By Tim Chard MD, FRCOG, Richard Lilford MB, BCh, MRCOG, MRCP, PhD (auth.)
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Additional info for Basic Sciences for Obstetrics and Gynaecology
The lateral relations of the vagina are shown in Fig. 1. 3. The lymphatics form a superficial mucosal and deep muscular plexus on the anterior and posterior surface of the vagina. Drainage is as follows: (a) superior: joins cervical vessels to terminate in medial chain of external iliac nodes; (b) middle: to hypogastric node and nodes in rectovaginal septum; and (c) inferior: as (b) above plus some drainage to the vulva and thence the inguinal nodes. 3. Blood supply to the vagina Arterial 1. Cervicovaginal branch of uterine artery forms coronary artery of cervix (upper part of vagina) 2.
However, arachidonic acid levels are higher due to synthesis from cholesterol in the placenta. Both fetus and placenta can make fatty acids from glucose. Water-soluble vitamins are absorbed by active mechanisms which result in higher concentrations in the fetus. The placenta is impervious to vitamin A, but the fetus synthesises this fat-soluble vitamin from carotene, which crosses the placenta more easily. Iron and other essential minerals (calcium, iodine) are actively transferred across the placenta.
Lateral relations of the vagina. Superiorly the vagina is related to the cardinal ligament through which the ureter passes to reach the bladder. Below this the vagina is surrounded by fibres of the medial part of the levator ani (this portion is the pubo-coccygeus and acts as a partial vaginal sphincter). The vagina then penetrates the deep transverse perineal muscle of the urogenital diaphragm. Fatty tissue between the levator ani and deep transverse perineal muscles represents an anterior extension of the ischio-rectal fossa .
Basic Sciences for Obstetrics and Gynaecology by Tim Chard MD, FRCOG, Richard Lilford MB, BCh, MRCOG, MRCP, PhD (auth.)