File:A textbook of obstetrics (1898) (14778248974).jpg

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Identifier: textbobstet00hirs (find matches)
Title: A textbook of obstetrics
Year: 1898 (1890s)
Authors: Hirst, Barton Cooke, 1861-1935
Subjects: Obstetrics
Publisher: Philadelphia : Saunders
Contributing Library: Yale University, Cushing/Whitney Medical Library
Digitizing Sponsor: Open Knowledge Commons and Yale University, Cushing/Whitney Medical Library

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Fig. 39.—Uterus didelphys : a, Right segment; b, left segment; c, d, right ovaryand round ligament; f, e, left ovary and round ligament; g, J, left cervix and va-gina ; k, vaginal septum ; //, ?, right cervix and vagina. toneum. It is so freely mobile that it rises and falls with everybreath the woman draws. The uterus is formed by the junction and fusion of the twoducts of Muller. An arrest of development in embryonal life THE FEMALE SEXUAL ORGANS. 49 results in a partial junction or a complete failure to unite on thepart of the Mullerian ducts. The consequent deformities of theuterus may occasion abnormalities in pregnancy or complicationsin labor and after-delivery. If there is complete disjunction of thetwo ducts, the deformity is known as uterus didelphys (Fig. 39).If there is an outward junction but a complete disassociation of thetwo tubes except for their superficial union externally, the condi-tion is called uterus bicornis duplex (Fig. 40). If there is a junction
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Fig. 40.—Uterus bicornis duplex: a, a, Double entrance to vagina; by meatusurinarius ; c, clitoris ; d, urethra ; e, e, double vagina ; f, f, external orifices of uterus ;g, g, double cervix ; h, /i, bodies and horns of uterus ; i, it ovaries ; k, k, tubes ;/, /, round ligaments ; m, m, broad ligaments. at the cervix but separation of the ducts above, there is a uterusbicornis unicollis (Fig. 41). There may be complete junction ofthe two Mullerian ducts, but the fusion of the two canals is incom-plete ; a uterus subseptus or semipartitus is the result. Finally,one may see in the form of the uterus an indication of its doubleorigin : there may be a uterus cordiformis (Fig. 42) or a uterusincudiformis (Fig. 43). Occasionally one duct of Muller de-4 So PREGNANCY. velops normally while the other is present as a mere rudiment.There is, in consequence, a uterus unicornis (Fig. 45). The vagina is double in uterus didelphys and often in uterusbicornis duplex. The duplicity of the birth-cana

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  • bookid:textbobstet00hirs
  • bookyear:1898
  • bookdecade:1890
  • bookcentury:1800
  • bookauthor:Hirst__Barton_Cooke__1861_1935
  • booksubject:Obstetrics
  • bookpublisher:Philadelphia___Saunders
  • bookcontributor:Yale_University__Cushing_Whitney_Medical_Library
  • booksponsor:Open_Knowledge_Commons_and_Yale_University__Cushing_Whitney_Medical_Library
  • bookleafnumber:50
  • bookcollection:medicalheritagelibrary
  • bookcollection:cushingwhitneymedicallibrary
  • bookcollection:americana
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29 July 2014

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