The Prospective Mother, a Handbook for Women During PregnancySlemons, J. Morris (Josiah Morris)
Science
The Prospective Mother, a Handbook for Women During Pregnancy
Slemons, J. Morris (Josiah Morris)
Obstetrics; Pregnancy
Ultimately, the amniotic fluid assists in dilating the mouth of the
womb, which remains closed until the beginning of the process that
terminates with birth. The uterine contractions at the onset of labor
compress the fluid; in turn the fluid attempts to escape but is held
in check by the amniotic membrane, which it drives into the canal
leading from the uterine cavity to the vagina. Acting like a wedge,
the fluid gradually pushes the mouth of the womb wider and wider
open, until it is large enough for the child to pass. The sac usually
ruptures when that point is reached, the fluid escapes, and in due
time the child is born. This is followed within half an hour by the
extrusion of a mass of tissue--in reality the collapsed fetal sac--
which in every language, so far as I know, is named the After-Birth.
An examination of this tissue at the time of delivery repays the
physician, for it is important to ascertain that none of it has been
left in the uterus. Our interest at present, however, is to learn how
the after-birth has assisted toward the growth of the child.
THE PLACENTA.--The after-birth has puzzled scientists as well as the
laity, and not until comparatively recent times have its origin,
structure, and use been satisfactorily explained. Its meaning
profoundly interested primitive men and stimulated their imagination
scarcely less than the mystery of conception. Some uncivilized tribes
believed that the after-birth was animated like the child;
consequently they spoke of it as "the other half," and often saved it
to give to the child in case of sickness. But generally the after-
birth was buried with religious ceremony, and was occasionally
unearthed later to discover whether the woman would have other
children; the prophecy was made according to the manner of
disintegration or some other equally absurd circumstance.
The after-birth consists of a round, fleshy cake, the placenta, to
which two very essential structures are attached. One of these,
running from one surface of the cake, is a rope-like appendage, the
umbilical cord, which links the placenta with the fetus. The other,
attached to the circular edge of the cake, is a thin veil of tissue,
in some part of which a rent will be found. Now, if we lift the
margin of the rent, we shall see that the veil and the cake together
form a sac which we are holding by the opening. This aperture through
which the fetus passed, and it was really made for that purpose, was
formerly placed over the mouth of the womb; the sac itself, distended
by the fetus and the amniotic fluid, was fastened everywhere to the
inner surface of the womb.
Public-domain text, read in full here on John Shaqi.
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