A reference hand-book for nursesBeck, Amanda K. (Amanda Kathryn)
Science
A reference hand-book for nurses
Beck, Amanda K. (Amanda Kathryn)
Nursing
=Fetal Membranes.=—Inside of the decidual membranes we find the chorion
and amnion. Whereas the deciduæ are maternal structures, the chorion
and the amnion are derived from the ovum. The chorion is the more
external of the two fetal membranes; it early surrounds the ovum and
throws out processes (villi) toward the decidua reflexa and serotina.
These processes are at first formed equally all over the chorion, but
those which lie in connection with the decidua serotina grow more
rapidly in size and complexity, and remain to form the main part of the
placenta. The membrane in which the fetus lies is the amnion. Contained
within the amnion is more or less fluid, the liquor amnii, in which
the fetus rests as in a water-bed. It permits free movements on the
part of the fetus and protects it from violence from the outside; it
equalizes the pressure on the uterine walls, preventing pressure on
the cord and placenta; and during labor it assists in the dilation of
the os uteri and lubricates the maternal passages. From it also the
fetus derives its supply of water. Occasionally water may form between
the three membranes, and during labor the chorion may rupture and not
the amnion, and the waters between them be discharged. In like manner,
water which has formed between the decidua and the chorion may come
away. These, then, are two sources of fluid which may be discharged
from the vagina in labor when the amnion is intact.
=Umbilical Cord.=—The organ by which the fetus is attached to the
uterus is a whitish, glistening structure which springs from the fetus
at the center of the abdomen, and passes to the internal aspect of
the placenta. It contains two arteries and one vein surrounded by a
gelatinous material (Wharton’s jelly), the whole being covered with
a layer derived from the amnion. The vessels usually run tortuously
in the cord, thus lessening the danger of compression, which might
otherwise occur. This arrangement also tends to regulate and equalize
the circulation of the blood through its vessels.
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