The uterus is the organ of gestation, receiving the fecundated ovum in
its cavity, retaining and supporting it during the development of the
fetus, and becoming the principal agent in its expulsion at the time of
parturition. In the virgin state it is _pear-shaped_, flattened from
before backwards, and situated in the cavity of the pelvis, between the
bladder and the rectum. It is retained in its position by the round
and broad ligaments (Plate III, _ii_ and _kk_) on each side, but _also
by virtue of its anteverted position, and by the vagina and perineum_.
Its upper end or base (_a_) is directed upwards and forwards; its
lower end, or apex, is directed downwards and backwards in the line of
the axes of the inlet of the pelvis. It therefore forms an angle with
the vagina. The uterus measures about three inches in length, two in
breadth at its upper part, and an inch in thickness, and it weighs from
an ounce to one and a half ounces in its healthy condition.
The fundus or base is the upper broad extremity of the organ (_a_); it
is convex, covered by peritoneum, and placed on a line below the level
of the brim of the pelvis.
The body (_b_) gradually narrows from the fundus to the neck. Its
anterior surface is flattened, covered by peritoneum in the upper
three-fourths of its extent, and separated from the bladder by some
coils of the small intestines; the lower fourth is connected with the
bladder.
The posterior surface of the body is convex, covered by peritoneum
throughout, and separated from the rectum by some convolutions of the
intestines.
Its lateral margins are concave and give attachment to the Fallopian
tubes (_n_), above.
The round ligaments (_i_) are attached below and in front of these,
while the ligaments of the ovaries (_o_) are attached behind and below
these structures.
The cervix or neck of the womb (_c_ _d_ _e_) is the lower rounded and
constricted portion of the uterus; around its circumference is attached
the upper end of the vagina, which extends upwards a greater distance
behind than in front.
At the vaginal extremity of the uterus is, in the virgin womb, a round,
but after childbirth a transverse aperture, the _os uteri_ or mouth
of the womb, bounded by two lips, the anterior of which is thick, the
posterior narrow and long.
THE FALLOPIAN TUBES.