Obstetrics for NursesReed, Charles B. (Charles Bert)
Science
Obstetrics for Nurses
Reed, Charles B. (Charles Bert)
Maternity nursing
The egg or ovum is simply a growing cyst, filled with a fluid, normally
sterile, in which the developing embryo lives and swims. This fluid is
the liquor amnii and it is retained by a cystic wall made up of two
layers—the chorion, which represents the original cell membrane, and the
amnion, which develops out of the fœtus. At maturity, the ovum will
contain from one to two pints of liquor amnii.
[Illustration: Fig. 15.—The chorionic villi about the third week of
pregnancy. (Edgar.)]
=The Liquor Amnii.=—The liquor amnii is of vast importance to the child.
It allows free movement for the growing limbs and body, protects the
child from sudden changes of temperature, prevents injury both from
without and within, saves the child from birthmarks and deformities by
keeping it from contact with the surrounding walls, and in labor
lubricates the passages for the advancing part. In a measure, too, it
probably serves as a food. In labor it forms a pouch called the _bag of
waters_, which aids in dilating the os.
[Illustration: Fig. 16.—Diagram illustrating relations of structures of
the human uterus at the end of the seventh week of pregnancy. (American
Text Book.)]
Gradually, as nutrition becomes more abundant at the site of the growing
placenta, a stalk-like structure thrusts out from the fœtal abdomen and
forms an attachment with the formative placenta. This is called the
ventral stalk and as soon as the communication with the placenta is
established, it is combined with other parallel structures and becomes
vascularized, to form the umbilical cord.
[Illustration: Fig. 17.—Maternal surface of the placenta and membranes.
The cord protrudes from the cavity which held the fœtus. (Edgar.)]
=The Umbilical Cord.=—The umbilical cord at maturity measures from five
to fifty inches in length and from one-half to one inch in thickness.
The cord is composed of a gelatinous connective tissue, called Wharton’s
jelly, in the midst of which lie the twisted vessels (two arteries and a
vein) that supply the embryo with air and food and carry off the waste.
=The Placenta.=—The placenta or “after-birth” is an oval or circular
somewhat flattened disc, six to ten inches in diameter, and
three-quarters to one and one-half inches thick. It weighs about a pound
and a half. It is the organ of respiration and nutrition for the fœtus.
[Illustration: Fig. 18.—Fœtal surface of human placenta. (Eden.)]
[Illustration: Fig. 19.—The egg at term with uterus removed and child
showing through the membranes. (Edgar.)]
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