Obstetrics for NursesReed, Charles B. (Charles Bert)
Science
Obstetrics for Nurses
Reed, Charles B. (Charles Bert)
Maternity nursing
=The Mons Veneris.=—The mons veneris is a gently rounded pad of fat
lying just above the junction of the pubic bones (the symphysis). The
overlying integument is filled with sebaceous glands and covered with
hair at puberty.
=The Labia Majora.=—The labia majora are the large lips of the vulva.
They are loose, double folds of skin extending downward from the mons
veneris to the anterior boundary of the perineum and covered externally
with hair. Normally they lie in apposition and conceal the vaginal
opening. They correspond to the male scrotum.
=The Labia Minora.=—The labia minora, or nymphæ, are two small folds of
skin and mucous membrane, that extend from the clitoris obliquely
downward and outward for an inch and a half on each side of the entrance
to the vagina. On the upper side, where they meet and invest the
clitoris, the fold is called the prepuce, but on the under side they
constitute the frænum.
The labia minora are sometimes enormously enlarged in the black races
and are then called the Hottentot apron.
=The Clitoris.=—The clitoris is an erectile structure analogous to the
erectile tissue of the penis. The free extremity is a small, rounded,
extremely sensitive tubercle, called the glans of the clitoris. About
the clitoris there forms a whitish substance called smegma. This is a
good culture medium for germs and must be carefully sponged away when
the vulva is prepared for delivery.
=The Vestibule.=—The vestibule is bounded by the clitoris above, the
labia minora on the sides, and the vaginal orifice below. It contains
the opening of the urethra, which is called the meatus urinarius.
=The Hymen.=—The hymen is a thin fold of membrane which closes the
vaginal opening to a greater or lesser extent in virgins. It varies much
in shape and consistency. It is sometimes absent, or it may persist
after copulation, hence its presence or absence can not be considered a
test of virginity. When torn, the edges shrink up and form little
irregularities called carunculæ myrtiformes.
[Illustration: Fig. 7 _A_.—Varieties of hymen. (American Text Book.)]
=Bartholin Glands.=—Bartholin glands are located on each side of the
commencement of the vagina. Each gland discharges by a small duct just
external to the hymen. They are often the seat of a chronic gonorrhœal
inflammation and must be watched carefully, lest infection extend to the
mother after labor, or to the eyes of the child in passing.
[Illustration: Fig. 7 _B_.—Varieties of hymen. (American Text Book.)]
=The Perineum.=—The perineum is a body of muscle, fascia, connective
tissue, and skin, situated between the vagina and the rectum. The vagina
bends forward and the rectum backward, so a triangular area is left
between them which is filled by the perineal body. It is about two
inches long from before backward, and becomes progressively thinner the
deeper it extends.
[Illustration: Fig. 8 _A_.—The excreting ducts of the mammary gland.
(Lenoir and Tarnier.)]
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