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
It was formerly believed that the human being existed in miniature in
the first cell and that its development during pregnancy was entirely a
matter of increase in size. But the microscope has disproved this, and
we now know that embryonic development comprises both growth and
evolution.
Much of the information accepted to-day is, of course, speculative,
having been deduced from observations made upon the reproductive
processes of lower mammals, since the youngest human ovum which has been
discovered and examined was probably two weeks old. But the evidence
points quite convincingly to the belief that the early stages of
development consist of proliferation of and alterations in the kinds of
cells, their arrangement into groups, and a differentiation of the
functional activity of these groups of cells before the mass assumes
human form and develops organs.
As to terminology, some authorities call this mass the embryo during
this stage of grouping and differentiation, which corresponds to the
first six weeks of pregnancy, and the fetus from then until the time of
delivery. By others it is designated the ovum during the first two weeks
of pregnancy, the embryo from the third to the fifth week, after which
it is known as the fetus.
From the nurse’s standpoint these distinctions are of no consequence,
for the mass may safely be called a fetus from the time that the
expectant mother looks to the nurse for guidance and care.
It is scarcely warrantable to take the time and space which would be
necessary to trace in detail through its various stages the intricate
development of the human body, with its attached membranes. But the
whole question is so important and so interesting that we shall at least
have a word of description as to its size and characteristics at
successive periods.
Although the exact length of time required for the maturation of the
fetus is not known, it is estimated that two hundred and eighty days, or
ten lunar months, elapse between the beginning of the last menstrual
period and the beginning of labor. And in spite of the difference in
size among the mothers, it is found that the products of conception
develop and grow at a fairly uniform rate of speed.
A new human being is the ultimate result of conception, but the chorion,
amnion, placenta and umbilical cord must also be created to serve as
aids in building and protecting the developing child during its uterine
life. The part played by these accessory structures is so vital, in
spite of being temporary, that it will be well for us to look into their
origin and functions before considering the fetus itself which they
serve.
Public-domain text, read in full here on John Shaqi.
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