bsc nursing msn 3rd year

1. Program: BSC Nursing, 3rd Year
MSN-I
Unit No. Female Reproductive System
Topic-Female genital System
Lecture No. 1
Dr. Sudharani B Banappagoudar
Professor, SONS/OBG
1
BNSG 501

2. UNIT II
Female genital System
2

3. Outline
• Introduction
• Female genital organs
• Learning outcomes
• Exercise
• References
3
<SELO: 1,3,4,6,8,10,20> <Reference No.: R1,R2>
BNSG 501

4. ANATOMY OF
FEMALE GENITALTRACT
BNSG 501

5. • External genitalia
• Internal genitalia
• Accessory reproductive organs
5
<SELO: 1,3,4,6,8,10,20> <Reference No.: R1,R2>
BNSG 501

6. Mons
veneris
Labia
majora
• Post co
Labia
minora
mmisure
uce
• prep
• Frenulum
• Fourchette
• Fossanavicularis
clitoris
• Glans
• Body
• 2 crura
vestibule
• 6 openings
bartholin’s abscess
• Hymen
External
genitalia
(vulva,
pudendum)
6
<SELO: 1,3,4,6,8,10,20> <Reference No.: R1,R2>
BNSG 501

7. 7
<SELO: 1,3,4,6,8,10,20> <Reference No.: R1,R2>
BNSG 501

8. • Blood supply
– Arteries
• Br. of internal pudendal artery
– Labial A.,
– Transverse perineal A.,
– A to vestibular bulb,
– deep & dorsal arteries to clitoris
• Br. of Femoral A
– Superficial & deep external pudendal A
– Veins
• Internal pudendal vein
• Vesical/ vaginal venous plexuses
• Long saphenous vein
8
<SELO: 1,3,4,6,8,10,20> <Reference No.: R1,R2>
BNSG 501

9. • Nerve supply
– Ant-sup part
• Ilio inguinal & genital br. of genitofemoral N (L1,L2)
– Post-inf part
• Pudendal br. of post.cut. N of thigh (S123)
– In between
• Labial & perineal br.of Pudendal N (S234)
• Lymphatics
– Superf. Inguinal nodes
– Gland of Cloquet
– Ext. & Int. Iliac nodes
9
<SELO: 1,3,4,6,8,10,20> <Reference No.: R1,R2>
BNSG 501

10. Vagina
ovaries
Uterus
Internal
genital
organs
Fallopian
tubes
10
<SELO: 1,3,4,6,8,10,20> <Reference No.: R1,R2>
BNSG 501

11. Vagina
• Fibromuscular membranous sheath
• Excretory channel
• Organ of copulation
• Birth canal of parturition
• 45 horizontal
• 2.5cm diameter
• distensibility
11
<SELO: 1,3,4,6,8,10,20> <Reference No.: R1,R2>
BNSG 501

12. • Walls
– Ant : 7.5 cm
– Post : 9cm
– 2 lateral walls
• Fornices :
– Ant : shallow
– 2 lateral
– Post : deep
Vagina
12
<SELO: 1,3,4,6,8,10,20> <Reference No.: R1,R2>
BNSG 501

13. Vagina
13
<SELO: 1,3,4,6,8,10,20> <Reference No.: R1,R2>
BNSG 501

14. • Structure
– mucous coat
– Submucous layer of loose areolar vascular tissues
– Muscular layer
– Fibrous coat (from endopelvic fascia)
:highly vascular
• Vaginal secretion
– Doderlein’s bacilli : lactic acid from glycogen
14
<SELO: 1,3,4,6,8,10,20> <Reference No.: R1,R2>
BNSG 501

15. • Blood Supply
– Arteries
• Cervicovaginal br. Of uterine A
• Vaginal A
• Middle rectal A
• Internal pudendal
• Anastomose---form 2 azygos arteries
– Veins drain into:
• Internal iliac V
• Internal pudendal V
• Lymphatics drain into
• Upper 1/3rd : internal iliac nodes
• Middle 1/3rd: external iliac nodes
• Lower 1/3rd (below hymen) :
superficial inguinal gp.
• Nerve supply
• Parasympathetic : S234
• Sympathetic: hypogastric plexus
• Lower end : pudendal N (sensory )
15
<SELO: 1,3,4,6,8,10,20> <Reference No.: R1,R2>
BNSG 501

16. Uterus
• Hollow, pyriform muscular organ in pelvis
• Position anteversion and anti flexion
Uterus dextrotated
Cervix is levorotated
Measurements
7.5 cm long
5 cm wide
3 cm thick
16
<SELO: 1,3,4,6,8,10,20> <Reference No.: R1,R2>
BNSG 501

17. Parts of uterus
17
<SELO: 1,3,4,6,8,10,20> <Reference No.: R1,R2>
BNSG 501

18. 18
<SELO: 1,3,4,6,8,10,20> <Reference No.: R1,R2>
BNSG 501

19. • Structure
– Perimetrium : serous coat
– Myometrium: thick bundles of sm. M
• During pregnancy:
– Outer long.
– Middle interlacing
– Inner circular
– Endometrium
• Surface epithelium
• Lamina propria
– Stromal cells
– Endometrial glands
– Vessels & nerves
• Decidua in pregnancy
• Secretion: scanty & watery
19
<SELO: 1,3,4,6,8,10,20> <Reference No.: R1,R2>
BNSG 501

20. • Relation
–Anterior
• Above int.os : uterovesical pouch
• Below int.os: separated from UB by loose areolar tissue
– Posterior
• Pouch of Douglas with coils on intestine
– Lateral
• Broad ligament
• Mackenrodt’s ligament
• Uterine A &ureter
20
<SELO: 1,3,4,6,8,10,20> <Reference No.: R1,R2>
BNSG 501

21. nrodt’s lig
• Ligaments of uterus
– Uterosacral ligament
– Transverse cervical/ Macke
– Pubovesicocervical lig
– Round ligament
– Broad ligament
• Mesovarium
• Mesosalpinx
• mesometrium
• Suspensory lig of ovary/ infundibulopelvic ligament
21
<SELO: 1,3,4,6,8,10,20> <Reference No.: R1,R2>
BNSG 501

22. • Blood supply
– Arteries:
• Uterine A
• Ovarian & Vaginal As.
– Veins drain into
• Internal iliac veins
• Lymphatics
• Nerves
– Sympathetic
• Motor : T5 & T6
• Sensory : T10 – L1
– Parasympathetic
•Pelvic N ( S2,3,4) : both motor & sensory
: ends in ganglia of Frankenhauser
22
<SELO: 1,3,4,6,8,10,20> <Reference No.: R1,R2>
BNSG 501

23. Fallopian tube (uterine tube, oviduct)
• 10-14 cm
•Lies within the superior border of broad ligament
• 2 openings
– Medially into cornua
– Laterally into abdominal cavity
23
<SELO: 1,3,4,6,8,10,20> <Reference No.: R1,R2>
BNSG 501

24. Parts of fallopian tube
24
<SELO: 1,3,4,6,8,10,20> <Reference No.: R1,R2>
BNSG 501

25. 25
<SELO: 1,3,4,6,8,10,20> <Reference No.: R1,R2>
BNSG 501

26. Structure : -3 layers
26
<SELO: 1,3,4,6,8,10,20> <Reference No.: R1,R2>
BNSG 501

27. • Blood Supply
– Arteries
• UterineA
• OvarianA
– Veins
• Through pampiniforn plexus into ovarian veins
• Lymphatics
• Para-aortic nodes
• Nerve supply
– Uterine & ovarian nerves
27
<SELO: 1,3,4,6,8,10,20> <Reference No.: R1,R2>
BNSG 501

28. EXERCISE
28
BNSG 501
Explain the structure of uterus

29. LEARNING OUTCOMES
BNSG 501 29
The student explain about
Explain about menstrual cycle.

30. Student effective learning outcome
1.Application of concepts of topic & it’s technological application.
2. Critical and innovative thinking skills
3.Life long learning ability
4.Ability to observe and develop sense making , logical skills for abstract concepts.
5.Ability to understand subject related concepts clearly along with contemporary issues
6.Ability to collaborate
7.Ability to be a lifelong learner
BNSG 501 30

31. REFERENCES
• Sara Howard (2013) Midwifery retrieved April 17, 2014 from www.powershow.com
• CordeliaS.H.(2014) A brief History Of Midwifery in America. Retrieved April 11, 2014 from
wholisticmaternalnewbornhealth.org/professio nal-education/history-of-midwifery
• midwifeinsight.com/articles/a-short-history-of- midwifery/,retrieved April 18,2014.
BNSG 501 31

32. BNSG 501 32