These openings were also pointed out by the late Dr. Hugh Ley, in
describing the _post mortem_ examination of a woman who had died at the
full term undelivered (_Med. Gaz._ June 1, 1833:) "The uterine surface (of
the placenta) thus detached from the uterus, exhibited its lobules with
their intersecting sulci, even more distinctly than they are seen in the
uninjected placenta; and in several parts there could be perceived, with
the naked eye, small apertures of an oval form, with edges perfectly
smooth, regularly defined, and thicker, as well as more opaque, than the
contiguous parts which they penetrated." The communication between the
openings of the placental cells, and the mouths of the uterine veins and
arteries, which convey their blood to the placenta, as before observed,
is effected by means of the placental decidua. The connecting portion of
canal is of a flattened shape, runs obliquely between the uterus and
placenta, and appears to be formed entirely of decidua. The manner in
which the arteries pass to the placenta is very different to that of the
veins: "the arteries," as Dr. W. Hunter observes, "are all much convoluted
and serpentine; the larger, when injected, are almost of the size of
crow-quills: the veins have frequent anastomoses." Mr. J. Hunter has
described this point more minutely, and gives still more precise notions
of the manner in which the arteries pass to the placenta. "The arteries of
the uterus which are not immediately employed in conveying nourishment to
it, go on towards the placenta, and, proceeding obliquely between it and
the uterus, pass through the decidua without ramifying: just before they
enter the placenta, making two or three close spiral turns upon
themselves, they open at once into its spongy substance, without any
diminution of size, and without passing beyond the surface as above
described.
The intention of these spiral turns would appear to be that of diminishing
the force of the circulation as it approaches the spongy substance of the
placenta, and is a structure which must lessen the quick motion of the
blood in a part where a quick motion of this fluid was not wanted. The
size of these curling arteries at this termination is about that of a
crow's quill. The veins of the uterus appropriated to bring back the blood
from the placenta, commence from this spongy substance by such wide
beginnings as are more than equal to the size of the veins themselves.
These veins pass obliquely through the decidua to the uterus, enter its
substance obliquely, and immediately communicate with the proper veins of
the uterus; the area of those veins bear no proportion to their
circumference, the veins being very much flattened."[21]
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