From these remarks, founded chiefly on the admirable observations of the
Hunters, and repeated examinations of the placenta, which we have made
with the greatest care and impartiality, it may be stated with confidence,
that the placenta consists of two portions--a maternal and a foetal. The
maternal portion consists, as we have before observed, of a spongy
cellular tissue; and also of those trunks which pass through the decidua,
and which form the communication between the uterine vessels and the
placental cells. The foetal part is formed by the ramifications of the
umbilical vessels: "that each of those parts has its peculiar system of
arteries and veins, and its peculiar circulation, receiving blood by its
arteries, and returning it by its veins; that the circulation through
these parts of the placenta differs in the following manner: in the
umbilical portion the arteries terminate in the veins by a continuity of
canal; whereas, in the uterine portion there are intermediate cells into
which the arteries terminate, and from which the veins begin." (Hunter,
_op. cit._ p. 48.)
Although various observations and anatomical injections show that to a
certain degree, there is a communication between the uterus and the
placenta, inasmuch as the blood of the former is received into the sinuses
or cells of the latter, we possess no proof that the blood can pass from
these sinuses into the umbilical vessels: on the contrary, every thing
combines to prove that the circulation of the foetus is altogether
independent of that of the mother. We know from daily experience that in
labour at the full term of pregnancy, the placenta is easily expelled
from the uterus: that, upon examining the surface which had been attached
to the uterus we find no laceration, and that a discharge of more or less
blood takes place for some days afterwards. We know, also, that when the
placenta becomes detached from the uterus during the progress of
gestation, it is followed by a considerable hemorrhage, which greatly
endangers the life of the mother. These facts prove that there is a
circulation of uterine blood in the placenta, which is destroyed upon its
being separated from the uterus. That this uterine circulation in the
placenta is unconnected with the circulation of foetal vessels in the
placenta is proved by the fact first pointed out by Wrisberg, viz. that,
where the mother has died from loss of blood, and the maternal vessels
therefore drained of their contents, those of the foetus have been full of
blood. Still farther to illustrate this fact, he killed several cows big
with calf, by a large wound through the heart or great vessels, so as to
ensure the most profuse and sudden loss of blood possible, and never found
that the vessels of the calf were deprived of blood, although those of the
mother were perfectly empty; moreover, no anatomist has ever yet succeeded
in making injections pass from the foetal into the uterine vessels, or
_vice versâ_.
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