The capillary terminations of the pulmonary artery, which ramify in the
mucous membrane, forming the parietes of the air-cells, and which
hitherto had been firmly compressed by the collapsed state of the foetal
lungs, are suddenly rendered pervious throughout their whole extent. By
this means, a vacuum, as it were, is formed in the ramifications of the
pulmonary artery; each inspiration is accompanied by a rush of blood from
the right ventricle into the newly-inflated structure. The pulmonary
artery, at its bifurcation, swells and becomes turgid: the blood is
carried off into its numerous ramifications as fast as the right ventricle
can supply it; this may be easily understood from the law, in anatomy,
viz. that the area of two arteries is greater than that of the trunk from
which they bifurcate. From this state of distension, the distance between
the pulmonary artery and the aorta is increased; the ductus arteriosus,
which has now become empty, is stretched, and thus partially closed; the
right auricle, which, but for the foramen ovale, could not have cleared
itself of the whole quantity of blood which was poured into it from the
vena cava, is now enabled to transmit its entire contents into the right
ventricle; the left auricle, which before birth was supplied only by the
foramen ovale from the right auricle, is now rapidly filled by the blood
brought into it by the four pulmonary veins;--the equilibrium between the
two auricles becomes altered;--the right, which hitherto had been somewhat
gorged with blood, is now able to clear itself with facility; whereas, the
left, which was but partially supplied, is now distended with a much
greater quantity: there is now rather a disposition for the blood to
regurgitate from the left to the right auricle; this, however, is
prevented by the semilunar fold of the foramen ovale, which now acts as a
valve, and generally becomes firmly attached to the septum. The
obliteration of the canalis venosus at the posterior margin of the liver,
and of the umbilical vein at the anterior edge, may, we think, be
explained by the changes which necessarily follow the inflation of the
lungs: the diaphragm, when it contracts, pulls down the liver into its
natural situation; the distance, therefore, between the liver and the
heart is increased, and the canalis venosus is consequently stretched, and
considerably pressed upon, and precisely the same results follow with the
umbilical vein.
PART II
NATURAL PREGNANCY AND ITS DEVIATIONS.
CHAPTER I.
SIGNS OF PREGNANCY.
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