Obstetrics for NursesReed, Charles B. (Charles Bert)
Science
Obstetrics for Nurses
Reed, Charles B. (Charles Bert)
Maternity nursing
=Conception, or Fertilization.=—This is the process wherein the male
element (spermatozoon) meets and unites with the female egg. From what
is known from investigations of lower animals, this meeting usually
takes place in the Fallopian tube.
[Illustration: Fig. 14.—Human spermatozoa. _h_, head; _c_, intermediate
portion; _t_, tail. (Williams.)]
The egg expelled from the ovary is carried into the open end of the tube
by peritoneal currents and passed on toward the uterus by the waving
action of the hair-like outgrowths of the cells (ciliæ) that line the
tube, aided, possibly, by the tubal muscle.
The spermatozoon makes its way upward from the vagina by means of its
tail. This activity, like the tail of a fish, or snake, or as a boat is
sculled, drives the cell forward through the thin layer of fluid that
covers the mucous membranes.
The arrow-shaped spermatozoon travels at a rate that completes the
passage to the ovary in twenty-four hours, but spermatozoa may lie in
wait for the egg a considerable time, as is shown by the fact that they
have been found alive in Fallopian tubes removed three and a half weeks
after copulation. As soon as the male and female elements approach each
other, they exercise a powerful magnetic attraction, which draws them
together, and as soon as they touch, the two cells unite and the
spermatozoon almost immediately disappears.
Only one spermatozoon is required for the fertilization of an egg, and
hence enormous numbers must perish without achieving their destiny.
The fertilized egg has become the _ovum_, and originally 1/125 of an
inch in diameter, it now begins to grow, and filled with a new energy,
it passes down the tube and enters the uterus. Here it comes into
contact with the soft mucosa and digs a hole for itself—a nest, very
much as a warm bullet might sink into ice or snow—and is soon completely
surrounded by a proliferating tissue called the decidua. The woman is
now pregnant. The menstrual flow does not appear, and local and
systematic changes are inaugurated.
The egg enlarges rapidly. Little glove-finger-like projections (the
villi) appear on its surface and dip down into the maternal tissues.
Through these villi the egg gets nourishment until about the twelfth
week, when the placenta forms. Externally the ovum resembles a chestnut
burr. As the egg grows, the villi on the surface find it more and more
difficult to secure nutriment, and _except at one place_, all gradually
shrink and disappear. At this significant point, they increase greatly
in size, number, and complexity to form the thick, cake-like placenta.
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