The parietes of the uterus are thin in proportion to the age of the
embryo. They are of an equal thickness throughout at first: at the fifth
month, the cervix becomes thicker than the upper parts; between five or
six years of age, the uterine parietes are nearly of an equal thickness,
and remain so until the period of puberty, when the body becomes somewhat
thicker than the cervix.
As the function of menstruation with its various derangements will be
considered among the diseases of the unimpregnated state, we proceed to
consider these changes which the uterus undergoes during pregnancy as well
as during and after labour: these are very remarkable both as regards its
structure, form, and size.
Shortly after conception, and before we can perceive any traces of the
embryo, the uterus becomes softer and somewhat larger, its blood-vessels
increased in size, and the fibrous layers of which its parietes are
composed looser and more or less separated. The internal surface when
minutely examined has a flocculent appearance, and very quickly after
conception becomes covered with a whitish paste-like substance, which is
secreted from the vessels opening upon it; this pulpy effusion soon
becomes firmer and more dense; it bears a strong analogy to coagulable
lymph, and forms a membrane which lines the whole cavity of the uterus,
and which in the course of a few weeks (from changes to be mentioned
hereafter) crosses the os uteri and thus closes it. The uterine cavity in
a short time becomes still farther closed by the canal of the cervix being
completely sealed, as it were, by a tough plug of gelatinous matter which
is secreted by the glandules of that part.
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