Cox's ligament - (ligamentum Kocksi; J. Kocks, 1848-1909, Dutch obstetrician-gynecologist)
KOSSA LIGAMENTUM Ligamenta coxae ligamenti maculae vaginae et corporis uteri, ligamentum colli uteri externum suant vaginalis, liga mennis desuperiorius, membrana protuberans labii uteri The Latin name of the ligament is written with an E. Its author is Kochsius The condition of the ligaments depends on the degree of overstretching of the uterus
Cox's ligament (Ligamentum Kocksi) is an anatomical structure in women that connects the fundus of the uterus to the anterior abdominal wall. It is of great importance for ensuring the correct position of the fetus during childbirth and preventing possible complications associated with incorrect position of the fetus, for example, tightness of the baby's leg.
The coxa ligament is formed from fibrous and muscular structures. During fetal development, this structure is formed from the plates of the superficial round ligament and muscles connecting the anterior wall of the uterus to the abdominal cavity. During the formation of the coxa ligament, it attaches to the inner part of the fundus of the uterus and the anterior wall of the abdominal space, creating a barrier between them.
The main role of the ligamentous ligament is to ensure the correct position of the baby during childbirth. During the onset of labor, the uterus begins to contract, which leads to the baby moving down and stretching the coxial ligament. If the umbilical cord is located outside the fundus of the uterus during the first stage of labor, then further advancement of the child can lead to twisting of the umbilical cord and the development of pathology, which can lead to the death of the baby.
However, sometimes a situation arises when the child cannot pass through the coxa ligament and separate from it. In this case, they resort to caesarean section. Therefore, the discovery of decreased cord thickness during pregnancy may indicate the possibility of excessive cord tension, which may cause morbidity in the mother or infant and require surgical intervention.
In some cases (during pregnancy, the postpartum period, after a cesarean section, after an injury, during puberty, in old age), the coxa ligament may change or even be absent altogether. This may be due to various reasons, such as heredity, anatomical changes, tumors, childbirth, infection, lack of nutrients, prolonged exercise, pregnancy (with excessive acceleration of fetal growth), ligament ruptures due to injury. In addition, the coke ligament can also be altered by lifestyle - sedentary, overweight, uncontrolled medication use can accelerate the process of its deformation. For this reason, it is important to monitor the condition of the coxa ligament in yourself and especially in a pregnant woman. If deviations from the norm are detected, you should seek advice and treatment from a doctor.
You should know that the coxa ligament is important in protecting the fetus from various factors that can worsen the course of pregnancy and increase the risks of possible complications: fetal hypoxia as a result of compression of the umbilical cord with uneven tension of the ligaments; bleeding; placental abruption; prolapse of the umbilical cord or its parts; incorrect presentation of the baby; gestosis and preeclampsia; premature birth and prolongation of the second stage of labor pains; rupture of the coxal ligament or its complete absence
Conclusion: The Cox's ligament is an important anatomical element in women. Its function is to maintain the correct position of the fetus during the birth process. Abnormalities in the development of the coxa ligament can increase the risk of problems such as umbilical cord torsion. It is important to take a responsible attitude towards your pregnancy and monitor the condition of the ligaments in the expectant mother.