By Joseph J. Apuzzio, Anthony M. Vintzileos, Leslie Iffy

Reviewing the elemental technology and invasive strategies for either diagnostic and healing obstetric and perinatal strategies, this up to date textual content explores the large growth revamped the 13 years because the earlier version used to be released.

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The upper end begins at the level of the middle of the symphysis pubis, where it is surrounded by dense fascia and the vesical plexus of veins. It extends downward and forward in a gentle curve to terminate posterior to the lower border of the symphysis pubis. Intact pubourethral ligamentous and muscular attachments aid in stabilizing the urethra to its normal 56 anatomic position and help maintain continence. Posteriorly, the urethra is applied closely to the anterior vaginal wall, from which its upper half is separated by dense connective tissue and blood vessels.

FB: Finger breadth. between the extended middle finger and the flexed first and second fingers, allowing partial admission of these two fingers posteriorly into the vagina to increase the reach of the examining fingers. When positioning the patient, ask her to place her fists under her buttocks. This will decrease the angle between the pelvis and the examining table and thus increase the efficiency of the small examining hand. Until the 1950s, assessment of the gravida’s pelvic capacity by external measurements was a routine procedure.

Hyperpasia and hypertrophy of the uterine vessels during various stages of pregnancy. Am J Obstet Gynecol 1950; 60: 967–76. 23. Danforth DN. The fibrous nature of the human cervix and its relation to the isthmic segment in gravid and nongravid uteri. Am J Obstet Gynecol 1947; 53: 541–60. 24. Danforth DN, Ivy AC. The lower uterine segment – its derivation and physiologic behavior. Am J Obstet Gynecol 1949; 57: 831–41. 25. Danforth DN, Chapman JCF. The incorporation of the isthmus uteri. Am J Obstet Gynecol 1950; 59: 979–88.

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