Obstetrics for NursesReed, Charles B. (Charles Bert)
Science
Obstetrics for Nurses
Reed, Charles B. (Charles Bert)
Maternity nursing
=The Ovaries.=—On either side of the pelvis, close to the fringed end of
the Fallopian tube and attached to it, lies a small, hard, almond-shaped
organ, called the ovary. This is the intrinsic sexual gland of the
female. It contains the small cells which are to ripen and become eggs.
Each ovary is said to contain about thirty-six thousand eggs, or ovules.
=The Bladder.=—The bladder lies between the pubic bone and the uterus.
It is a reservoir for urine, filled by means of two little tubes called
ureters, that run down from the kidneys. It drains through the urethra
which opens just below the pubic bone in front of, and just above, the
vaginal opening. The bladder should be emptied frequently during labor.
=The Anus.=—The large bowel (colon) terminates in an opening near the
middle of the genital crease. This opening is called the anus. It is
closed by a contracting muscle, the sphincter, which acts like a
puckering string. Just inside of the opening is a group of large veins
which may become enlarged, inflamed, and bleed during pregnancy. They
are then called hæmorrhoids.
=The Rectum.=—Upward from the anus and to the left of the uterus extends
the rectum. This is the end of the intestinal canal and is supplied with
an abundance of nerves. When the head presses upon it, it gives the
sensation of a bowel movement, and warns the observer of the low
position of the head. The anus pouts as the head comes down and the
anterior walls become visible. In severe cases of labor, the sphincter
is sometimes torn. The bowels should be emptied by an enema as early as
possible in the first stage of labor.
=The Peritoneum.=—The peritoneum is a thin, glistening, serous membrane,
which lines the abdominal cavity and drops down from above over the
uprising tops of the bladder and uterus. Folding together at the sides
and extending to the walls of the pelvis, it encloses the tubes and
round ligaments in deep, flat masses, called the broad ligaments. This
is the structure that becomes so perilously inflamed (peritonitis) when
infected by germs that find entrance through the genital passage.
[Illustration: Fig. 5.—Normal position of pelvic organs, seen from above
and in front. They are enveloped in peritoneum. (Bougery and Jacob, in
American Text Book.)]
THE EXTERNAL GENITALS
The external genitals form the vulva. Under this name are included the
mons veneris, the labia majora, the labia minora, the clitoris, the
vestibule, the hymen and the glands of Bartholin.
The entire groove from the mons veneris to a point well up on the sacrum
forms a deep fold or crevice, which is known as the _genital crease_.
That part of the genital crease lying between the anus and vulva is
technically known as the _perineum_ (q.v.)
[Illustration: Fig. 6.—The external genitals. (Redrawn from Gray.)]
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