. Obstetrics for nurses. tremities veryoften results in a venous stasis,which produces an edema of the feetand ankles and occasionally of thelower portion of the abdominal veins of the vulva and thelegs are the result of similar inter-ference with the circulation. Unless these symptoms become very prom-inent they are of no importance. Breasts.—Early in pregnancy the breasts become full and tense—anexaggeration of the phenomena occurring in the premenstrual the third month they increase quite markedly in size due toactual hypertrophy of the gland tissue, and the bloo
. Obstetrics for nurses. tremities veryoften results in a venous stasis,which produces an edema of the feetand ankles and occasionally of thelower portion of the abdominal veins of the vulva and thelegs are the result of similar inter-ference with the circulation. Unless these symptoms become very prom-inent they are of no importance. Breasts.—Early in pregnancy the breasts become full and tense—anexaggeration of the phenomena occurring in the premenstrual the third month they increase quite markedly in size due toactual hypertrophy of the gland tissue, and the blood supply is aug-mented. In blonde women, the small veins just beneath the skin be-come dilated and form a delicate blue tracery. The gradual growth ofthe glands continues throughout pregnancy and in certain patients theoverlying skin becomes striated under the increased tension. Tlieareolae increase in size and darken in color and Montgomei-ys folliclesbecome more prominent. At times the skin just outside the areolae. Fig. 41.—Large varicose veins of leg;sand vulva—multipara. (Photograph.) NORMAL PREGNANCY 65 shows a slight pigmentation, which gradually fades away into the normalskin about the periphery. Such secondary areolae are more pronouncedill dark-skinned women. The nipples become larger and their erectilecharacter becomes so pronounced that a gentle stroke is sufficient tomake them stand out from the surrounding areolae. After the fifthor sixth month gentle massage of the gland will cause a thin yellowishfluid called colostrum to exude from the nipples. This is the precursorof the milk, which does not appear until the third day following colostrum becomes more abundant as pregnancy advances, but its
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Keywords: ., bookcentury1900, bookdecade1920, booksubjectobstetrics, bookyear1
