Mother, Nurse and Infant: A Manual Especially Adapted for the Guidance of Mothers and Monthly Nurses, Comprising Full Instruction in Regard To Pregnancy, Preparation for Child-birth, and the Care of Mother and Child, and Designed to Impart so Much Knowledge of Anatomy, Physiology, Midwifery, and the Proper Use of Medicines as Will Serve Intelligently to Direct the Wife, Mother and Nurse in All Emergencies.Sackett, S. P.
Science
Mother, Nurse and Infant: A Manual Especially Adapted for the Guidance of Mothers and Monthly Nurses, Comprising Full Instruction in Regard To Pregnancy, Preparation for Child-birth, and the Care of Mother and Child, and Designed to Impart so Much Knowledge of Anatomy, Physiology, Midwifery, and the Proper Use of Medicines as Will Serve Intelligently to Direct the Wife, Mother and Nurse in All Emergencies.
Sackett, S. P.
Infants -- Care; Materia medica; Obstetrics -- Popular works; Women -- Health and hygiene
The _placenta_ is an appendage of the chorion; it is a soft, spongy
mass, constituting the principal connection between the ovum and the
uterus, being destined to the hematosis and (as we suppose) to the
nourishment of the fœtus. The placenta, at the termination of utero
gestation, is a flattened body about an inch in thickness at the center;
its shape is circular or oval, and it is from six to eight and one-half
inches in diameter; its internal surface is covered by the chorion and
amnion, and exhibits plainly the umbilical arteries and veins which
converge to form the umbilical cord. Its fœtal portion is formed by the
hypertrophied villi of the chorion, with which its circumference is
continuous, and its maternal portion is continuous with the decidua, and
is in fact a thickened part of that membrane. As the villi of the
chorion are developed on one part of its surface, they ramify and form
filaments that engraft themselves upon the uterine mucous membrane and
adhere closely. At the same time there is an inverse development of the
uterine vessels, which form vast numbers of loops that descend between
the villi of the chorion, and extend through to the fœtal surface of the
placenta. An amorphous matter is soon thrown out which unites the two
parts together.
The placenta is, therefore, composed of two parts, distinct in their
physiological action, though they together present but one mass to our
view. One part is the fœtal portion formed from the chorion; the other
is the maternal portion formed from the uterine mucous membrane, of
which it is a greatly thickened part. After delivery the fœtal placenta
comes entirely away with the epithelial layer of the placental decidua,
and the placental distribution of the maternal vessels; a portion of the
maternal vessels remains attached to the uterus.
The placenta may be inserted upon any part of the uterine cavity,
although it is most usually near the fundus where the ovum must enter
the womb. If, as is sometimes the case, it is attached at the lower
part, over the orifice of the womb, it causes unavoidable hemorrhage in
the later months of pregnancy.
The _umbilical cord, funis, or naval string_, is the connecting link
between the child and mother. It commences when the external lamina of
the blastoderm with the alantois are so changed as to form a mere cord
upon which the two umbilical arteries ramify, and when all these have an
enveloping sheath from the amnios. It may be discerned in this state at
the end of the first month; at that time the fœtal intestines may be
seen to protrude beyond the umbilicus into the amnionic sheath, but the
cord is then cylindrical and very small. There are progressive changes,
the cord becomes simplified, the canal of the amnionic sheath is
obliterated gradually at its extremity, and as the effacement proceeds
towards the umbilicus the intestine is pressed back so that no hernia
remains.
Public-domain text, read in full here on John Shaqi.
Mother, Nurse and Infant: A Manual Especially Adapted for the Guidance of Mothers and Monthly Nurses, Comprising Full Instruction in Regard To Pregnancy, Preparation for Child-birth, and the Care of Mother and Child, and Designed to Impart so Much Knowledge of Anatomy, Physiology, Midwifery, and the Proper Use of Medicines as Will Serve Intelligently to Direct the Wife, Mother and Nurse in All Emergencies. — John Shaqi
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