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PRANATI PATRA
Divisions
2. The isthmus:
– an area 4-5 mm in
length that lies
between the
anatomical internal os
above, and the
histological internal os
below. It is lined by
low columnar
epithelium and few
glands.
– The isthmus expands
during pregnancy
forming the lower
uterine segment (10
cm) during the last
trimester.
THE PELVIC FLOOR
• All tissues lying between the pelvic cavity
and, the surface of the vulva and
perineum.
• Includes:
– Pelvic peritoneum
– Extraperitoneal fat and cellular tissue
– Levators ani and their fascial coats
– The triangular ligament (urogenital diaphragm)
– The perineal muscles and their aponeuroses
– Subcutaneous fascia and fat
– Skin.
Pelvic Diaphragm
= The levator ani muscles
+ the fascia which covers their upper and
lower surfaces
• In the midline, the pelvic floor is pierced by
the
– Urethra
– Vagina
– Rectum.
The Levators ani muscle
• The ischiococcygeus part:
– Origin from the ischial spine
– Inserted into the front of the coccyx.
• The iliococcygeus:
– Origin from the “white line” on the lateral Wall of the pelvis,
– inserted into tip of the coccyx and raphe
• The pubococcygeus
– Origin from the back of the pubic ramus
– Inserted into tip of the coccyx and raphe
The pubococcygeus
• Sends fibres to the urethra, vagina and
rectum to blend with their intrinsic
musclesdescribed as
• Pubourethralis
• Pubovaginalis
• Puborectalis
CONCLUSION
The female reproductive system is unique in it's own
structure. In order to create new life through pregnancy
and childbirth a reproductive system is essential. The
process is done through a male and female sex cells.
BIBILIOGRAPHY
• Shirish S Sheth,“Essential of Obstetrics”, 1stEdition, C
hapter13, Antenatal Care,Jaypee Brothers Medical Publi
shers, New Delhi,2004, page no.: 102 - 107.
• Maya Devi Subedi,“Manual of Midwifery A”, 1stEdition,
Chapter 11, AntenatalAdvice, Books and Stationers, 20
05, page no.: 157 - 165.
• Kamala Shova Napit,“Manual of Midwifery B”, 1stEditi
on, Chapter 4,Management of First Stage of Labour,publ
ished by Makalu Books and Stationers,2005, page no.: 4
1 to 64.
• Dutta dc ‘text book of obstetric & gynaecology ‘ 3rd
edition page no – 120-122.
ASSIGNMENT
• WRITE SHORT NOTE ON
1.UTERUS
2.OVARY

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ANATOMY OF FEMALE GENITAL TRACT

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  • 17. Divisions 2. The isthmus: – an area 4-5 mm in length that lies between the anatomical internal os above, and the histological internal os below. It is lined by low columnar epithelium and few glands. – The isthmus expands during pregnancy forming the lower uterine segment (10 cm) during the last trimester.
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  • 37. THE PELVIC FLOOR • All tissues lying between the pelvic cavity and, the surface of the vulva and perineum. • Includes: – Pelvic peritoneum – Extraperitoneal fat and cellular tissue – Levators ani and their fascial coats – The triangular ligament (urogenital diaphragm) – The perineal muscles and their aponeuroses – Subcutaneous fascia and fat – Skin.
  • 38. Pelvic Diaphragm = The levator ani muscles + the fascia which covers their upper and lower surfaces • In the midline, the pelvic floor is pierced by the – Urethra – Vagina – Rectum.
  • 39. The Levators ani muscle • The ischiococcygeus part: – Origin from the ischial spine – Inserted into the front of the coccyx. • The iliococcygeus: – Origin from the “white line” on the lateral Wall of the pelvis, – inserted into tip of the coccyx and raphe • The pubococcygeus – Origin from the back of the pubic ramus – Inserted into tip of the coccyx and raphe
  • 40. The pubococcygeus • Sends fibres to the urethra, vagina and rectum to blend with their intrinsic musclesdescribed as • Pubourethralis • Pubovaginalis • Puborectalis
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  • 47. CONCLUSION The female reproductive system is unique in it's own structure. In order to create new life through pregnancy and childbirth a reproductive system is essential. The process is done through a male and female sex cells.
  • 48. BIBILIOGRAPHY • Shirish S Sheth,“Essential of Obstetrics”, 1stEdition, C hapter13, Antenatal Care,Jaypee Brothers Medical Publi shers, New Delhi,2004, page no.: 102 - 107. • Maya Devi Subedi,“Manual of Midwifery A”, 1stEdition, Chapter 11, AntenatalAdvice, Books and Stationers, 20 05, page no.: 157 - 165. • Kamala Shova Napit,“Manual of Midwifery B”, 1stEditi on, Chapter 4,Management of First Stage of Labour,publ ished by Makalu Books and Stationers,2005, page no.: 4 1 to 64. • Dutta dc ‘text book of obstetric & gynaecology ‘ 3rd edition page no – 120-122.
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  • 50. ASSIGNMENT • WRITE SHORT NOTE ON 1.UTERUS 2.OVARY