1/56
Looks like no tags are added yet.
Name | Mastery | Learn | Test | Matching | Spaced |
---|
No study sessions yet.
development
changes in anatomy & physiology from fertilization to maturity (1 cell to 75 trillion)
differentiation
creation of different types of cells from the original zygote (over 200 different cells)
trimesters
3
3 month time periods used to divide pregnancy
gestation period
38 weeks for humans (OB use 40)
fertilization
Embryo (week 1-8) + Fetus (week 9-38) = Prenatal
Fusion of 2 haploid (23 chromosomes) gametes zygote with 46 chromosomes
Takes place between isthmus and ampulla of the uterine tube 24 hours after ovulation
Takes sperm cells about 30 minutes to reach the uterine tubes
oocyte activation
oocyte is about 2000 times larger than the sperm cell
1) Oocyte membrane changes by inactivating sperm receptors and hardening outer membrane to prevent more than 1 sperm cell from entering the oocyte, life will not withstand multiple fertizilations
2) Oocyte completes meiosis II and forms the last polar body
3) Activation of enzymes that cause a rapid increase in the cell’s metabolic rate
a cell that is going to divide, divide and divide needs mechanisms and support to do so
ends with a female pronucleus & a male pronucleus → amphimixs (conception = 46 chromosomes)
blastomeres
daughter cells after cleavage
morula
after 3 days of cell division, small ball of cells → day 4 it reaches uterus
blastocyst
after 5 days
hollow ball
blastocoele
hollow cavity
trophoblast
outer cells that bring in nutrients
inner cell mass
cluster of cells at one end, inside blastocyst → will form the embryo
ectopic pregnancy
6/1000
blastocyst implants not in uterus, not compatible with life
implantation
attachment of the blastocyst to the endometrium of the uterus
amniotic cavity
gradual separation between inner cell mass and trophoblast and fills with fluid
primitive streak
center line of the inner cell mass, cells start to move toward it
gastrulation
developing of the inner cell mass → to embryo
ectoderm
superficial cells that did not migrate into the inner cell mass
mesoderm
unorganized cells between ectoderm and endoderm (last of layer to form)
endoderm
cells that face the blastocoele (inside)
embryonic disc
after the three layers form, an oval disc appears – this will become the embryo
extraembryonic membrane
this forms from the rest of the blastocyst, surrounds the embryo
yolk sac
pouch that forms from outer edges of blastocoele, later an important site of blood cell formation
amnion
ectoderm & later mesoderm cells line amniotic cavity – will contain amniotic fluid that will surround & cushion developing embryo/fetus (about week 3)
allantois
an out pocketing of endoderm near yolk sac will become urinary bladder
chorion
(week 2&3- heart starts to pump), blood vessels start to form from trophoblast, first step in the creation of the placenta
placentation
blood vessels form around the blastocyst, placenta develops → organ that permits exchange between mother and fetus
placental circulation
as fetus moves farther from placenta umbilical cord develops, contains umbilical arties and veins, end of first trimester
endocrine placenta secretes what
human chorionic gonadotropin
lactogen/ prolactin
relaxin
progesterone/ estrogen
human chorionic gonadotropin
acts like LH, promotes progesterone → keeps endometrial lining intact
lactogen/ prolactin
helps prepare mammary glands for milk production
relaxin
increases flexibility of pelvis, causes dilation of cervix, delays release of oxytocin
progesterone/ estrogen
secreted enough by the placenta by the 2nd & 3rd trimester to maintain endometrium
embryogenesis
formation of a viable embryo, establishes foundations for all major organ systems
head fold
projection that will form the head
tail fold
projection that will form the lower extremities
second trimester
Fetus will grow to about 1.5 pounds
Beginning of all major organ systems have formed
third trimester
Fetus grows to birth weight of about 7 pounds
All organ systems become functional
maternal systems
1) respiratory rate and tidal volume increase
2) maternal blood volume increases
3) vitamin and nutrient requirements increase 10-30%, 25-40 lbs
4) glomerular filtration rate increases by 50%
5) uterus tremendously increases in size
6) mammary glands increase in size and secretion activity begins
changes in the uterus
(progesterone from placenta calms contractions from uterine stretching)
1) estrogen levels rise toward end of pregnancy – increases contractions (now overrides progesterone)
2) oxytocin levels rise toward end of pregnancy – increases force and frequency of contractions
3) prostaglandin production – stimulate smooth muscle contractions
false labor
contractions are neither regular nor persistent (braxten-hicks)
true labor
biochemical changes start delivery sequence
labor contractions
contraction of myometrium triggered by oxytocin from fetal pituitary gland
stages in labor
dilation
expulsion
placental
dilation stage
fetus shifts toward cervical canal gravity & uterine contractions, 8 hours or more, usually amniotic membrane ruptures “water breaks”, (chance for infection – labor will be induced if not started)
expulsion stage
cervix dilates to 10 cm, delivery begins, “pushing stage”, less than 2 hours
placental stage
ejection of placenta(“afterbirth”), needed to prevent hemorrhage
episiotomy
incision thru perineal musculature – expands opening & prevents tearing
cesarean section
incision is made in abdominal wall to remove infant (15-25%, is too high by most studies)
premature labor
28-36 weeks, fetus under 27 weeks usually do not make it
difficult deliveries
face up 6%, breech (legs & butt first) 3-4%, cord around neck, use of forceps & suction
multiple births
1:89
fraternal twins (dizygotic)
70%
2 eggs are fertilized
identical twins (monozygotic)
separation of blastomeres or inner cell mass
Siamese twins (conjoined)
splitting of blastomeres is not complete and infants are connected
triplets
1:7921
quads
1:704969