Graphic illustrations of abortion and the diseases of menstruation: Consisting of Twelve Plates from Drawings Engraved on Stone, and Coloured by Mr. J. Perry, and Two Copper-plates from the Philosophical Transactions, Coloured by the Same Artist. the Whole Representing Forty-five Specimens of Aborted Ova and Adventitious Productions of the Uterus, With Preliminary Observations, Explanations of the Figures and Remarks, Anatomical and Physiological.Granville, A. B. (Augustus Bozzi)
Science
Graphic illustrations of abortion and the diseases of menstruation: Consisting of Twelve Plates from Drawings Engraved on Stone, and Coloured by Mr. J. Perry, and Two Copper-plates from the Philosophical Transactions, Coloured by the Same Artist. the Whole Representing Forty-five Specimens of Aborted Ova and Adventitious Productions of the Uterus, With Preliminary Observations, Explanations of the Figures and Remarks, Anatomical and Physiological.
Granville, A. B. (Augustus Bozzi)
Menstruation; Miscarriage
87. Nothing proves more distinctly, (it might be said, almost to
demonstration,) the accuracy of the views (82, 83, 84, 85) which tend to
establish the fact of a vascular communication between the
arterio-venous system of the mother and the placenta (by intermediate
decidual circulation) and to shew the fallacy of those who deny such a
communication, than the very phenomenon just noticed (86). Here, morbid
anatomy again comes to the assistance of normal anatomy and physiology,
and affords evidence which is not liable to the errors that have been
unjustly affixed to experimenters with injected fluids. Of the many
examples that might be quoted in support of this proposition, the one
which is stamped with the authority of Lallemand may be selected as the
most striking[18]. In a case of ventral aberrant fœtation, which had
proceeded to the end of the sixth month, before it destroyed the
patient, a vascular and tomentous membrane had been formed on the
surface of the peritoneum, to which adhered the regular placenta and
chorion of the fœtiferous ovum. This membrane resembled in every respect
the decidua, at six months—it was thicker, and more red and vascular
where the placenta was adherent than any where else. “Vessels as visible
as those of the inflamed conjunctiva,” observes the author, “passed from
the highly injected peritoneum, opposite the placenta, into the membrane
which lay between them; while other vessels from the placenta reached as
far as the same membrane, and were lost in it where they probably
anastomosed by their very minute terminal ramifications.” (Lallemand).
The conclusion which this really eminent physiologist and good man has
come to, upon this subject, is striking, and truly to my purpose. “The
decidua,” says he, “has no other function to perform than that of
serving as a capillary system, intended to be the medium of
communication between the blood-vessels of the mother and those of the
fœtus” (page 21).
88. It is possible that the venous blood of the decidual vessels may be
returned through the great uterine sinuses, the large open orifices of
which, covered with an almost valvular flap, have been described by the
best anatomists, as being applied to the surface of the decidual
placenta. Magendie[19] thus states his opinion on this subject. “In
women large openings, which communicate with the uterine veins, are
observed on that part of the uterus to which the placenta adheres; but
it is not clear whether these venous orifices are destined to absorb the
blood of the fœtus, or to suffer that of the mother to escape on the
surface of the placenta. I am inclined to admit the latter idea—but no
proof whatever exists of its correctness.” (page 554).
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