7. embryonic membranes and cavities and the placenta Flashcards

1
Q

what contributes the formation of extra-embryonic mesoderm?

A

trophoblast and yolk sac

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2
Q

Cavities form in the extra-embryonic mesoderm so that it forms a mesodermal lining of a new cavity known as

A

the chorionic cavity or extraembryonic mesoderm

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3
Q

The extra-embryonic mesoderm forms a layer which lines the chorionic cavity and contributes to 2 membranes:

A
  • Extra-embryonic mesoderm covers the amniotic epithelium and forms the amnion
  • Extra-embryonic mesoderm also lines the trophoblast to form the chorion.
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4
Q

What happens to the amniotic and chorionic cavity at week 4?

A

The amniotic cavity enlarges faster than the chorionic cavity and eventually oblierates it.

They eventually join, and the fetus floats in the fluid of the amniotic cavity

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5
Q

What happens to the chorion at week 6?

A

It becomes smooth (chorion laeve) at the abembryonic pole

becomes irregular (chorion frondosum) at the embryonic pole where the placenta is developing

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6
Q

which part of the uterine wall does the conceptus develop?

A

decidua basalis

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7
Q

what happens at week 8 to the uterine wall?

A

the expanding embryo begins to obliterate the uterine cavity.

the decidua capsularis eventually fuses with the decidua parietalis

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8
Q

What happens to the embryo and cavities at month 3

A

the embryo floats in the expanded amniotic cavity (hold 1 litre of fluid per term)

the uterine cavity has obliterated

decidua capsularis has fused with decidua parietalis

amnion and chorion have formed the amniochorionic membrane

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9
Q

What happens with regards to placenta formation in days 9-11

A

The blastocyst is further embedded in the endometrial stroma and the penetration site is plugged by a fibrin clot

Lacunae form in the syncytiotrophoblast at the embryonic pole

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10
Q

day 12-13 placenta formation

A

cytotrophoblast mitosis produces a multinucleated syncytiotrophoblast which further invades the endometrium

this erodes and plugs maternal vessels and when the plugs remove (12 weeks) a functioning uteroplacental circulation is established

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11
Q
A
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12
Q

placenta formation day 16

A

villi of fetal origin grow into blood-filled lacunae ad these come to develop fetal blood vessels which connect with umbilical arteries and veins

allows gas exchange (but not exchange of blood)

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13
Q

week 3-4 of placenta formation:

where does exchange of gases take place

A

through branches of the stem villi which float in the intervillous spaces

other villi anchor vessels in place

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14
Q

week 3-4 placenta formation:

what does the feto-maternal barrier initially consist of:

A
  1. syncytiotrophoblast
  2. cytotrophoblast
  3. mesoderm
  4. endothelium of fetal vessels

it is of FETAL origin

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15
Q

where does the placenta develop

A

region of decidua basalis

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16
Q

fourth month: what happens to the germ layers

A

cytotrophoblast and mesoderm regress

syncytiotrophoblast and endothelium is left between fetal and maternal blood

17
Q

Primary stem villi

A

week 2 when placental villi first form

core of cytotrophoblast layer covered by a layer of syncytiotrophoblast

18
Q

secondary stem villi

A

developed core of extra-embryonic mesoderm inside 2 trophoblast layers

19
Q

tertiary villi

A

developed fetal blood vessels within mesodermal core

20
Q
A
21
Q

The intervascular barrier

A

tissue layers between maternal and fetal bloods

22
Q

First trimester:

what does the barrier consist of

A
  • villi is few but large
  • central fetal vessels (small exchange surface and large distance)

—a layer of syncytiotrophoblast,

—a complete layer of cytotrophoblast,

—substantial mesoderm

—the endothelium of fetal vessels

23
Q

Third trimester:

what does the barrier consist of

A
  • villi are numerous and small
  • with peripheral fetal vessels (so exchange surfaces are large and distances small)

— the syncytiotrophoblast layer

—isolated cytotrophoblast cells

—little mesoderm

—the endothelium of fetal vessels

24
Q
A
25
Q

describe the placenta at term (9months)

A
  • discoidal (15-25cm) weighs 450-600g
  • maternal aspect divided into 15-20 cotyledons
  • maternal blood enters via cotyledons with spiral arteries and leaves by uterine veins
  • the intervascular barrier is mainly syncytiotrophoblast and vascular endothelium
  • large SA but is thin