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 broad ligaments= are in reality one continuous structure formed by
a fold of the peritoneum, which drops down over the uterus, investing
the fundus, body, part of the cervix, and part of the posterior wall of
the vagina. It unites on each side of the uterus to form a broad, flat
membrane which extends laterally to the pelvic wall, dividing the pelvic
basin into an anterior and posterior compartment, containing
respectively the bladder and rectum. Between the folds of the broad
ligament are situated the ovaries and ovarian ligaments, the Fallopian
tubes, the round ligaments and a certain amount of muscle and connective
tissue, blood vessels, lymphatics and nerves.
=The round ligaments=, one on each side, are narrow, flat bands of
connective tissue derived from the peritoneum and muscle prolonged from
the uterus, and containing blood and lymph vessels and nerves. They pass
upward and forward from their uterine origin just below and in front of
the tubal entrance, finally merging in the mons veneris and labia
majora.
=The utero-sacral ligaments=, of which there is one on each side, arise
in the uterus and, extending backward, serve to connect the cervix and
vagina with the sacrum.
=The utero-vesical ligaments=, one on each side, extend forward and
connect the uterus and bladder.
=The ovarian ligaments=, as previously described, are attached to the
uterine wall and to the inner end of the ovary, one on each side.
=The anterior ligament= is a portion of the peritoneum which dips down
between the bladder and uterus, forming a pouch. It is known also as the
uterine-vesical pouch, or the vesico-uterine excavation.
=The posterior ligament= is formed in much the same manner by a portion
of the peritoneum dipping down behind the uterus, in front of the
rectum, and forming the recto-vaginal pouch. This is the Douglas’
cul-de-sac previously referred to.
=External Genitalia.—The vulva=, or external genitalia, are situated in
the _pudendal crease_ which lies between the thighs at their junction
with the torso, and extends posteriorly from the pubis to a point well
up on the sacrum. (Fig. 13.)
=The mons veneris= is a firm cushion of fat and connective tissue, just
over the symphysis pubis. It is covered with skin which contains many
sebaceous glands and after puberty is abundantly covered with hair.
[Illustration:
FIG. 13.—Diagram of external female genitalia. (Redrawn from
Dickinson.)
]
=The labia majora= are heavy ridges of fat and connective tissue,
prolonged from the mons veneris and extended down and back almost to the
rectum, on each side, forming the lateral boundaries of the groove. They
are lined with mucous membrane and covered with skin and hair, the
latter growing thinner toward the perineum until it finally disappears.
Public-domain text, read in full here on John Shaqi.
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