Identifier: systemofmidwifer00leis (find matches)
Title: A System of midwifery : including the diseases of pregnancy and the puerperal state
Year: 1875 (1870s)
Authors: Leishman, William, 1834-1894 Parry, John S. (John Stubbs), 1843-1876
Subjects: Obstetrics
Publisher: Philadelphia : Henry C. Lea
Contributing Library: Yale University, Cushing/Whitney Medical Library
Digitizing Sponsor: Open Knowledge Commons and Yale University, Cushing/Whitney Medical Library

View Book Page: Book Viewer
About This Book: Catalog Entry
View All Images: All Images From Book
Click here to view book online to see this illustration in context in a browseable online version of this book.

Text Appearing Before Image:
by the mucous membrane, and embraced on the outside by thefibres of the constrictor vaginae muscle. A small plexus—the parshit> rmedia of Kobelt—has direct vascular connection with the bulbs.These erectile tissues receive their blood from the internal pudicarteries. The Vagina is a membranous and highly dilatable tube, which servesto connect the vulva with the uterus. It is situated in the true pelvis,between the bladder and rectum anteriorly and posteriorly, and thelevatores ani muscles at the sides. Its axis is a curve, which corre- (I.) THE VAGINA 51 sponds in some degree to that of the pelvis; and, in consequence, itsanterior is shorter than its posterior wall, the former being about four,and the latter five or six inches in length. It is narrowest at the vulva,where it is embraced by the constrictor vaginae muscle, and widest atits middle part, where it is extended transversely, owing to its beingcompressed by the organs before and behind. The thickest part of the FlO. IS.
Text Appearing After Image:
External organs, partially dissected. Kobelt.) tube is it- anterior wall, where it is intimately connected with thebladder, and with the urethra, which is, as it were, imbedded in it.It- connection with the levatores ani muscles and the rectum is muchLooser, which admits of easy dilatation and which also accounts for thefact that the rectum is rarely dragged down in uterine displacements,while the bladder is, from its closer connection, almost invariablyaltered in if- relations. En the upper part of its posterior surface, it isseparated from the rectum by a double fold of serous membrane, which forms a pouch of the peritoneal c;i\ it v. The external surface of the vagina is composed mainly of denseareolar tissue, beneath which there arc two indistinct Layers of muscu-lar fibres of the unstriped variety, the external being disposed longi-tudinally, while the internal are circular in their direction. Aroundthe tube, a layer of loose erectile tissue has been found, which is mostdistinct

Note About Images