The American Journal of Obstetrics and Diseases of Women and Children, Vol. 62

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Excerpt from The American Journal of Obstetrics and Diseases of Women and Children, Vol. 62: July-December, 1910In the erect posture of the woman the coccygeal ends of these two muscles are higher than the pubic. The lowest point of the funnel is the central perineal tendon.The ilio-coccygei, comparable to the external obliques, sweep from the white lines downward, inward, and backward to the coccyx. The concavity of the diaphragm is thus narrowed transversely from above downward and is narrower anteriorly than posteriorly.Lea¿ets from the recto - vesical fascia go to the principal pelvic viscera. They partially ensheathe the bladder and the tubular organs.Incidentally, it will be seen that the pelvic ¿oor is built on the same general plan as the abdominal wall.Bladder, urethra, uterus, vagina, and the lower portion of the rectum, that below the coccyx, are all more or less closely related to the levator framework.By the anterior and the lateral true ligaments, the neck of the bladder is firmly fixed to the recto-vesical fascia immediately behind the pubic bones.The base of the bladder is held up by the vesico-vaginal lea¿et of the latter fascia through its connection with the anterior face of the uterus.The support of the bladder base depends in part, too, upon the integrity of the entire antero-posterior beam formed by the vesico-vaginal fascia and the utero-sacral ligaments. When the posterior uterine ligaments lose their tone and tension, relaxation of the anterior half of the beam is likely to follow.About the PublisherForgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.comThis book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully, any imperfections that remain are intentionally left to preserve the state of such historical works.