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
However, when motherhood is considered from all standpoints, social,
ethical, spiritual as well as physical, the consensus of opinion seems
to be that the twenty-third year is the most favorable age for
motherhood to begin. Children have been born to little girls nine years
old and to women of sixty-two, but the extremes of the reproductive
years are not favorable periods for child-bearing.
As soon as a spermatozoon enters an ovum, it disappears and is
completely absorbed, and, as the ovum in turn is instantly possessed of
new powers, the result of this union is a cell which was previously
non-existent.
This new cell is not only capable of reproduction by means of
_segmentation_ or cell division, but in the course of its sub-division
and proliferation, it forms groups of cells which develop into tissues
and structures widely different from each other. The entire complex
human body, in addition to the placenta, cord, and membranes, arises
from the single, extraordinary cell.
It first divides into two; these two divide into four; the four into
eight and thus the process of division and sub-division continues until
a solid mass is formed, shaped something like a mulberry and called the
_morula_. (Fig. 18.)
While these developmental changes are taking place, the morula is being
carried down the tube toward the uterus, by the sweeping motion of the
ciliated membrane. The time consumed by this journey has not been
definitely ascertained and though possibly it may be made in a few
hours, it probably takes from five days to a week. Since the embryo is
constantly moving during this time, it quite evidently has no attachment
to the mother and cannot, therefore, derive any great amount of
nourishment directly from her. The growth and development to this point,
then, must be due chiefly to inherent powers within the mass of cells
itself.
In all probability, the embryo is still in the morula stage and is about
the size of the head of a pin when it reaches the uterus, where it finds
that the endometrium has been prepared for its reception by the
premenstrual swelling. The mucosa has grown thicker, more velvety and
vascular, and its glands have increased in number and activity. The
columnar epithelium of the endometrium is replaced by a thick layer of
large, vacuolated cells, called decidual cells, and the uterine lining
from now on is termed the _decidua gravidatis_. While the normal uterine
mucosa is thin, averaging from 1 to 3 millimetres (0.039 to 0.117 inch)
in thickness, it increases to a thickness of about 1 centimetre (⅞ inch)
during pregnancy.
[Illustration:
FIG. 18.—Diagram of segmenting rabbit’s ovum.
]
Public-domain text, read in full here on John Shaqi.
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