A treatise on the science and practice of midwifery . relationsat all times existing between them and the uterine organs, but chieflyrequired for the purpose of preparing for the important function of lac-tation, which on the termination of pregnancy they have to perform. Changes in the Areolce.—Generally about the second month of preg-nancy the breasts become increased in size and tender. As pregnancyadvances they become much larger and firmer, and blue veins may beseen coursing over them. The most characteristic changes are about the 1 Diseases of Wpmen and Children, p. 551. SIGNS AND SYMPTO
A treatise on the science and practice of midwifery . relationsat all times existing between them and the uterine organs, but chieflyrequired for the purpose of preparing for the important function of lac-tation, which on the termination of pregnancy they have to perform. Changes in the Areolce.—Generally about the second month of preg-nancy the breasts become increased in size and tender. As pregnancyadvances they become much larger and firmer, and blue veins may beseen coursing over them. The most characteristic changes are about the 1 Diseases of Wpmen and Children, p. 551. SIGNS AND SYMPTOMS OF PREGNANCY. 147 nipples and areolae. The nipples become turgid, and are frequently cov-ered with minute branny scales, formed by the desiccation of sero-lactes-cent fluid oozing from them. The areolae become greatly enlarged anddarkened from the deposit of pigment (Fig. 79). The extent and degreeof this discoloration vary much in different women. In fair women itmay be so slight as to be hardly appreciable, while in dark women it is Fig. Appearance of the Areola in Pregnancy. generally exceedingly characteristic, sometimes forming a nearly blackcircle extending over a great part of the breast. The areola becomesmoist as well as dark in appearance, and is somewhat swollen, and anumber of small tubercles are developed upon it, forming a circle ofprojections round the nipple. These tubercles are described by Mont-gomery as being intimately connected with the lactiferous ducts, someof which may occasionally be traced into them and seem to open on theirsummits. As pregnancy advances they increase in size and the latter months what has been called the secondary areola is produced, and when well marked presents a very characteristic appear-ance. It consists of a number of minute discolored spots all round theouter margin of the areola, where the pigmentation is fainter, and whichare generally described as resembling spots from which the color hasbeen discharg
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectobstetrics, bookyear1
