The membrana decidua does not envelope the ovum with a single covering,
but forms a double membrane upon it, somewhat like a serous membrane; in
fact, the descent of the ovum through the Fallopian tube is very similar
to that of the testicle through the inguinal canal into the scrotum. The
ovum pushes before it that portion of the decidua which covers the uterine
extremity of the Fallopian tube, and enters the cavity of the uterus,
which is already lined with decidua, covered by the protruded portion
which forms the _decidua reflexa_. It must not be supposed that this
reflexion of the decidua is completed as soon as the ovum enters the
uterine cavity; the ovum usually remains at the mouth of the Fallopian
tube, from which it has emerged, covered by the plastic mass of soft
decidua, and the reflexion of this membrane will take place in proportion
as the ovum gradually increases in size. The external layer of decidua is
called _decidua vera_; the internal or reflected portion is called the
_decidua reflexa_, having received this appellation from its discoverer,
Dr. Hunter. These membranes would, as Dr. Baillie has correctly observed,
be more correctly named the _decidua uteri_ and _decidua chorii_: the
decidua chorii or reflexa is reflected inwardly from above downwards; it
is connected on its inner surface with the chorion: externally it is
unattached, whereas, the decidua uteri or vera is unconnected on its inner
surface, but attached to the uterus externally.
The membrana decidua differs in its arrangement from that of a serous
membrane, inasmuch, as it is not only reflected so as to cover the
chorion, but at the point of reflexion it is continued over the chorion
externally, where it forms the placenta, so that the chorion is enclosed
in all directions by the decidua: this latter portion, however, is not
formed till about the middle of pregnancy. The decidua uteri or vera does
not extend farther than the os uteri internum, which is filled up by the
plug of tough gelatinous substance above described; the decidua chorii or
reflexa, from its forming the outer covering of the chorion, of course
passes over the os uteri.
[Illustration: _Membrana decidua._
The lower orifice corresponds to the os uteri, the two upper ones to the
Fallopian tubes. _From Dr. Hunter._]
Public-domain text, read in full here on John Shaqi.
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