A treatise on the science and practice of midwifery . he purpose of preparing for the important func-tion of lactation, which, on the termination of pregnancy, they haveto perform. Changes in the Areolee—Generally about the second month of preg-nancy the breasts become increased in size and tender. As preg-nancy advances they become much larger and firmer, and blue veinsmay be seen coursing over them. The most characteristic changesare about the nipples and areolee. The nipples become turgid, andare frequently covered with minute branny scales, formed by thedessication of sero-lactescent fluid


A treatise on the science and practice of midwifery . he purpose of preparing for the important func-tion of lactation, which, on the termination of pregnancy, they haveto perform. Changes in the Areolee—Generally about the second month of preg-nancy the breasts become increased in size and tender. As preg-nancy advances they become much larger and firmer, and blue veinsmay be seen coursing over them. The most characteristic changesare about the nipples and areolee. The nipples become turgid, andare frequently covered with minute branny scales, formed by thedessication of sero-lactescent fluid oozing from them. The areolae be-come greatly enlarged and darkened from the deposit of pigment 1 Diseases of Women and Children, p. 551» SIGNS AND SYMPTOMS OF PREGNANCY 137 (Fig. 74). The extent and degree of this discoloration vary much indifferent women. In fair women it may be so slight as tobe hardlyappreciable; while in dark women it is generally exceedingly charac-teristic, sometimes forming a nearly black circle extending over a Fig. Appearance of the Areola in Pregnancy. great part of the breast. The areola becomes moist as well as darkin appearance and is somewhat swollen, and a number of small tuber-cles are developed upon it, forming a circle of projections around thenipple. These tubercles are described by Montgomery as being inti-mately connected with the lactiferous ducts, some of which may oc-casionally be traced into them and seem to open on their pregnancy advances they increase in size and Dumber. Duringthe latter months what has been called the secondary areola isproduced, and when well marked presents a very characteristic ap-pearance. It consists of a number of minute discolored spots allround the outer margin of the areola where the pigmentation isfainter, and which arc generally described as resembling spots fromwhich the color had been discharged by a shower of change, like the darkening of the primary areola, is mos


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Keywords: ., bookcentury1800, bookdecade1870, bookidtre, booksubjectobstetrics