Observations on Abortion: Containing an account of the manner in which it is accomplished, the causes which produced it, and the method of preventing or treating itBurns, John
Science
Observations on Abortion: Containing an account of the manner in which it is accomplished, the causes which produced it, and the method of preventing or treating it
Burns, John
Miscarriage
When the fœtus does descend into the uterus, it is contained in a double
membrane. The internal one is the amnion, and possesses no distinct
vessels. The external one is the chorion, and is from the first
vascular, and soon becomes so much so, that its vessels have by some
been described as forming a distinct tunic.
From what has been said, it will be evident, that, when this vesicle
does reach the uterus, it will be received amongst the primary vessels
which will surround it, whilst the secondary vessels, or decidua
interna, will lie before it, and prevent any communication betwixt it
and the uterine cavity. But it cannot remain long thus; for, in
proportion as the vesicular part of the ovum increases, it will push the
decidua interna before it, and encroach upon the cavity of the uterus.
This circumstance, together with the intimate connection formed betwixt
the vessels of the chorion and those of the decidua, with the consequent
production of a placenta, I have already very fully detailed in a former
publication, to which I refer[2].
When the ovum descends, and the subsequent changes are beginning to take
place, the body of the uterus comes also to form decidua; for I have
formerly said, that, until the fœtus comes into the uterus, the fundus
alone yields this production. At the same time, the processes of the
decidua interna elongate still more, and, together with those which are
now formed by the portion produced by the newly-formed decidua externa
(for additional primary vessels imply additional secondary ones) at the
lower part of the uterus, will come to fill up all the intervening space
betwixt the bottom of the chorion or decidua reflexa and the cervical
efflorescence; so that, by the end of the second or beginning of the
third month, the cavity of the uterus is quite filled, and we have the
ovum perfectly organized. We have the fœtus inclosed in its membranes,
and swimming in water; we have the placenta thick and well formed, and
large in proportion to the membranes; we have the decidua reflexa
distinctly seen, and the lower part of the uterus filled with the two
layers of decidua, and the processes of the internal one.
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