Obstetrical Nursing: A Text-Book on the Nursing Care of the Expectant Mother, the Woman in Labor, the Young Mother and Her Baby — John Shaqi
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
The occurrence of puberty marks the establishment of _ovulation_ and
_menstruation_. These two functions are usually performed once a month,
ovulation probably occurring about midway during the intermenstrual
period.
=Ovulation=, which is the prime function of the ovary, may be defined as
the formation and development of the ovum, and its expulsion, when
mature, from the ovary.
The formation of each woman’s full quota of ova is probably complete at
birth, though the process may continue until about the second year. At
this time it is variously estimated that each of the two ovaries
contains from 50,000 to 70,000 ova, but they remain unmatured until
puberty, the period at which ovulation is most active.
[Illustration:
FIG. 16.—Diagram of human ovum.
]
As the entire complex human body has its origin in this tiny ovum, its
course of development is of momentous importance to us, and at the same
time it provides a tale of intense interest.
In its unmatured state, the ovum, termed a _primordial follicle_, or
_oöcyte_, is a single cell, 1/125 inch in diameter, consisting of clear
protoplasm, the _vitellus_, and a surrounding _vitelline membrane_
composed of small, spindle-shaped epithelial cells. The protoplasm
contains a fairly large _nucleus_, or _germinal vesicle_, within which
lies a _nucleolus_ known as the _germinal spot_. (Fig. 16.)
The primordial follicle probably lies dormant in this state until
puberty, when developmental changes take place, though it is the belief
of some authorities that follicles are in the process of development
from birth until the end of sexual life, though none fully mature until
puberty.
With the advent of puberty the cells composing the vitelline membrane
change in character and proliferate rapidly, with the result that the
ovum is surrounded by several layers of epithelial cells. Some of the
inner cells degenerate and liquify, thus surrounding the ovum with fluid
which is contained in a membrane of vascular connective tissue, the
_theca folliculi_; this in turn is lined with epithelial cells, the
_membrana granulosa_. This structure constitutes a _Graafian follicle_,
named for Dr. de Graaf who first described it, and in the course of its
maturation is pushed toward the surface of the ovary, where it presents
more or less the appearance of a clear blister.
At one point in the enveloping membrana granulosa, the cells proliferate
into a mass in which the floating ovum becomes embedded. This mass is
termed the _discus proligerus_ and the fluid which surrounds it is the
_liquor folliculi_.
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