Plain Facts for Old and Young by John Harvey Kellogg
4. We have met a number of ladies whose good fortune and good sense
8314 words | Chapter 7
had delivered them from the distorting influence of corset-wearing and
tight-lacing, and we have invariably observed that they are as capable
of deep respiration as men, and practice it as naturally.
We are thoroughly convinced that this so-called physiological
difference between man and woman is really a pathological rather than
a natural difference, and is due to the evils of fashionable dress,
which we have exposed at some length in another work exclusively devoted
to that subject.[2] In short, we believe that the only reason why women
do not, under ordinary circumstances, breathe as do men, is simply
_because they can not_ breathe naturally.
[Footnote 2: "Evils of Fashionable Dress, and How to Dress
Healthfully."]
The Reproductive Elements.--As has been previously observed, in all
except the very lowest forms of life, two elements are necessary to
the production of a new individual, or a reproduction of the species--a
male element and a female element. The special organs by means of which
these elements are produced, brought together, and developed into the
new individual in a more or less perfect state, are termed _sexual
organs_, as we have already seen. As an introduction to the specific
study of the sexual organs in the human species, let us briefly consider
the
Sexual Organs of Plants.--As already remarked, flowers are the sexual
organs of plants. Nothing is more interesting in the natural world than
the wonderful beauty, diversity, and perfect adaptability to various
conditions and functions, which we see in the sexual parts of plants.
An exceedingly interesting line of study, which has occupied the
attention of many naturalists, is the wonderful perfection displayed
in the adaptability of the male and female parts of plants to each other.
Without burdening the reader with unnecessary technicalities of detail,
we will briefly notice the principal parts of vegetable sexual organs
as illustrated in flowers.
Complete flowers are made up of four parts, two of which, the _stamen_
and _pistil_, are essential, while the other two, the calyx and corolla,
are accessory.
The _calyx_ is that part which surrounds the flower at its outer and
lower part. It varies greatly in form and color, but is most frequently
of a green or greenish color.
Just within the calyx is the _corolla_, which usually forms the most
attractive, showy, and beautiful part of the flower. The beautifully
colored petals of the rose, geranium, dahlia, and other similar flowers,
form their corollas.
Vegetable Husbands.--Within the cup formed by the calyx and corolla
are placed the _stamens_ and _pistils_ of the flower, the first being
the male organs proper, and the second the female organs of the flower.
The stamen is composed of a stem or filament, at the summit of which
are placed two little sacks called the _anther_, which contain a fine,
microscopic dust, the _pollen_, which contains the male reproductive
element of the flower. This part of the plant corresponds to the male
organ of reproduction in animals. A stamen has been called, not inaptly,
a vegetable husband. Some flowers have many stamens, or vegetable
husbands, which reminds us of the custom in Thibet and some other
Eastern countries which allows a woman to have several husbands.
Polygamous Flowers.--The great naturalist, Linnaeus, whose name was
immortalized by his careful study and classification of organized life,
made the number of stamens possessed by various flowers the basis of
a systematic classification.
For example, a flower having but one stamen was classed as _monandria_,
which means, literally, one husband; one having two stamens was
classified as _diandria_; flowers having a large number of male organs
were termed _polyandria_, or many husbands.
The Female Organ of Flowers.--The _pistil_ occupies the very center
of the flower. It produces and contains in a cell, the female element,
termed the _ovule_. It is surmounted by the _style_ and the _stigma_.
A series of plants in which the sexual organs are not visible to the
eye are termed _cryptogamia_, which means literally, hidden marriages.
As we proceed to study the anatomy of the human sexual apparatus we
shall be constantly struck with the remarkable correspondence between
animals and vegetables in the structure and functions of the sexual
apparatus.
Sexual Organs of Animals.--The male reproductive element is called a
_spermatozoon_ or _zoosperm_. The female element is called an _ovum_,
literally, an egg.
The Spermatozoon.--The male reproductive element of animals is formed
by an organ called the _testis_, or _testicle_, of which each male
possesses two. They are elastic, glandular bodies, and are formed
within the cavity of the abdomen, near the kidneys, but usually pass
out of the abdominal cavity and descend to their permanent position
before birth. The opening in the abdominal wall is usually completely
closed in a short time; but occasionally it remains open, giving rise
to congenital hernia, an accident in which a loop of intestine follows
the testicle down into the scrotum, either completely or partially.
In a few animals, as in the porcupine, the opening is never fully closed,
and the testis remains in the cavity of the body most of the time,
passing out only at certain periods. We also occasionally meet cases
of human beings in which the testes have never descended from their
place in the abdominal cavity, giving the individuals the appearance
of eunuchs. This condition, however, though an abnormal one, does not
in any way interfere with the function of the organs, as those who happen
to possess it often imagine. We have also met with cases in which the
organs were movable, and could readily be pressed up into the abdominal
cavity, through the unclosed inguinal cavity, which afforded them a
passage downward in the process of development.
As before remarked, these peculiarities do not affect the functions
of the organs in any appreciable degree, although they not infrequently
give rise to some apprehension on the part of those subject to them.
The left testicle is sometimes a little smaller than the right, another
fact which is seized upon by quacks as a means of exciting the fears
of young men who have been addicted to bad habits, although the
peculiarity is generally without important significance.
The testicles are connected with the urinary passage by means of two
ducts which terminate near the base of the bladder, at which point they
connect with the urethra. We need not dwell at further length upon the
structure of the testicles, as this subject receives fuller attention
elsewhere.
Human spermatozoa are about 1/600 of an inch in length. Those of
reptiles are very much larger. One of the remarkable features of these
minute elements is their peculiar movements. While alive, the
filamentous tail is in constant action in a manner strongly resembling
the movements of the caudal appendage of a tadpole. This wonderful
property led the earlier observers to believe that they were true
animalcula. But they are not to be regarded as such, though one can
scarcely make himself believe otherwise while watching their lively
evolutions, and apparent volitionary movement from one point to
another.
Spermatozoa originate in the testis as cells, which are filled with
granules. After a time, each granule acquires a long appendage, and
then the cell has become converted into a bundle of small zoosperms.
Development still continues, until finally the thin pellicle on the
outside of the bundle is ruptured, thus liberating the young
spermatozoa, which speedily complete their full development. The
spermatozoon is pure protoplasm, which is the basis of all life, and
its power of spontaneous motion is due to this fact.
In man, the formation of spermatozoa continues with greater or less
rapidity from puberty to old age, though at the two extremes of
existence they are imperfectly developed. When not discharged from the
body, they are said to be absorbed. Some physiologists claim that they
are composed of a substance identical with nerve tissue, and that by
absorption they play a very important part in the development and
maintenance of the nervous system.
It is asserted by good authorities that the reproductive element in
man is not so well developed as to be really fit for the reproduction
of the species before the age of twenty-four or twenty-five. After the
age of forty-five or fifty, the reproductive elements deteriorate in
quality, and become again unfitted for vigorous procreation.
The fully developed zoosperms are suspended in a transparent,
gelatinous fluid, which, mingled with the secretion of the prostate
gland and other fluids which it meets during its expulsion from the
body, constitutes the _semen_.
The Ovum.--The female element of generation, the ovum, is produced by
an organ called the _ovary_, of which there are two in each individual.
In size and form, the ovary closely resembles the testicle. Like the
latter organ, also, it is formed within the body early in the process
of development; but instead of passing outward and downward, as does
the testicle, it remains within the abdominal cavity, suspended in
place by ligaments. It is connected with a duct which receives the ovum
as it is discharged, and conveys it to the uterus.
The human ovum varies in size from 1/240 to 1/120 of an inch in diameter,
and consists of a single cell. Ova are not formed in such large numbers
as zoosperms. As a general rule, in the human female, a single ovum
is developed and discharged once in about four weeks, during the period
of sexual activity.
Fecundation.--It is often asked, and the question has elicited some
discussion, Which is the principal reproductive element; the zoosperm,
or the ovum? The ancients supposed the male element to be the essential
element, being simply nourished and developed by the female; but modern
research in biological science does not sustain this view. Probably
neither one enjoys especial preeminence; for neither can undergo
complete development without the other. In very rare cases, the ovum
has been observed to undergo a certain amount of development of itself;
but a perfect individual can be produced only by the union of the two
kinds of elements, which process is known as _fecundation_. The instant
this union occurs, the life of a new individual begins. All the changes
which result between that moment and the birth of the individual are
those of development only. Indeed, the same existence continues from
the instant of the union of the two elements, not only until birth,
but through growth, the attainment of maturity, the decline of life,
and even until death.
It is interesting to observe the different methods by which fecundation
is effected, both in plants and animals, for this is a process common
to both.
Fecundation in Flowers.--The great naturalist, Linnaeus, was the first
to explain the reproductive process in plants. He tells us that "the
flower forms the theater of their amours; the calyx is to be considered
as the nuptial bed; the corolla constitutes the curtains; the anthers
are the testes; the pollen, the fecundating fluid; the stigma of the
pistil, the external genital aperture; the style, the vagina, or the
conductor of the prolific seed; the ovary of the plant, the womb; the
reciprocal action of the stamens on the pistil, the accessory process
of fecundation."
Thus marvelous is the analogy between the reproductive organs and their
functions in plants and animals. Through this one vital process we may
trace a close relation between all the forms of life, from the humblest
plant, or even the mere specks of life which form the green scum upon
a stagnant pool, to man, the masterpiece of creation, the highest of
all animated creatures. In all the realm of Nature there can be found
no more remarkable evidences of the infinite skill and wisdom of the
Creator of all things.
In many instances the action of plants seems almost to be prompted by
intelligence. At the proper moment, the corolla contracts in such a
way as to bring the stamens nearer to the stigma, or in contact with
it, so as to insure fecundation. In some aquatic plants the flowers
elevate themselves above the surface of water while the process of
fecundation is effected; submerging themselves again immediately
afterward.
Other very curious changes occur in flowers of different species during
the reproductive act. The stigma is observed to become moistened, and
even to become distinctly odorous. Often, too, it becomes intensely
congested with the juices of the plant, and sometimes even acquires
an uncommon and most remarkable degree of contractility. This is the
case with the stigma of the tulip and one variety of sensitive plant,
and is in these plants observed to occur not only after the application
of the pollen to the stigma, but when excited by any other means of
stimulation. The flowers of some plants, during and after fecundation,
also show an increase of heat, in some cases so marked as to be readily
detected with the thermometer. This is said to be the case with the
_arum_ of Italy.
In some plants in which the pistil is longer than the stamens, thus
elevating the stigma above the anthers, the female organ is often
observed to bend over and depress itself so as to come within reach
of the anthers.
In most instances the fecundation of flowers is chiefly effected
through a purely mechanical process, though in these cases also we see
a wonderful adaptation of parts to conditions.
When the male and female parts of flowers are situated on different
plants, as is the case in the willow, the poplar, the melon vine, and
many other species, the pollen of the male flower is wafted by the wind
or gentle breeze to the stigma of the female flower, which will usually
be found at no very great distance, although fertilization may take
place in this way at very considerable distances. Bees, moths, and many
other species of insects, serve a very important purpose in this work,
transporting the fertilizing dust upon their wings, antennae,
sucking-tubes, and feet. Small birds, and even the humble snail, which
would scarcely be credited with any useful function, are also very
serviceable in the same direction. The part performed by insects in
the reproductive process of many plants is so great that they have been
very poetically termed "the marriage priests of flowers."
Nature provides for thorough fecundation in these cases by placing the
plants which bear the male and the female flowers near each other. This
fact accounts for the unproductiveness of certain varieties of
strawberries unless mixed with plants of some other variety, it being
well known to nursery-men that some varieties produce only the female
parts of flowers.
Modes of Fecundation in Animals.--The modes by which fecundation is
effected in animals are still more various and wonderful than in plants.
In some of the lower animals, as in most fish and reptiles, both elements
are discharged from the bodies of the parents before coming in contact,
there being no contact of the two individuals. In this class of animals
the process is almost wholly analogous to fecundation in those plants
in which the male and female flowers are on different plants or
different parts of the same plant. In the female fish, a large number
of ova are developed at a certain season of the year known as the
spawning season. Sometimes the number reaches many thousands. At the
same time, the testicles of the male fish, which are contained within
the abdominal cavity, become distended with developed zoosperms. When
the female seeks a place to deposit her eggs, the male closely follows;
and as she drops them upon the gravelly bottom, he discharges upon them
the zoosperms by which they are fecundated. The process is analogous
to some species of frogs. When the female is about to deposit her eggs,
the male mounts upon her back and rides about until the eggs are all
deposited, discharging upon them the fertilizing spermatozoa as they
are laid by the female.
In higher orders of animals, fecundation takes place within the
generative organs of the female by contact between the male and the
female organs. To effect this, there are necessitated certain accessory
organs, the _penis_ in the male and the _vagina_ in the female.
Nothing in all the range of nature is more remarkable than the
adaptation of the two varieties of sexual organs in each species. This
necessary provision is both a powerful means of securing the
perpetuation of the species, and an almost impassable barrier against
amalgamation.
The act of union, or sexual congress, is called _coitus_ or _copulation_.
It is accompanied by a peculiar nervous spasm due to excitement of
special nerves principally located in the _penis_ in the male, and in
an extremely sensitive organ, the _clitoris_, in the female. The
nervous action referred to is more exhausting to the system than any
other to which it is subject.
Union of the Ovum and Zoosperm.--The zoosperms not only come in contact
with the ovum, but penetrate the thin membrane which incloses its
contents, and enter its interior, where they disappear, becoming united
with its substance. In the ova of certain fishes, small openings have
been observed through which the spermatozoa find entrance. Whether such
openings exist in human ova is an undecided question; but it is probable
that they do.
Curious Modes of Reproduction.--A peculiar kind of reproduction is
observed in a variety of polyp, a curious animal which very much
resembles a shrub in appearance. It attaches itself to some solid object,
and then, as it grows, sends out little protuberances resembling buds.
Some of these separate and fall off, swimming about as separate animals.
These never become like the parent polyp; but they lay eggs, which hatch,
and become stationary polyps like their grandparent, and in their turn
throw off buds to form swimming polyps. In this case we have two kinds
of generation combined, alternating with each other.
Plant-lice afford a curious illustration of a similar generation. Males
and females unite and produce eggs. The creatures produced by the
hatching of eggs are neither males nor perfect females. They are
_imperfect females_. They are all alike, so that no sexual union occurs.
Instead of laying eggs, they produce live young like themselves, which
appear to be developed from internal buds similar to the external buds
of the polyp. After this method of reproduction has continued for eight
or ten generations, a few perfect individuals appear, and the first
process is repeated.
The common honey-bee affords another illustration like the last. A
virgin queen sometimes lays eggs, which always produce males, or drones.
After union with a male, she lays eggs in the royal cells which become
perfect females like herself. She also seems to have the power to lay,
at will, unfecundated eggs, from which drones are produced.
Human Beings Are Developed Buds.--It has been very aptly suggested by
an eminent physiologist that the ovum and zoosperm may be correctly
considered as internal buds. Thus it would appear that generation is
universally a process of budding. A child is but a compound bud, an
offshoot from its parents. This idea is not a mere fancy, but has a
scientific basis. As all the exquisite details of the most beautiful
flower are in essence contained within the tiny bud which first makes
its appearance, so is the developed human being, the full-grown man
or woman, virtually contained within the tiny cell called the ovum after
it has been impregnated or fecundated by the zoosperms. In short, men
and women are blossoms in a strictly scientific sense.
Fecundation in Hermaphrodites.--The process of fecundation in
hermaphrodite animals is very peculiar. In some cases, as in the snail,
the union of two individuals is usually necessary, though each
possesses both kinds of organs. In other cases, as in the tape-worm,
the oyster, and numerous other mollusks, a single individual has the
power to fertilize its own ova, thus being wholly independent. Human
hermaphrodites are usually so deformed that fecundation is not effected,
which is a fortunate safeguard against the multiplication of such
monstrosities.
Development.--After the union of the two elements, known as fecundation
or _conception_, if the conditions are favorable, development occurs,
and the little germ is in due process of time developed into an
individual which is an exact counterpart of its parents. During this
developmental process, the embryonic being is variously treated by
different classes of animals.
Unprotected Development.--Most fishes and reptiles discharge their ova
before fecundation, or soon after, and pay no further attention to them.
The fish deposits its eggs in a little hollow scooped out in the gravelly
bed of a stream, or sows them broadcast upon the waters. The turtle
buries its eggs in the sand, and leaves them to be hatched by the sun.
The ostrich disposes of her eggs in the same way. Many other species
of animals pay no regard to the protection of the germs which are
destined, if placed under favorable conditions, to become individuals
like themselves.
Partial Protection of the Ovum.--There are some exceptions, however,
to this general rule among fishes and reptiles. Even fishes manifest
a degree of parental solicitude in certain cases. The male of a species
of South American fish gathers up the eggs after fecundation has taken
place, and carries them in his mouth until they are hatched. Another
male fish carries the eggs of his mate in a little pouch upon the lower
and posterior part of his body.
Certain species of frogs carry their eggs wound about their legs; others
suspend them from the abdomen. Another variety carries its young upon
its back. Prof. Wyman describes a "swamp toad" which patiently takes
the eggs of his mate, one by one, and fastens them upon her back,
observing great regularity in arrangement. These several devices are
evidently for the purpose of protecting, in some degree, the young
individual during the helpless stage of its existence.
Development in the Higher Animals and Man.--Higher animals are less
prolific, and their development is a more complicated process; hence,
their young need greater protection, and, for this reason, the ova,
instead of being discharged from the body of the female after
fecundation, are retained.[3] As we have seen that a suitable
receptacle is sometimes provided outside of the body, so now a
receptacle is needed, and is provided in the interior of the body of
the female. This receptacle is called
[Footnote 3: Curious examples of internal development sometimes occur
in animals which usually deposit eggs. Snakes have been known to produce
both eggs and living young at the same time. At the annual meeting of
the American Society for the Advancement of Science, at Detroit, Mich.,
in August, 1875, we had the pleasure of examining a specimen, exhibited
by Prof. Wilder, of a chick which had undergone a considerable degree
of development within the ovary of the hen. It had a head, a rudimentary
brain, and internal viscera, but no feathers nor limbs. It was, in fact,
an egg hatched before it had been laid. The anomaly excited much
interest at that time and since among biologists.]
The Uterus.--This is a hollow, pear-shaped organ, located in the median
line, just behind the bladder, between it and the rectum. It is
supported in place by various ligaments and by the juxtaposition of
other organs. Its larger end is directed upward, and communicates upon
each side with a very narrow tube which is prolonged outward on either
side until it nearly touches the ovary of the same side. Its lower and
smaller end fills the internal extremity of the passage previously
described as the vagina. When an ovum is matured, it escapes from the
ovary into the narrow tube referred to, called the _Fallopian tube_,
and passes down into the cavity of the uterus. If fecundation does not
occur, it is expelled or absorbed after six to twelve or fourteen days.
If copulation occurs, however, zoosperms are brought into the cavity
of the uterus, and, coming in contact with the ovum, fecundate it. This
is _conception_. When the natural process is allowed to proceed,
development occurs.
Uterine Gestation.--This is the term applied to the process last
referred to. We shall not attempt to describe in detail this most
wonderful and intricate of all living processes; but will sketch only
the chief points, leaving the reader who would obtain a more complete
knowledge of the subject to consult any one of the numerous
physiological and obstetrical works which deal with it in a very
exhaustive manner.
As soon as the ovum is impregnated by the male element, it begins a
process of symmetrical division. The first division produces two cells
out of the single one which first existed. By the next division, four
segments are produced; then eight, sixteen, etc. While this process
is going on, the ovum becomes adherent to the internal wall of the uterus,
and is soon enveloped by its mucous membrane, which grows up about and
incloses it.
The Primitive Trace.--When the process of segmentation has advanced
to a certain point, the cells are aggregated together in a compact layer
at the surface. Soon a straight line appears upon this layer, which
is called the _primitive trace_. This delicate line becomes the basis
for the spinal column; and upon and about it the whole individual is
developed by an intricate process of folding, dividing, and
reduplication of the layer of cells. One end of the line becomes the
head, and the other becomes the tail. Even man has a caudal appendage
at an early stage of his existence. After a further lapse of time, little
excrescences, buds, or "pads," appear in the proper positions to
represent the arms and legs. After further development the ends split
up into fingers and toes, and by the continued development of the parts,
perfect arms and legs are formed.
Curious Relation to Lower Animals.--It is a very remarkable fact that
in the lower animals we have numerous examples in which the permanent
condition of the individual is the same as some one of the stages through
which man passes in the process of development. The same author
previously quoted makes the following interesting statements:--
"The webbed feet of the seal and ornithorhynchus typify the period when
the hands and feet of the human embryo are as yet only partly subdivided
into fingers and toes. Indeed, it is not uncommon for the 'web' to
persist to some extent between the toes of adults; and occasionally
children are born with two or more fingers or toes united to their tips.
"With the seal and the walrus, the limbs are protruded but little beyond
the wrist and ankle. With the ordinary quadrupeds, the knee and elbow
are visible. The cats, the lemurs, and the monkeys form a series in
which the limbs are successively freed from the trunk, and in the
highest apes they are capable of nearly the same movements as the human
arm and leg, which, in their development, passed through all these
stages."
Simplicity of Early Structures.--The first structures formed are
exceedingly simple in form. It is only by slow degrees that the great
complicity which characterizes many organs is finally attained. For
example, the heart is at first only a straight tube. By enlargement
and the formation of longitudinal and transverse partitions, the fully
developed organ is finally produced. The stomach and intestines are
also at first but a simple straight tube. The stomach and large
intestine are formed by dilatation; and by a growth of the tube in length
while the ends are confined, the small intestines are formed. The other
internal organs are successively developed by similar processes.
The Stages of Growth.--At first insignificant in size--a simple cell,
the embryonic human being steadily increases in size, gradually
approximating more and more closely to the human form, until, at the
end of about nine calendar months or ten lunar months, the new
individual is prepared to enter the world and begin a more independent
course of life. The following condensation of a summary quoted by Dr.
Austin Flint, Jr., will give an idea of the size of the developing being
at different periods, and the rate of progress:--
At the end of the third week, the embryon is a little less than
one-fourth of an inch in length.
At the end of the seventh week, it is three-fourths of an inch long.
The liver, lungs, and other internal organs are partially formed.
At the eighth week, it is about one inch in length. It begins to look
some like a human being, but it is impossible to determine the sex.
At the third month, the embryon has attained the length of two to two
and one-half inches. Its weight is about one ounce.
At the end of the fourth month, the embryon is called a fetus. It is
from four to five inches long, and weighs five ounces.
At the fifth month, the fetus is nearly a foot long, and weighs about
half a pound.
At the sixth month, the average length of the fetus is about thirteen
inches, and its weight one and a half to two pounds. If born, life could
continue a few minutes.
At the seventh month, the fetus is from fourteen to fifteen inches long,
and weighs two to three pounds. It is now viable (may live if born).
At the eighth month, the length of the fetus is from fifteen to sixteen
inches, and its weight from three to four pounds.
At the ninth month, the fetus is about seventeen inches long, and weighs
from five to six pounds.
At birth, the infant weighs a little more than seven pounds, the usual
range being from four to ten pounds, though these limits are sometimes
exceeded.
Duration of Gestation.--The length of time required for the development
of a human being is usually reckoned as about forty weeks. A more precise
statement places it at about two hundred and seventy-eight days. This
limit is often varied from. Cases have occurred in which a much longer
time has been required, and numberless cases have occurred in which
human beings have been born several weeks before the expiration of the
usual time, as stated. There is some uncertainty respecting the exact
length of the period of gestation, which grows out of the difficulty
of determining, in many cases, the exact time when conception takes
place.
Uterine Life.--The uterine life of the new individual begins with the
impregnation of the ovum, which occurs the instant it is brought in
contact with the zoosperms of the male. While in the uterus, the young
life is supported wholly by the mother. She is obliged to provide not
only for her own sustenance, but for the maintenance of her child. And
she must not only eat for it, but breathe for it as well, since it
requires a constant and adequate supply of oxygen before birth as much
as afterward.
How the Unborn Infant Breathes.--Oxygen and nutriment are both supplied
to it through the medium of an organ called the _placenta_, which is
a spongy growth composed almost entirely of blood-vessels, and is
developed upon the inner wall of the uterus, at the point at which the
ovum attaches itself after fecundation. The growing fetus is connected
with this vascular organ by means of a sort of cable, called the
_umbilical cord_. The cord is almost entirely composed of blood-vessels
which convey the blood of the fetus to the placenta and return it again.
The fetal blood does not mix with that of the mother, but receives oxygen
and nourishment from it by absorption through the thin walls which alone
separate it from the mother's blood.
The umbilical cord contains no nerves, as there is no nervous connection
between the mother and the child. The only way in which the child can
be influenced by the mother is through the medium of the blood, to
changes in which it is very susceptible, as we shall see more clearly
hereafter.
The cord is attached to the body of the child at the point called the
_navel_, being cut off at birth by the _accoucheur_. With the placenta,
it is expelled soon after the birth of the child, and constitutes the
shapeless mass familiarly known as the _after-birth_, by the retention
of which the most serious trouble is occasionally caused.
Parturition.--At the end of the period of development, the young being
is forcibly expelled from the laboratory of nature in which it has been
formed. In other words, it is born; and this process is termed
_parturition_. Though, at first thought, such an act would seem an utter
impossibility, yet it is a very admirable illustration of nature's
adaptation of means to ends. During the months of gestation, while the
uterus has been enlarging to accommodate its daily increasing contents,
the generative passages have also been increasing in size and becoming
soft and distensible, so that a seeming impossibility is in due time
accomplished without physical damage, though possibly not without
intense suffering. However, it is a most gratifying fact that modern
medical science may do much to mitigate the pains of childbirth. It
is possible, by a proper course of preparation for the expected event,
to greatly lessen the suffering usually undergone; and some ladies
assert that they have thus avoided real pain altogether. Although the
curse pronounced upon the feminine part of the race, in consequence
of the sin of Eve, implies suffering in the parturient act, yet there
is no doubt that the greater share of the daughters of Eve are, through
the perverting and degenerating influences of wrong habits and
especially of modern civilization, compelled to suffer many times more
than their maternal ancestor. We have sufficient evidence of this in
the fact that among barbarian women, who are generally less perverted
physically than civilized women, childbirth is regarded with very
little apprehension, since it occasions little pain or inconvenience.
The same is true of many women among the lower laboring classes. In
short, while it is true that more or less suffering must always
accompany the parturient act, yet the excessive pain usually attendant
upon the process is the result of causes which can in many cases be
removed by proper management beforehand and at the time of confinement.
After being relieved of its contents, the uterus and other organs
rapidly return to nearly their original size.
Changes in the Child at Birth.--In the system of the child a wonderful
change occurs at the moment of its expulsion into the outer world. For
the first time, its lungs are filled with air. For the first time they
receive the full tide of blood. The whole course of the circulation
is changed, and an entirely new process begins. It is surprising in
how short a space of time changes so marvelous can be wrought.
Nursing.--The process of development is not fully complete at birth.
The young life is not yet prepared to support itself; hence, still
further provision is necessary for it. It requires prepared food suited
to its condition. This is provided by the _mammae_, or breasts, of the
female, which are glands for secreting milk. The fully developed gland
is peculiar to the female; but a few instances have been known in which
it has been sufficiently developed to become functionally active in
men, as well as in young girls, though it is usually inactive even in
women until near the close of gestation. It is a curious fact that the
breasts of a new-born child occasionally contain milk.
The first product of the mammae is not the proper milk secretion, but
is a yellowish fluid called _colostrum _. The true milk secretion begins
two or three days after delivery.
The lacteal secretion is influenced in a very remarkable manner by the
mental conditions of the mother. By sudden emotions of grief or anger,
it has been known to undergo such changes as to produce in the child
a fit of indigestion, vomiting, diarrhea, and even convulsions and
death. Any medicine taken by the mother finds its way into the milk,
and often affects the delicate system of the infant more than herself.
This fact should be a warning to those nursing mothers who use
stimulants. Cases are not uncommon in which delicate infants are kept
in a state of intoxication for weeks by the use of alcoholic drinks
by the mother. The popular notion that lager-beer, ale, wine, or alcohol
in any other form, is in any degree necessary or beneficial to a nursing
woman is a great error which cannot be too often noticed and condemned.
Not only is the mother injured, instead of being benefited by such a
practice, but great injury, sometimes life-long in its consequences,
is inflicted upon the babe at her breast who takes the intoxicating
poison at second hand, and is influenced in a fourfold degree from its
feebleness and great susceptibility.
ANATOMY OF THE REPRODUCTIVE ORGANS.
Having now considered the functions and somewhat of the structures of
the principal organs of reproduction, we may obtain a more definite
idea of the relation of the several organs of each class by a connected
review of the anatomy of the parts.
Male Organs.--As previously stated, the external organs of generation
in the male are the _penis_ and the _testicles_, the latter being
contained in a pouch called the _scrotum_. The penis is the organ of
urination as well as copulation. Its structure is cellular, and it
contains a vast number of minute coils of blood-vessels which become
turgid with blood under the influence of sexual excitement, producing
distention and erection of the organ. A canal passes through its entire
length, called the _urethra_, which conveys both the urine and the
seminal fluid. The organ is protected by a loose covering of integument
which folds over the end. This fold is called the _foreskin_ or
_prepuce_.
The fluid formed by each testicle is conveyed by the _vas deferens_,
a curved tube about two feet in length, to the base of the bladder.
Here the vas deferens joins with another duct which communicates with
an elongated pouch, the _vesicula seminalis_, which lies close upon
the under side of the bladder. The single tube thus formed, the
_ejaculatory duct_, conveys the seminal fluid to the urethra, from
which it is discharged.
As the production of seminal fluid is more or less constant in man and
some animals, while its discharge is intermittent, the vesiculae
seminales serve as reservoirs for the fluid, preserving it until
required, or allowing it to undergo absorption. Some claim that the
zoosperms are matured in these organs. They always contain seminal
fluid after the age of puberty. During coition, their contents are
forcibly expelled by a spasmodic contraction of the muscles which
surround them and the ducts leading from them.
The Prostate Gland.--Surrounding the ejaculatory ducts and their
openings into the urethra at the base of the bladder is the _prostate
gland_, which produces a peculiar secretion which forms a considerable
portion of the seminal fluid, being mingled with the secretion of the
testes during its ejaculation. This gland sometimes becomes the seat
of somewhat serious disease. In old age it usually becomes somewhat
indurated, and often to such an extent as to seriously affect the health
and comfort of the individual by interference with urination and by
occasioning pain.
Anterior to this organ, in the urethra, is a curious little pouch, the
_utriculus_, which corresponds to the vagina and uterus in the female.
Just in front of the prostate gland are two small bodies known as
Cowper's glands. They secrete a fluid which combines with the seminal
secretion.
Female Organs.--The _ovaries_, _uterus_, or _womb_, _Fallopian tubes_,
and _vagina_ have already been described in part. The external organs
of the female are included in the term _vulva_ or _pudenda_. The most
superficial parts are the _labia_, two thick folds of integument. Just
within these are two thinner folds, the _labia minora_ or _nymphae_.
These, together with the _clitoris_, situated just above, are extremely
sensitive organs, being the chief seat of sexual sense in the female.
At the lower part is the opening to the vagina, which in the virgin
is usually partially guarded by a thin membrane, the _hymen_. This is
not always a reliable test of virginity, however, as commonly regarded,
since it may be destroyed by disease or accident, and may exist even
after the occurrence of pregnancy.
The vagina extends from the vulva to the lower end of the uterus, which
it incloses, passing between the bladder and the rectum. The lower
extremity of the uterus presents a small opening which leads into its
interior. Upon either side, at its upper and larger end, is a minute
opening, the mouth of the Fallopian tube. The latter organs extend from
the uterus outward nearly to the ovaries, toward which they present
a number of small filaments, one of which is in contact with each ovary.
These filaments, together with the interior of the tubes, are covered
with a peculiar kind of cells, upon which are minute cilia, or hairs,
in constant motion. Very curiously, they all move in the same direction,
toward the cavity of the uterus. When an ovum escapes from the ovary
in connection with menstruation, it is by these delicate hairs
propelled along a filament of tissue to the Fallopian tube, and thence
by the same means is conveyed to the uterus. It may come in contact
with the zoosperms at any point between the ovary and the lower orifice
of the uterus, and thus undergo fecundation.
Puberty.--For a certain period after birth, the sexual organs remain
in a partially developed condition. This period varies in duration with
different animals; in some cases being very brief, in others,
comprising several years. Upon the attainment of a certain age, the
individual becomes sexually perfect, and is then capable of the
generative act. This period is called puberty. In man, puberty commonly
occurs between the ages of ten and fifteen years, varying considerably
in different climates. In this country, and in other countries of about
the same latitude, puberty usually occurs at the age of fourteen or
fourteen and one-half years in females, and a few months later in males.
In cooler climates, as in Norway and Siberia, the change is delayed
to the age of eighteen or nineteen years. In tropical climates it is
hastened, occurring as early as nine or ten years. In warm climates
it is no uncommon thing for a girl to be a mother at twelve; and it
is stated that one of the wives of Mahomet was a mother at ten.
Other causes besides climate tend to hasten the occurrence of this
change, as habits, temperament, constitutional tendency, education,
and idiosyncrasy.
Habits of vigorous physical exercise tend to delay the access of puberty.
For this reason, together with others, country boys and girls generally
mature later than those living in the city by several months, and even
a year or two. Anything that tends to excite the emotions hastens
puberty. The excitements of city life, parties, balls, theaters, even
the competition of students in school, and the various causes of
excitement to the nervous system which occur in city life, have a
tendency to hasten the occurrence of the change which awakens the sexual
activities of the system into life. Hence, these influences cannot but
be considered prejudicial to the best interests of the individual,
mentally, morally, and physically, since it is in every way desirable
that a change which arouses the passions and gives to them greater
intensity should be delayed rather than hastened.
Influence of Diet on Puberty.--The dietary has a not unimportant
influence in this respect. Stimulating food, such as pepper, vinegar,
mustard, spices, and condiments generally, together with tea and coffee,
and an excess of animal food, have a clearly appreciable influence in
inducing the premature occurrence of puberty. On this account, if on
no other, should these articles be prohibited to children and youth,
or used very sparingly. Those who advocate the large use of meat by
children and youth have not studied this matter closely in all its
bearings. While it is true that children and growing youth require an
abundance of the nitrogenous elements of food which are found
abundantly in beefsteak, mutton, fish, and other varieties of animal
food, it is also true that in taking those articles of food they take
along with the nutrient elements properties of a stimulating character,
which exert a decidedly detrimental influence upon the susceptible
systems of children and youth. At the same time, it is possible to obtain
the same desirable nitrogenous elements in oatmeal, unbolted wheat
flour, peas, beans, and other vegetable productions, which are wholly
free from injurious properties. We are positive from numerous
observations on this subject, that a cool, unstimulating, vegetable
or farinaceous diet would deter the development of the sexual organism
for several months, and perhaps for a year or two.
While it might not be in all cases desirable to do this, it would at
least be wise to adopt such measures in cases in which the child is
unavoidably exposed to influences which have a tendency to hasten the
change.
It is important to add in this connection a word of caution against
the adoption of a dietary too abstemious in character. It is necessary
that an abundance of good, wholesome food, rich in the elements of
nutrition, should be taken regularly. There is no doubt that many young
ladies have induced conditions of serious disease by actual starvation
of the system. A young woman who attempts to live on strong tea or coffee,
fine-flour bread, and sweet cake, is as certainly starving herself as
though she were purposely attempting to commit suicide by means of
starvation, and with as much certainty of the same result.
Brunettes Naturally Precocious.--It has been observed that in girls
the occurrence of puberty is earlier in brunettes than in blondes; and
in general it makes its appearance earlier in persons of a nervous or
nervo-bilious temperament than in persons of a lymphatic temperament
or phlegmatic nature.
Certain nationalities and families are marked by the earlier occurrence
of puberty than in others. In Jews, the change is commonly a year or
two in advance of other nationalities in this country. It also occurs
somewhat sooner in negroes and creoles than in white persons, the
African race seeming to retain something of the precocity occasioned
by the tropical influence of its native clime.
Remarkable Precocity.--Cases occasionally occur in which puberty makes
its appearance at the age of three or four years. Indeed, a case has
been reported in this country in which a female child possessed all
the characteristics which are usually developed at puberty, from birth.
In this case the regular periodical changes began at birth.
Premature Development Occasions Early Decay.--A fact which is of too
great importance to allow to pass unnoticed, is that whatever occasions
early or premature sexual development, also occasions premature decay.
Females in whom puberty occurs at the age of ten or twelve, by the time
their age is doubled, are shriveled and wrinkled with age. At the time
when they should be in their prime of health and beauty, they are
prematurely old and broken. Those women who mature late retain their
beauty and their strength many years after their precocious sisters
have become old, decrepit, and broken down. Thus, the matrons of thirty
and forty years in colder climates are much more attractive in
appearance than the maidens of sixteen; while quite the reverse is true
in this and other countries where sexual development is unduly
hastened.
Early Puberty a Cause for Anxiety.--The unnaturally early appearance
of puberty is a just cause for apprehension, since it usually indicates
an inherent weakness of the constitution. When there are reasons for
fearing its occurrence, active measures should be taken to occasion
delay if possible. We call especial attention to this point, since there
are many who erroneously suppose the early occurrence of puberty to
be a sign of superior vigor.
Changes which Occur at Puberty.--The changes which occur in the two
sexes at this period have been thus described:--
"In both sexes, hair grows on the skin covering the _symphysis pubis_,
around the sexual organs, and in the axillae (armpits). In man, the
chest and shoulders broaden, the larynx enlarges, and the voice becomes
lower in pitch from the elongation of the vocal cords; hair grows upon
the chin, upper lip, and cheeks, and often exists upon the general
surface of the body more abundantly than in woman." The sexual organs
undergo enlargement, and are more frequently excited. The testicles
first begin the secretion of the seminal fluid.
"In woman, the pelvis and abdomen enlarge, but the whole frame remains
more slender, the muscles and joints less prominent, the limbs more
rounded and tapering [than in the male]. Locally, both external and
internal organs undergo a considerable and rapid enlargement. The
mammae enlarge, the ovarian vesicles become dilated, and there is
established a periodical discharge of one or more ova, accompanied,
in most cases, by a sanguineous fluid from the cavity of the uterus."
These changes, so varied and extraordinary, often occur within a very
short space of time; and as they are liable to serious derangement,
especially in the female, great care should be taken to secure for the
individual the most favorable conditions until they are successfully
effected. It is, however, a fact deserving of mention, that many of
the ills which are developed at this particular period are quite as
much the result of previous indiscretions and mismanagement as of any
immediate cause. A few suggestions with regard to the proper treatment
of individuals at this age may be in place.
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