The Matron's Manual of Midwifery, and the Diseases of Women During Pregnancy and in Childbed: Being a Familiar and Practical Treatise, More Especially Intended for the Instruction of Females Themselves, but Adapted Also for Popular Use among Students and Practitioners of Medicine — John Shaqi
The Matron's Manual of Midwifery, and the Diseases of Women During Pregnancy and in Childbed: Being a Familiar and Practical Treatise, More Especially Intended for the Instruction of Females Themselves, but Adapted Also for Popular Use among Students and Practitioners of MedicineHollick, Frederick
Science
The Matron's Manual of Midwifery, and the Diseases of Women During Pregnancy and in Childbed: Being a Familiar and Practical Treatise, More Especially Intended for the Instruction of Females Themselves, but Adapted Also for Popular Use among Students and Practitioners of Medicine
Hollick, Frederick
Chloroform; Gynecology; Indian Territory; Midwifery; Obstetrics; Pregnancy
The diameter of the placenta is about six inches, and its thickness
about one inch and a half. The length of the umbilical cord is from
eighteen to twenty-four inches, its diameter about half an inch. These
dimensions are, however, subject to great variation. Instances are
mentioned of the cord being five feet long, and as thick as the child's
arm. I have seen one myself four feet long. Sometimes it will be very
short, not more than eight or ten inches. It is composed of one artery
and two veins, twisted together like the strands of a cable, and of a
sheath surrounding them composed of the chorion and amnion. Between the
sheath and the vessels is a thick gelatinous fluid called the Gelatine
of Wharton.
This explanation, it must be remembered, is in fact merely
hypothetical. The direct passage of the blood through the Placenta,
from the mother's vessels into those of the cord, is denied by many
physiologists, who contend that there is an intermediate set of vessels
in the Placenta, in which it first undergoes important changes.
They also contend that the impure blood does not pass through into
the mother's veins at all, but is purified in the Placenta, and
immediately returned. Some have even averred that the Placenta is not
required at all, to supply nourishment, but is merely a purifying
organ. It is now known, however, that it is not absolutely essential
to either process, for children have been born alive, and perfectly
formed, which merely floated loosely in the amniotic liquor, having
neither Placenta nor cord, nor any other connection with the mother.
How they were nourished we cannot tell. These, however, must be
regarded merely as curious exceptions, there being little doubt but
that fœtal nutrition is ordinarily effected through the Placenta and
cord, by means of the mother's blood, somewhat in the manner we have
described.
PECULIARITIES OF THE FŒTAL CIRCULATION.
From the circumstance of the fœtus not using its heart and lungs, like
the adult, its circulation has several modifications.
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