A textbook of obstetrics . any nipples, 1 Medical News, March 6, 1886 (good bibliography). See also Goldberger(Archh f. < xlix, 11. 2, S. 272), who states that there are 262 cases recordedin literature. 2 Missbildungen der Menschen. » Neugebauer has reported a case of polymastia with ten nipples. Central-blatl f. Gyn., [886, No. 45- 4N0MALIES OF THE BREAST. 643 everyone of which secreted milk profusely. The two normalglands are very large. The nipple of the gland in the leftaxilla Is not shown very plainly in the illustration on account oi its situation, and it is not easy to see it in


A textbook of obstetrics . any nipples, 1 Medical News, March 6, 1886 (good bibliography). See also Goldberger(Archh f. < xlix, 11. 2, S. 272), who states that there are 262 cases recordedin literature. 2 Missbildungen der Menschen. » Neugebauer has reported a case of polymastia with ten nipples. Central-blatl f. Gyn., [886, No. 45- 4N0MALIES OF THE BREAST. 643 everyone of which secreted milk profusely. The two normalglands are very large. The nipple of the gland in the leftaxilla Is not shown very plainly in the illustration on account oi its situation, and it is not easy to see it in the woman herself,concealed as it is by the axillary hair, hut when the correspond-ing gland in the axilla is compressed, a stream of milk may beprojected several feet from the womans body. As may be seen, the glands are arranged with some symme-try. There are five on the left and four on the right side. The woman is a negress, nineteen years old, and a child was born prematurely. Her mother had an accessory-. Fig. 472.—Supernumerary nipple and small mammary gland upon rightbuttock. It was always possible during pregnancy to squeeze out a drop of milk(authors case). mamma on the abdomen that secreted milk during periods oflactation. Anatomical Anomalies of the Nipple.—The shape of the nipplemay unfit it for nursing, predisposing to injury by the childsgums, to fissure and ulcerations (see Fig. 473), or making it amechanical impossibility for the child to take hold, as in invertednipples (Fig. 473). The nipples should always be examinedduring pregnancy. If they are inverted, a systematic attemptshould be made during the last month to draw them out with abreast-pump. Should this attempt fail, a nipple-shield mightenable the child to nurse. 044 PATHOLOGY OF THE PUERPERIUM. Abnormalities of the Breasts and Anomalies in the MilkSecretion.—Milk secretion begins usually forty-eight hours afterdelivery. Previous to this time a thin fluid can be squeezed from the bre


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Keywords: ., bookcentury1800, bookdecade1890, bookidtex, booksubjectobstetrics