafian follicles_ containing the
ova. At birth each ovary contains upwards of 50,000 of these ova, which
are the germ cells concerned with reproduction and the process of
menstruation.
These ovarian glands perform two vital functions, for in addition to
their prime function of producing and maturing the germinal cell of the
female, they provide an internal secretion which exercises an
immeasurably important, though imperfectly understood, influence upon
the general well-being of the entire organism.
[Illustration:
FIG. 12.—Sagittal section of female generative tract. Drawn by Max
Brodel. (Used by permission of A. J. Nystrom & Co., Chicago.)
]
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