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 impure blood from the upper part of the fœtal body, which is
brought down by the superior vena cava, also enters the right auricle,
but does not pass from thence through the foramen, like that from the
inferior vena cava. By a peculiar arrangement this blood is made to
pass down into the right ventricle, and from thence along the pulmonary
artery, the same as in the adult state. Only a very small portion,
however, passes into the lungs, the great part being taken along a
tube called the _ductus arteriosus_ into the great artery called the
aorta, where it begins to turn down to the lower part of the body. In
consequence of this, the arterial blood going down to the lower part of
the body, is mixed with this portion of impure, venous blood, brought
by the ductus arteriosus from the superior vena cava; while that going
to the head, and upper part of the body remains pure. And this is the
reason why the lower part is always so much smaller than the upper
part, previous to birth; it receives less pure nourishment. The head
and chest appear, at an early period, almost as large as the rest of
the body.
This circumstance also explains why, in the great majority of cases,
the _right_ arm is preferred to the _left_, and has more real power.
The place where the ductus arteriosus pours the impure blood into the
aorta, is almost immediately opposite to where the artery is given
off which feeds the left arm. In consequence of which, in most cases,
a small portion of this impure blood becomes mixed with the arterial
blood, and the left arm is, therefore, in the same situation as the
lower limbs, and like them is comparatively imperfectly developed.
The right arm is not liable to any such deprivation. In some cases
the insertion of the ductus arteriosus is lower down, so that no such
mixture occurs. Both arms are then equal, and this accounts for the
fact that in some persons there appears to be no difference. In some
cases, no doubt, early habit, or imitation, may overcome this natural
inferiority, and even give the preference to the left arm; but such
instances are rare; the general rule is the contrary, and for the
reason stated.
The ductus arteriosus closes up about the same time as the foramen
ovale.
The two veins which convey the impure blood back to the mother, to be
purified, originate from the iliac artery, in the pelvis. They pass up
the sides of the bladder towards the navel, enter the sheath of the
cord, and so reach the placenta. These vessels are obliterated about
the third or fourth day after birth, and remain afterwards in the form
of a fibrous cord.
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