Obstetrical Nursing: A Text-Book on the Nursing Care of the Expectant Mother, the Woman in Labor, the Young Mother and Her BabyVan Blarcom, Carolyn Conant
Science
Obstetrical Nursing: A Text-Book on the Nursing Care of the Expectant Mother, the Woman in Labor, the Young Mother and Her Baby
Van Blarcom, Carolyn Conant
Infants -- Care; Maternity nursing; Pregnancy
BREASTS
=The breasts= are large, specially modified skin glands of the compound,
racemose or clustering type, embedded in fat and connective tissue and
abundantly supplied with nerves and blood vessels. They are situated
quite remotely from the pelvic organs, but because of the intimate
functional relation between the two, the breasts of the female may be
regarded as accessory glands of the generative system. They exist in the
male, also, but only in a rudimentary state.
Although the breasts sometimes contain milk during infancy, their true
function is to secrete, in the parturient woman, suitable nourishment
for the human infant during the first few months of its life.
These glands are symmetrically placed, one on each side of the chest,
and occupy the space between the second and sixth ribs extending from
the margin of the sternum almost to the mid-axillary line. A bed of
connective tissue separates them from the underlying muscles and the
ribs. (Fig. 14.)
They vary in size and shape at different ages, and with different
individuals, particularly in women who have borne and nursed children,
when they tend to become pendulous. But in general they are
hemispherical or conical in shape with the nipple protruding from
one-quarter to one-half inch from the apex. The nipples are largely
composed of sensitive, erectile tissue and become more rigid and
prominent during pregnancy and at the menstrual periods. Their surfaces
are pierced by the orifices of the milk ducts, which are fifteen or
twenty in number. (Fig. 15.)
[Illustration:
FIG. 14.—Sagittal section of breast showing structure of secretory
apparatus.
]
The breasts are covered with very delicate, smooth, white skin,
excepting for the _areolæ_, those circular, pigmented areas one to four
inches in diameter, which surround the nipples. The areolæ are darker in
brunettes than in blonds, and in all women grow darker during pregnancy.
The surface of the nipples and of the areolæ is roughened by small,
shot-like lumps or papillæ known as the _tubercles of Montgomery_. This
roughness becomes more marked during pregnancy, since the papillæ grow
larger and sometimes even contain milk.
[Illustration:
FIG. 15.—Front view of breast showing areola, tubercles of Montgomery
and orifices of milk ducts.
]
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