Manual of gynecology / by D. Berry Hart and A.H. Freeland Barbour.

  • David Berry Hart
Date:
1886
Catalogue details

Licence: Public Domain Mark

Credit: Manual of gynecology / by D. Berry Hart and A.H. Freeland Barbour. Source: Wellcome Collection.

    49/748 (page 7)
    genitals from the internal genitals. The sharp line between skin and mucous membrane can be distinctly seen on the living subject. The labia minora are skin, thin and fine, and not mucous membrane as often alleged. „ _ „ The following measurements by Foster are useful for reference :— Tip of Coccyx Anus to Anus. to Foui-chette. Average distance in nulliparae, . . 4-5 cm. . . 27 cm. mnltiparae, . . 47 cm. . . 2-5 cm. Meatxis uriAarius, 2-2;5 cm. from foxarchette, in nuUiparae; 2-3-1 cm., in women who have borne children. The virginal vaginal orifice should have the appearances shown at fio-s. 1, 3, 4, and 5, and the free edge of the hymen should be intact. °In a healthy woman who has experienced complete coitus, the hymen is torn or often only stretched. It admits two fingers without pain. In a woman who has borne full-time children, the vaginal orifice is always torn, although the fourchette and all behind it may be intact. The carunculse myrtiformes are probably the remains of the hymen. In addition, the passage of the child's head may cause tears of the posterior vaginal wall, perineal body, or even anterior wall of rectum, THE PELVIC FLOOR AND ORGANS RESTING ON IT CONSIDERED AS A WHOLE. The outlet of the bony female pelvis is filled in by what is generally described as the 'soft parts.' This term, however, should not be Fig. 6. Bony Pelvic Outlet, with transverse line showing Rectal and Urethral Triangles (7J. /. Cunningliam). (i) employed, as it is misleading, especially in scientific obstetrics. It i better named the pelvic floor or pelvic diaphragm.