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
Usually for some strange reason, one, and only one, ovum ripens
regularly each month during the years from puberty to the menopause,
excepting during pregnancy, when this function is suspended.
Occasionally, however, several ova mature at once, a condition which may
be one factor in the development of twins. After puberty the ovary
contains ova in all stages of development, from the primordial follicle
to the Graafian follicle just described.
When a Graafian follicle containing a matured ovum reaches the ovarian
surface, its membrane becomes thinner and finally ruptures because of
increased tension in the ovary, due to certain circulatory changes. The
ovum surrounded by the discus proligerus is thus discharged into the
peritoneal cavity near the fimbriated end of the tube. Some ova enter
the tube and others float about in the peritoneal cavity, finally
disintegrate and are lost.
The torn envelope of the follicle which remains in the cortex of the
ovary becomes filled with blood, which forms into a clot. This clot is
first surrounded, and then invaded, by cells containing bright yellow
pigment called _lutein_. The membrane formed from these cells compresses
the clot and brings about other changes which speedily transform it into
the _corpus luteum_.
If the discharged ovum becomes fertilized, the corpus luteum remains
practically unchanged for months and is termed the _corpus verum_ or
corpus luteum of pregnancy. Its secretion is believed to influence the
implantation of the ovum and to promote the woman’s general well-being
during the period of gestation. It continues to exist throughout
pregnancy, and until after delivery, when it is soon absorbed and
replaced by normal ovarian tissue, without the formation of scar tissue.
If fertilization does not occur, the body in the ovarian cortex, which
is then termed the corpus luteum of menstruation, or _false corpus_,
undergoes rapid degenerative changes and is almost wholly absorbed
within a few weeks.
By means of this rather complicated procedure the ovary is saved from
becoming a steadily enlarging mass of scar tissue, and consequently
devoid of reproductive powers, which would be the case if the wound made
by the rupturing of each Graafian follicle were to heal by the usual
formation of cicatricial tissue.
Ordinarily the ovum remains unfertilized and is propelled down the
Fallopian tube, by the cilia in its lining, to the uterine cavity, where
it is lost in the uterine secretions and ultimately carried out in the
menstrual flow.
Each time that an ovum matures, however, and is discharged from the
ovary the lining of the uterine cavity increases in vascularity and
becomes thicker and more velvety; a condition which facilitates an
attachment of the ovum in case of fertilization. This preparation of the
endometrium is termed “pre-menstrual swelling,” or in popular language,
nest-building.
Public-domain text, read in full here on John Shaqi.
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