Ectopic Pregnancy; Its Etiology, Classification, Embryology, Diagnosis And Treatment

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Wyder^ and Charpentier^ are of the opinion that the most marked and rapid development of uterine decidua is obtained the nearer to the uterus is the seat of the ectopic gestation.
We are not as yet in possession of a sufficient number of facts to state the various changes which may take place in the uterine decidua during the course of gestation. According to the authorities to whom I have referred, the decidual changes in the mucosa are found best marked in the late months.
Charpentier^ sugges
...ts that the changes which occur corre- spond to those which take place in uterine pregnancy ; more especially as the decidua is useless in ectopic gestation. These changes are, of course, atrophy, degeneration, and absorption, progressive from an early period of pregnancy.
One fact, however, is thoroughly established, viz., tliat the decidua may he expelled from the uterus during the progress of an ectopic gestation.
Sometimes the complete decidua may be expelled, but generally it is expelled only in bits.


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