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 point at which the embryo attaches itself to this spongy membrane is
entirely a matter of chance. It usually rests somewhere in the upper
part of the uterine cavity, promptly destroys the minute underlying area
of tissue by digestive action and burrows into the decidua. As the
margins of the opening thus made meet and fuse above the ovum, it is
completely incapsulated in a cavity of its own that has no connection
with the uterine cavity. (Fig. 19.)
After this occurrence the decidua consists of three portions: the
hypertrophied membrane which lines the uterus as a whole, called the
_decidua vera_, which atrophies during the latter part of pregnancy and
is also thrown off in part with the membranes during labor, and later in
the uterine discharges; the _decidua basalis_, or the _decidua
serotina_, is that portion lying directly beneath the embryo which later
enters into the formation of the placenta; and the _decidua reflexa_,
which surrounds and covers the buried embryo, consists of the developed
and fused margins of the pit in the mucosa, that have grown over the
embryo.
[Illustration:
FIG. 19.—Ovum about 13 days old, embedded in the decidua. (The
Bryce-Teacher ovum from Human Embryology by Keibel and Mall.)
]
As the cellular activity continues within the morula, fluid appears in
the centre with the result that the cells are rearranged and pushed
toward the periphery, thus forming a sac. At this stage the embryo is
called the _blastodermic vesicle_.
At one point on the inner surface of this vesicle the cells proliferate
and form a mass which is sometimes called the internal cell mass, or
_embryonic area_, and the single layer of cells comprising the remainder
of the vesicular wall, the _primitive chorion_. The cells in the mass
are at first disposed in layers, the outer layer being termed the
_ectoderm_; the inner layer the entoderm, while a third layer which
appears a little later is called the _mesoderm_.
Although these three primitive layers of cells have all arisen from the
single cell formed by the fused spermatozoon and ovum, they are even now
very different in character. The differences steadily increase until
finally all of the complex fetal organs and tissues, the membranes, cord
and placenta, result from their further specialization and development,
as follows:
=From the ectoderm= arises the skin with its appendages, and the
salivary and mammary glands; the nasal passages, upper part of the
pharynx and the anus; the crystalline lens, the external ear, the entire
nervous system, the sense organs and, in part, the fetal membranes.
=From the mesoderm= are derived the urinary and reproductive organs; the
muscles, bones, and connective tissues and the circulatory systems.
=From the entoderm= are developed the alimentary canal, the thymus,
thyroid, liver, lungs, pancreas, bladder and the various small glands
and tubules.
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