SYLLABUS OF LECTURES ON HUMAN EMBRYOLOGY AN INTRODUCTION TO THE STUDY OF OBSTETRICS AND GYNAECOLOGY. For Medical Students and Practitioners. WITH A GLOSSARY OF EMBRYOLOGICAL TERMS. BY WALTER PORTER MANTON, M.D., Professor of Clinical Gynaecology and Lecturer on Obstetrics in the Detroit College of Medicine ; Fellow of the Royal Microscopical Society, of the British Zoological Society, American Microscopical Society, etc., etc. Illustrated cuith f4umerous Outline Dracuings. PHILADELPHIA: THE F. A. DAVIS CO., PUBLISHERS. LONDON: F. J. REBMAN. 1894. COPYRIGHT, 1894, BT THE F. A. DAVIS COMPANY. [Registered at Stationers’ Hall, London, England.] Philadelphia, Pa., TJ.S.A.: The Medical Bulletin Printing-House, 1916 Cherry Street. TO O. BUTSCHLI AND F. BLOCHMANN, HEIDELBERG. PREFACE. The object of this syllabus is to furnish to students of medicine and practitioners an outline of the principal facts in human Embryology ; details and theories must be sought for in the works of reference and special monographs elsewhere mentioned. The book has been so arranged that it ma}r be used in the class-room, the printed headings serving as a guide during the elaboration of the subject by the teacher; notes of the lecture are to be taken down at the time on the blank pages provided. Sufficient space has been left around each outline cut so that the student majT himself write down the names of the parts, thereby helping to fix them in his memory. The general arrangement followed is that adopted in my lectures for the past ten years. In the revision of my notes the latest editions of the following works have been consulted: His: “Anatomie menscldicher Embryonen.” Kolliker: “ Entwickelungsgeschiclite der Menchen und der Hoheren Thieren.” Yon Baer: “ Entwickelungsgeschiclite.” Bonnet: “ Grundriss der Entwickelungsgeschiclite der Haussaugethiere.” O. Hertwig: “ Lehrbuch d. Entwickelungsgescliichte d. Menchen und d. Wirbeltliiere.” Balfour: “ A Treatise on Comparative Embryologj’.” Foster and Balfour: “Elements of Embryology.” Haddon : “An Introduc- tion to the Study of Embryology.” Minot: “ Human Embryology.” Besides these, current medical literature and espe- cially the“ Journal of the Royal Microscopical Society,” V VI PREFACE. “ Archiv fur Gynakologie,” “ Zeitschrift fur Geburts- liulfe und Gynakologie,” and works on zoology, anat- omy, physiology, obstetrics, and diseases of women have been drawn upon. For the benefit of those who may desire to read up on special subjects, reference foot-notes have been added. The outline drawings, partly diagrammatic, have been taken from various sources, as far as possible acknowl- edged, and from the specimens in my own collection which are used for class illustration and demonstration. I desire here to express my thanks to my friend, Dr. E. H. Sargent, Lecturer on Bacteriology in the Detroit College of Medicine, for many suggestions in the preparation of this syllabus. W. P. M. Detroit, August 1, 1894. CONTENTS. SECTION I. PAGE Introduction 1 SECTION II. Anatomy of the Female Organs of Generation . 6 SECTION III. The Spermatozoon ; Spermatogenesis—The Ovum, Oogenesis, Menstruation 25 SECTION IV. The General Development of the Embryo .... 36 SECTION Y. The Uterine and Fietal Membranes ; the Placenta AND UTERO-PLACENTAL CIRCULATION 45 SECTION VI. The Deyelofment of Special Organs and Parts— the Heart, Blood-vessels, and Blood .... 53 General Consideration of the Child at Birth . . 86 SECTION YII. SECTION VIII. Changes in the Maternal Organism Incident to Pregnancy 91 SECTION IX. Practical Work 95 A Glossary of Some of the Words and Terms Used in Embryology 113 Index 121 VII SOURCES FROM WHICH ILLUSTRATIONS HAVE BEEN DERIVED. Balfour, Fig. 26. Barnes, “ Obstetric Medicine and Surgery,” Fig. 35. Bonnet, Figs. 30, 43, 47, 48, 49, 57. Bumm, “ Archiv fur Gynakologie,” Bd. xliii, Fig. 36. Claus and Sedgwick, Figs. 2, 4. Francis, Figs. 66, 67. Henle’s “ Anatomie,” Figs. 6, 7, 10,11,12. Herting, O., Figs. 18. 19, 20, 33, 37, 55, 62, 64. His, Frontispiece and Figs. 34, 38, 39, 40, 53, 59, 60, 61. Kolliker, Figs. 42, 63. Manton, Figs. 1, 8, 24, 29, 32, 44, 65, 68, 69. Minot, Figs. 25, 45. Packard’s “ Zoology,” Fig. 3. Quain’s “Anatomy,” Figs. 5, 15,17, 22, 23, 31, 58. Ranney, “Topographical Relations of the Female Pelvic Organs,” Fig. 9. Sutton, Bland, “ Surgical Diseases of the Ovaries and Fallopian Tubes,” Figs. 14, 16. VIII OF Lectures on Human Embryology. SECTION I. Introduction Embryology (Greek, Efifipvov, embryo, and Xoyog, a discussion) is an important subdivision of Biology treating of “ those successive modifications through which the organism passes in its development from the germ to the adult-form.”1 Alike important in the study of Natural History, Physiology, and Obstetrics. The term Embryo, later Foetus, is applied to the unborn young, which at birth may resemble the parent form,—e.g., mammals ; or, as in some of the lower orders of life, must undergo a series of changes and modifica- tions before attaining to the adult state,—e.g., frog. The study of Embryology is divided into two parts, one of which, called “Ontogeny ” (av, existence, and ysvquo, to beget), deals with the history of the indi- vidual and the development of the animal and its various parts; the other, called “Phytogeny ” (