Sex efficiency through exercises : special physical culture for women / by Th. H. van de Velde ; [photos, by E. Steinemann].
237/426

- (canvas 238)
The image contains the following text:
Stretching of the entire muscle structure of the pelvic floor during
child-birth *
This plate demonstrates the condition present at the moment of
maximum dilatation during the passage of the foetal head. The
outlines of the bones of the pelvis are indicated by dotted lines ; the
skin and all the fasciae which lie between it and the muscle layers,
also thinned out by stretching, are, in this picture, omitted. The head
of the foetus, on which the hair is clearly visible, is shown in the
ground colour, whereas the stretched-out muscular pelvic floor is
shown in a darker colour. The occiput is projecting under the
symphysis pubis, while the shining forehead is stretching to the
uttermost the soft parts of the mother's perineum.
c. c. = sphincter vaginae (muscular constrictor cunni) and other
constituents of the superficial muscular layer.
1. v. = levator vaginae i
levator group.
1. a. — levator am )
(The differentiation of the various constituents of the muscular
pelvic floor must, at this stage of the birth, be a matter of conjecture,
because, by reason of the stretching and bearing down, the whole
muscular floor is momentarily converted into a single thin sheet of
muscle, and it is not till some time later that they gradually resume
their normal features.)
s. a. = sphincter ani.
1. Skin of abdomen.
2. Groin.
3. Buttocks.
4. Tip of coccyx.
5. Perineum.
6. Rectal mucous membrane, made visible by reason of the
stretching of the anus.
7. Occiput.
8. Frontal region of the child's head.
* Drawn by Professor Kalmar, under the direction of the author, making
part use of several pictures in various hand- and text-books.