. The science and art of midwifery . is greatly augmented. Toward 246 THE PUERPERAL STATE. the end of the first week, and, especially after leaving the bed, freshblood often makes its appearance.* The quantity of the lochia varies with the peculiarities of the indi-vidual. It is, as a rule, greater in multipara, in women who do notnurse their children, and in those of tlabby fiber, who habitually men-struate abundantly. The mean quantity, according to Gassner, of thelochia omenta or rubra (to fourth day) amounts to nearly two and afourth pounds; of the lochia serosa (to sixth day) to rather mo
. The science and art of midwifery . is greatly augmented. Toward 246 THE PUERPERAL STATE. the end of the first week, and, especially after leaving the bed, freshblood often makes its appearance.* The quantity of the lochia varies with the peculiarities of the indi-vidual. It is, as a rule, greater in multipara, in women who do notnurse their children, and in those of tlabby fiber, who habitually men-struate abundantly. The mean quantity, according to Gassner, of thelochia omenta or rubra (to fourth day) amounts to nearly two and afourth pounds; of the lochia serosa (to sixth day) to rather more thannine- ounces; and of the lochia alba (to ninth day) to six and two thirdsounces; so that the entire amount lost during the first eight daysreached the total amount of nearly three and a quarter pounds. The Secretion of Milk. Anatomical Considerations.—The breasts, which furnish the secre-tion of the milk, are twTo large glands of the compound racemose vari-ety. They are covered by a fine, supple skin and a layer of adipose. IM. 129 Mammary gland, a. nipple, the central portion of which is retracted; t>, areola :c, c, ■. c, ■. lobules of the eland : 1, sinus, or dilated portion f n<- of the lactiferous ducts :-z, extremities of the lactiferous tissue, which increases in thickness toward the periphery of the organ. The mass of the glandular substance is composed of from fifteen to p. .Ms. i, Schboedbb, Lehrbuch, etc.,6te Aull., p. 226; Spiegelbebg, Lehrbuch, THE PHYSIOLOGY AND MANAGEMENT OF CHILDBED. 247 twenty-four lobes, which in turn are subdivided into lobules made upof a greater or less number of acini, or culs-de-sac. Fine canaliculistart from the latter, and unite together to form the canals of thelobules. These again anastomose, to form a principal canal for eachlobe, termed the lactiferous duct. The lactiferous ducts terminate atthe nipple by small openings measuring only from one sixtieth to onefortieth of an inch. Each duct, as it passes dow
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