File:The practice of obstetrics, designed for the use of students and practitioners of medicine (1910) (14773327891).jpg

Identifier: practiceofobstet00edga (find matches)
Title: The practice of obstetrics, designed for the use of students and practitioners of medicine
Year: 1910 (1910s)
Authors: Edgar, J. Clifton (James Clifton), 1859-1939
Subjects: Obstetrics
Publisher: 3rd ed., rev
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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s.—(Tandler and Halban.) of pregnancy, before the sinking of the uterus, shows a shallowing of the anteriorfossa, and the pouch of Douglas is almost obliterated. The retro-ovarianshelves are now on a level with the pelvic brim, instead of on a level with a linedrawn from the middle of the symphysis to the third or fourth piece of the sacrum.The pouch of Douglas is raised. There is backward displacement of the broadligaments, from the growth of the uterus, causing the almost complete oblitera-tion of the posterior fossa, (a) Broad ligaments: During pregnancy the broadligaments are drawn upward, so that at full term the bases of the ligaments lieon a level with the pelvic brim, and extend from the pectineal eminence ante- no PHYSIOLOGICAL PREGNANCY. riorly, to the synchondrosis posteriorly, these Umits being determined by theround Hgaments anteriorly and the ovarian artery posteriorly. Separation of thelaminae of the broad ligaments during pregnancy causes the triangular form at C.1.V
Text Appearing After Image:
u.Ll. p.c.l Fig. 157.—Topography of the Uterine Artery and Ureters in Pregnancy at Thirty-sixth Week, p.. Placenta; c.i.a., common iliac artery; c.i.v., common iliac vein;u., ureter; d.p., Douglas pouch; ii./., vaginal fornix; ^.c.Z., posterior cervical lip; i.o., in-ternal os; e.o., external os; r., rectum; a.l., anterior lip; v., vagina; i.v., internal iliacvein; u.l.l., umbilical lateral ligament; u.a., uterine artery; b., bladder; ur., urethra.—(Tandler and Halban.) full term, the base of the triangle corresponding to the pectineal line, and itsapex to the horn of the uterus (Fig. 159). After delivery the ligaments slowlyregain their position in the pelvis. Hence the ureters have no fixed relationto the broad ligaments in the latter part of pregnancy, because the ureters do PROPERTIES OF THE UTERUS. Ill not undergo the same displacement during gestation, (b) The utero-sacralligaments are attached, in the latter part of pregnancy, to the first, instead ofto the third or fourth,

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