ANATOMY OF THE REPRODUCTIVE ORGANS.
Project Gutenberg EPUB3 edition
Kellogg, John Harvey
The Stages of Growth.—At first insignificant in size—a simple cell, the embryonic human being steadily increases in size, gradually approximating more and more closely to the human form, until, at the end of about nine calendar months or ten lunar months, the new individual is prepared to enter the world and begin a more independent course of life. The following condensation of a summary quoted by Dr. Austin Flint, Jr., will give an idea of the size of the developing being at different periods, and the rate of progress:—
At the end of the third week, the embryon is a little less than one-fourth of an inch in length.
At the end of the seventh week, it is three-fourths of an inch long. The liver, lungs, and other internal organs are partially formed.
At the eighth week, it is about one inch in length. It begins to look some like a human being, but it is impossible to determine the sex.
At the third month, the embryon has attained the length of two to two and one-half inches. Its weight is about one ounce.
At the end of the fourth month, the embryon is called a fetus. It is from four to five inches long, and weighs five ounces.
At the fifth month, the fetus is nearly a foot long, and weighs about half a pound.
At the sixth month, the average length of the fetus is about thirteen inches, and its weight one and a half to two pounds. If born, life could continue a few minutes.
At the seventh month, the fetus is from fourteen to fifteen inches long, and weighs two to three pounds. It is now viable (may live if born).
At the eighth month, the length of the fetus is from fifteen to sixteen inches, and its weight from three to four pounds.
At the ninth month, the fetus is about seventeen inches long, and weighs from five to six pounds.
At birth, the infant weighs a little more than seven pounds, the usual range being from four to ten pounds, though these limits are sometimes exceeded.
Duration of Gestation.—The length of time required for the development of a human being is usually reckoned as about forty weeks. A more precise statement places it at about two hundred and seventy-eight days. This limit is often varied from. Cases have occurred in which a much longer time has been required, and numberless cases have occurred in which human beings have been born several weeks before the expiration of the usual time, as stated. There is some uncertainty respecting the exact length of the period of gestation, which grows out of the difficulty of determining, in many cases, the exact time when conception takes place.
Uterine Life.—The uterine life of the new individual begins with the impregnation of the ovum, which occurs the instant it is brought in contact with the zoösperms of the male. While in the uterus, the young life is supported wholly by the mother. She is obliged to provide not only for her own sustenance, but for the maintenance of her child. And she must not only eat for it, but breathe for it as well, since it requires a constant and adequate supply of oxygen before birth as much as afterward.
How the Unborn Infant Breathes.—Oxygen and nutriment are both supplied to it through the medium of an organ called the placenta, which is a spongy growth composed almost entirely of blood-vessels, and is developed upon the inner wall of the uterus, at the point at which the ovum attaches itself after fecundation. The growing fetus is connected with this vascular organ by means of a sort of cable, called the umbilical cord. The cord is almost entirely composed of blood-vessels which convey the blood of the fetus to the placenta and return it again. The fetal blood does not mix with that of the mother, but receives oxygen and nourishment from it by absorption through the thin walls which alone separate it from the mother's blood.
The umbilical cord contains no nerves, as there is no nervous connection between the mother and the child. The only way in which the child can be influenced by the mother is through the medium of the blood, to changes in which it is very susceptible, as we shall see more clearly hereafter.
The cord is attached to the body of the child at the point called the navel, being cut off at birth by the accoucheur. With the placenta, it is expelled soon after the birth of the child, and constitutes the shapeless mass familiarly known as the after-birth, by the retention of which the most serious trouble is occasionally caused.
Parturition.—At the end of the period of development, the young being is forcibly expelled from the laboratory of nature in which it has been formed. In other words, it is born; and this process is termed parturition. Though, at first thought, such an act would seem an utter impossibility, yet it is a very admirable illustration of nature's adaptation of means to ends. During the months of gestation, while the uterus has been enlarging to accommodate its daily increasing contents, the generative passages have also been increasing in size and becoming soft and distensible, so that a seeming impossibility is in due time accomplished without physical damage, though possibly not without intense suffering. However, it is a most gratifying fact that modern medical science may do much to mitigate the pains of childbirth. It is possible, by a proper course of preparation for the expected event, to greatly lessen the suffering usually undergone; and some ladies assert that they have thus avoided real pain altogether. Although the curse pronounced upon the feminine part of the race, in consequence of the sin of Eve, implies suffering in the parturient act, yet there is no doubt that the greater share of the daughters of Eve are, through the perverting and degenerating influences of wrong habits and especially of modern civilization, compelled to suffer many times more than their maternal ancestor.
We have sufficient evidence of this in the fact that among barbarian women, who are generally less perverted physically than civilized women, childbirth is regarded with very little apprehension, since it occasions little pain or inconvenience. The same is true of many women among the lower laboring classes. In short, while it is true that more or less suffering must always accompany the parturient act, yet the excessive pain usually attendant upon the process is the result of causes which can in many cases be removed by proper management beforehand and at the time of confinement.
After being relieved of its contents, the uterus and other organs rapidly return to nearly their original size.
Changes in the Child at Birth.—In the system of the child a wonderful change occurs at the moment of its expulsion into the outer world. For the first time, its lungs are filled with air. For the first time they receive the full tide of blood. The whole course of the circulation is changed, and an entirely new process begins. It is surprising in how short a space of time changes so marvelous can be wrought.
Nursing.—The process of development is not fully complete at birth. The young life is not yet prepared to support itself; hence, still further provision is necessary for it. It requires prepared food suited to its condition. This is provided by the mammæ, or breasts, of the female, which are glands for secreting milk. The fully developed gland is peculiar to the female; but a few instances have been known in which it has been sufficiently developed to become functionally active in men, as well as in young girls, though it is usually inactive even in women until near the close of gestation. It is a curious fact that the breasts of a new-born child occasionally contain milk.
The first product of the mammæ is not the proper milk secretion, but is a yellowish fluid called colostrum . The true milk secretion begins two or three days after delivery.
The lacteal secretion is influenced in a very remarkable manner by the mental conditions of the mother. By sudden emotions of grief or anger, it has been known to undergo such changes as to produce in the child a fit of indigestion, vomiting, diarrhea, and even convulsions and death. Any medicine taken by the mother finds its way into the milk, and often affects the delicate system of the infant more than herself. This fact should be a warning to those nursing mothers who use stimulants. Cases are not uncommon in which delicate infants are kept in a state of intoxication for weeks by the use of alcoholic drinks by the mother. The popular notion that lager-beer, ale, wine, or alcohol in any other form, is in any degree necessary or beneficial to a nursing woman is a great error which cannot be too often noticed and condemned. Not only is the mother injured, instead of being benefited by such a practice, but great injury, sometimes life-long in its consequences, is inflicted upon the babe at her breast who takes the intoxicating poison at second hand, and is influenced in a fourfold degree from its feebleness and great susceptibility.