In examining the uterine surface of a full grown placenta it is necessary
to place it upon something convex, in order that it may resemble, as
nearly as possible, the form which it had when attached to the concave
surface of the uterus; the cotyledons are thus rendered prominent and
separated from each other; the sulci, which run between them, are wide and
gaping: whereas, when the placenta is laid upon a flat surface, its
cotyledons are closely pressed together, and the sulci more or less
completely concealed. On minute examination of these sulci a number of
openings may be observed, varying in size and shape, but usually more or
less oval, their edges distinct, smooth, and thin; on directing a strong
light into some of the larger ones a number of smaller apertures may be
observed opening into them, in much the same way as is observed when
looking down a large vein. Some of these canals do not immediately lead to
smaller orifices as above described, but open at once into an
irregular-shaped cell or cavity, in the parietes of which numerous small
apertures may be observed, through which blood oozes when the adjacent
parts of the placenta are slightly pressed upon. Besides these openings at
the bottom of the interlobular sulci, others may be seen here and there
upon the cotyledons; these are generally smaller, their edges thicker, and
in most instances they are round; but they are not so invariably met with
as the openings between the cotyledons, these lobular projections being
sometimes very thickly covered with placental decidua. The openings
observed on the uterine surface of the placenta correspond to the mouths
of the uterine veins and arteries, which, in the unimpregnated state, open
into the cavity of the uterus, but which now, by means of the decidua,
convey maternal blood to and from the placenta. "Any anatomist," says Dr.
W. Hunter, "who has once seen and understood them, can readily discover
them upon the surface of any fresh placenta; the veins, indeed, he will
find have an indistinct appearance from their tenderness and frequent
anastomoses, so as to look a good deal like irregular interstitial void
spaces: the arteries which generally make a snake-like convolution or two,
on the surface of the placenta, and give off no anastomosing branches, are
more distinct." (Hunter, _op. cit._ p. 46.) From the observations of
Messrs. Mayo and Stanley, and from their examination of the original
preparations in the Hunterian museum at the College of Surgeons, London,
illustrating this subject, it appears that, in all probability, most of
the large thin-edged apertures at the bottom of the interlobular sulci are
connected with the uterine veins; whereas, the smaller orifices, the
margins of which are thicker, and which are chiefly observed upon the
cotyledons, are continuations of the uterine arteries.
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