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Updated: May 7, 2025
The weight gained during pregnancy is not, as can be readily understood, permanently retained. At the time of birth, in consequence of the expulsion of the child, the after-birth, the amniotic fluid, and a varying amount of blood, there is necessarily a loss of from ten to fifteen pounds.
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. It is plain that we have now in our hands the fetal sac, the development of which we have already traced from the beginning.
The streaks indicate the situation of small breaks in the deeper layer of the skin, which is less elastic than the upper layer. They are not painful, and should never cause anxiety. Their size and number vary with the degree of abdominal distention, which in turn depends upon various factors, such as the size of the child and the quantity of amniotic fluid.
There is another observation of an accouchement terminating successfully twenty-three days after the loss of the amniotic fluid. Campbell mentions delivery of a living child twelve days after rupture of the membranes. Chesney relates the history of a double collection of waters. Wood reports a case in which there was expulsion of a bag of waters before the rupture of the membranes.
Against such accident, however, perfect provisions have been made; both the amniotic fluid and the jelly-like substance which surrounds the vessels are safeguards which effectually protect the circulation from pressure that might interrupt it. Frequently, prospective mothers are told they must not "reach up" for fear the cord will become entangled. Such a precaution is quite unnecessary.
In the earlier months of pregnancy the amniotic fluid is not abundant; later it increases rapidly, so that by the end of the period it measures about a quart, and frequently even more. The slightly yellow amniotic fluid is itself clear, but small particles of dead skin and other material cast off from the surface of the child's body are floating in it, and may cause turbidity.
The certainty of the absorption by a growing, almost skinless, foetus of any nutritive material in which it is constantly bathed. "3rd. The permeability of the digestive tract at an early period, and the necessary entrance therein, according to the laws of hydrostatics, of the albuminous amniotic fluid. "4th.
We have been looking for the reassembling of the dismembered; it takes place before our eyes, the white and red parts, bones and blood, are indeed bridegroom and bride. The prison is the skin or the receptacle in which, as in myths, the revivification takes place. Even the amniotic fluid and the nutritive liquid for the fœtus are present, and the wanderer remakes himself into a splendid king.
Labor was rather slow, but she was successfully delivered of a healthy child weighing 23 3/4 pounds and 30 inches long. The secundines weighed ten pounds and there were nine quarts of amniotic fluid. There is a recent record of a Cesarian section performed on a woman of forty in her twelfth pregnancy and one month beyond term.
Rains cites an instance in which gestation continued three months after rupture of the membranes, the labor-pains lasting thirty-six hours. Griffiths speaks of rupture of the amniotic sac at about the sixth month of pregnancy with no untoward interruption of the completion of gestation and with delivery of a living child.
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