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 _waters_, enclosed within the Amnion, (see Plate XII,) have now
increased to their greatest quantity; and there is also, in most cases,
a second body of fluid between the Amnion and the Chorion, which coming
away before the real discharge, is called the _false waters_.--(See
Plate XII.)
The quantity of the true waters, at birth, is about twenty, or from
that to thirty ounces, but is very variable. It is of a greenish color,
rather muddy, and heavier than water. It contains albumen, (white of
egg,) sulphate of soda, and lime. Ninety-eight per cent. of it however,
is pure water. It appears to be excreted, like perspiration, from the
surface of the membranes, and most likely is merely the watery portion
of the blood exuded through. The uses of this fluid are various. As
already stated, it probably supplies some nutriment to the fœtus,
which it also protects, in a great measure, from pressure and from
concussions. It also prevents the limbs from adhering, and helps to
distend the mouth of the Womb, in the earlier stages of labor, besides
affording an abundant slippery fluid for the purpose of lubricating the
passages, thus making the passage of the child more easy.--(See Plate
XII.)
The other two membranes, the Chorion and Decidua, are not of much
importance in our present explanation; and practically, in fact, the
whole three may be regarded as _one envelope_, surrounding the child
and the waters in which it floats.
THE PLACENTA.
At the full term the Placenta, (See Plate XII,) is about six or seven
inches in diameter, and nearly circular, though often irregular. Its
thickness varies from one to two inches, and is greatest where the cord
is inserted. Sometimes it is very large, or very thick, and may then be
difficult to extract, and even cause serious accidents.
As already explained the Placenta is composed of a mass of
blood-vessels, by means of which the blood of the fœtus is, in some
way, brought into contact, or commingled with that of the mother. Its
uterine face is irregular, being broken into lobes, or cotyledons,
on which may be seen a vast number of little veins and arteries,
corresponding with others on the inner surface of the Womb. Its outer
surface is of a grey red color, and covered with the fœtal membranes,
under which the large blood-vessels can be traced. The Placenta is
usually attached to one side of the Uterus, near the fundus, or at the
fundus, but sometimes it grows wholly, or in part, over the mouth of
the Womb; an occurrence which may cause serious consequences.
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