According to Mr. John Hunter, the decidua vera is continued some little
way into the Fallopian tubes, more especially, on that side where the
corpus luteum has been formed; it is perforated at the points where the
Fallopian tubes enter, as well as at the os uteri, a fact which is
beautifully shown in Dr. Hunter's last plate: but this does not continue
long, for, as Mr. John Hunter observes, the inferiour opening becomes
closed in the first month, and, according to Lobstein's observations, the
openings of the Fallopian tubes are closed after the second month. "Where
the decidua reflexa is beginning to pass over the chorion, there is, at an
early period of pregnancy, an angle formed between it and the decidua,
which lines the uterus; and here the decidua is often extremely thin and
perforated with small openings so as to look like a piece of lace.
"In proportion as pregnancy advances, the decidua reflexa becomes
gradually thinner and thinner, so that at the fourth month it forms an
extremely fine layer covering the chorion; it comes at the same time more
and more closely in contact with the decidua, which lines that part of the
uterus to which the placenta is not fixed, till at length they adhere
together."[20] That portion of the decidua which passes between the
placenta and uterus during the latter half of gestation, is called the
_placental decidua_, the description of which will be given with that of
the placenta.
To Dr. W. Hunter are we indebted for the first correct description of the
decidua; indeed, so excellent is it, that the membrane has been called
after him, the _decidua of Hunter_. Although he was the undoubted
discoverer of the reflexa, the existence of the decidua was distinctly
noticed by Burton, in 1751. In stating the _post mortem_ examination of a
woman, who died undelivered at the full time of pregnancy, he says, "Upon
wiping the inside of the uterus very gently with a sponge, there seemed to
be pieces of a very tender thin transparent membrane adhering to it in
such parts of the uterus where the placenta did not stick to it; but as
the womb was somewhat corrupted, and the membrane so very tender, we could
not raise any bulk of it so as to be certain what it was." (Burton's
_Midwifery_.)
The decidua seems chiefly intended to form the maternal part of the
placenta: (see _Placenta_:) hence in all those quadrupeds when the
maternal part of the placenta is permanently appended to the internal
surface of the uterus, no decidua is found.
Having described the maternal membranes of the ovum, we come now to the
membranes which form the parietes of the ovum. These are called the
_foetal membranes_, for they are essentially connected with the origin of
the foetus itself. They are the _chorion_ and the _amnion_; besides which,
there are two others that require notice, viz. the _vesicula umbilicalis_
and _allantois_.
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