It is not of an equal thickness, being considerably thicker in the
neighbourhood of the placenta than elsewhere; inferiorily, and especially
near the os uteri, it becomes thinner: during the first weeks of pregnancy
it is much thicker than afterwards, becoming gradually thinner as
pregnancy advances, until it is not half a line in thickness. In the
earlier months its external surface is rough and flocculent, but
afterwards it becomes smoother as its inner surface was at an earlier
period.
It is much more loosely connected with the uterus during the first months
of pregnancy than afterwards, and this is one reason why premature
expulsion of the ovum is more liable to take place at this period than
during the middle and latter part of utero-gestation. It is more firmly
attached to the uterus in the vicinity of the placenta than any where
else, which is owing to the greater number of blood-vessels it receives
from the uterus at this point; whereas commonly "it has no perceptible
blood-vessels at that part which is situated near the cervix uteri,"
(_Ibid._,) this portion being much more loosely connected with the uterus.
The course which the decidual vessels take on coming from the inner
surface of the uterus is admirably adapted to render the attachment of
this membrane to it as firm as possible.
[Illustration: Vascularity of the decidua. _From Baer._]
Upon examining the lining membrane of the uterus at a very early period,
when the decidua was still in a pulpy state, Professor v. Baer
observed[18] that its villi, which in an unimpregnated state are very
short, were remarkably elongated: between these villi, and passing over
them, was a substance, not organized but merely effused, and evidently the
membrana decidua at an extremely early age. The uterine vessels were
continued into this substance, and formed a number of little loops round
the villi, thus anastomosing with each other. On account of this reticular
distribution it was impossible to distinguish arteries from veins; there
is evidently the same relation between the uterus and the decidua as
between an inflamed surface and the coagulable lymph effused upon it.
[Illustration: Decidual cotyledons. _From Dr. Montgomery._]
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