Professor v. Baer considers that at a later period the connexion between
the decidua and mucous membrane becomes so intimate, that it is impossible
to separate the former without also separating the latter from the fibrous
tissue of the uterus. This, we apprehend, is the stratum which, as Dr.
Hunter observes, "is always left upon the uterus after delivery, most of
which dissolves and comes away with the lochia." He does not appear to
have been fully aware of the close connexion between the decidua and
lining membrane of the uterus, although he evidently observed the fact
from the following sentence: "in separating the membranes from the uterus
we observe that the adhesion of the decidua to the chorion, and likewise
its adhesion to the _muscular fibres of the uterus_, is rather stronger
than the adhesion between its external and internal stratum, which, we may
presume, is the reason that in labour it so commonly leaves a stratum
upon the inside of the uterus." According to the observations of Dr.
Montgomery, a great number of small cup-like elevations may be seen upon
the external surface of the decidua vera, "having the appearance of little
bags, the bottoms of which are attached to, or embedded in, its substance;
they then expand or belly out a little, and again grow smaller towards
their outer or uterine end, which, in by far the greater number of them,
is an open mouth when separated from the uterus: how it may be while they
are adherent, I cannot at present say. Some of them which I have found
more deeply embedded in the decidua were completely closed sacs. They are
best seen about the second or third month, and are not to be found at the
advanced periods of gestation."[19]
[Illustration: _a_ Uterus. _d_ Decidua reflexa. _b_ Fallopian tube. _e_
Ovum. _c_ Decidua.]
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