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Sperm migration path
Vagina → cervical canal → uterus → uterine tube → isthmus of tube
Fertilization site
Upper 1/3 of uterine tube
Sperm count per ejaculation
~300 million
Fate of most sperm
Die in vagina, fail to reach cervix, attacked by WBCs, or enter wrong tube
Sperm reaching egg
Only ~200 reach vicinity of egg
Fertilization window
12–24 hours after ovulation
Capacitation
Leaching of cholesterol and dilution of inhibitors from sperm membrane
Corona radiata
Layer sperm must clear to reach zona pellucida
Zona pellucida
Glycoprotein layer around egg; sperm binds to this
Acrosomal reaction
Exocytosis of hyaluronidase and acrosin to penetrate egg
Sperm entry
Only head and midpiece enter the egg
Fast block to polyspermy
Depolarization of egg membrane
Slow block to polyspermy
Cortical reaction; fertilization membrane forms
First trimester
Fertilization through 12 weeks; highest embryonic mortality
Second trimester
Weeks 13–24; organ development and human appearance
Third trimester
Weeks 25–40; cellular differentiation and viability outside womb
Preembryonic stage
Days 1–16; includes cleavage, implantation, embryogenesis
Embryonic stage
Day 16–week 8; organogenesis
Fetal stage
Weeks 9–40; organ growth and differentiation
Cleavage
First mitotic divisions producing blastomeres
Morula
Solid ball of ≥16 cells formed ~72 hrs after fertilization
Blastocyst
Hollow structure with trophoblast, embryoblast, blastocoel
Implantation timing
~6 days after ovulation
Trophoblast
Outer layer of blastocyst; contributes to placenta
Embryoblast
Inner cell mass of blastocyst
Blastocoel
Fluid-filled cavity in blastocyst
Embryonic disc
Flattened embryoblast with epiblast and hypoblast layers
Amniotic cavity
Forms between trophoblast and epiblast
Yolk sac
Formed by hypoblast cells; involved in early nutrition
Gastrulation
Epiblast cells migrate to form endoderm and mesoderm
Three germ layers
Ectoderm, mesoderm, endoderm
Ectoderm
Gives rise to skin and nervous system
Mesoderm
Forms muscle, bone, and blood
Endoderm
Forms gut lining and internal organs
Prenatal nutrition 1
Lipid droplets in egg cytoplasm
Prenatal nutrition 2
Uterine milk secreted by endometrium
Prenatal nutrition 3
Trophoblastic nutrition from decidual cells
Prenatal nutrition 4
Placental transfer of nutrients
Umbilical arteries
Two vessels carrying deoxygenated blood to placenta
Umbilical vein
Carries oxygenated blood to fetus
Chorionic villi
Fetal projections into maternal blood in placenta
Placental sinus
Space where maternal blood bathes chorionic villi
Lanugo
Fine, downy fetal hair
Vernix caseosa
Waxy coating protecting fetal skin
Meconium
First neonatal feces; black, tarry, made of bile, cells, amniotic fluid
Foramen ovale
Fetal heart shunt: right atrium → left atrium
Ductus arteriosus
Fetal shunt: pulmonary trunk → aorta
Ductus venosus
Bypasses fetal liver; blood to inferior vena cava
Neonate period
First 6 weeks post-birth
Neonatal adaptations
Cardiopulmonary changes, immune development, thermoregulation
Neonatal jaundice
Due to immature liver processing bilirubin
Premature infant weight
<5.5 lb or <2.5 kg
Respiratory distress syndrome (RDS)
Common in premature infants due to insufficient surfactant
Premature infant thermoregulation
Poor temperature control due to underdeveloped hypothalamus
Premature infant liver problems
Includes hypoproteinemia, edema, clotting issues, jaundice
Teratogens
Environmental agents that can cause birth defects