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Obstetric and Gynecological Nursing - The Carter Center

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Layers:- <strong>The</strong> uterus has three layers, of which the middle<br />

muscle layer is by far the thickest.<br />

<strong>The</strong> endometrium: - forms a lining of ciliated epithelium<br />

(mucous memberane) on a base of connective tissue or<br />

stroma. It is constantly changing in thickness through out the<br />

menustral cycle.<br />

<strong>The</strong> myomatrium or muscle coat: - is thick in the upper part<br />

of the uterus <strong>and</strong> is sparser in the isthmus <strong>and</strong> cervix. It has<br />

three parts: Outer longitudinal, middle oblique <strong>and</strong> inner<br />

circular.<br />

<strong>The</strong> perimetrium is a double serous memberane, an<br />

extension of the peritoneum, which is dragged over the<br />

uterus.<br />

Blood supply – <strong>The</strong> uterine artery arrives at the level of the<br />

cervix <strong>and</strong> is a branch of the internal iliac artery. <strong>The</strong> blood<br />

drains through corresponding veins.<br />

Nerve supply – from the autonomic nervous system,<br />

sympathetic <strong>and</strong> para smpathetic via pelvic plexus.<br />

2.3.5 Fallopian tube or uterine tube<br />

Function-Propels the ovum towards the uterus<br />

• Receives the spermatozoa as they travel up wards<br />

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