Embryonic membranes and cavities + placenta Flashcards

1
Q

Role of the extra embryonic mesoderm

A

(Occurs during week 2)
Forms a layer that lines the chorionic cavity and contributes to the formation of 2 membranes :

  • the amnion (amniotic epithelium + extra-embryonic mesoderm)
  • the chorion (extra-embryonic mesoderm + trophoblast)
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2
Q

Describe the development of the yolk sac

A

The primary yolk sac is derived from the hypoblast
The secondary yolk sac is from from the epiblast during gastrulation

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3
Q

Development of embryonic membranes and cavities during week 4

A

Amniotic cavity enlarges faster than the chorionic cavity and eventually obliterates it

The amnion and chorion join and the foetus is free to float in the amniotic fluid

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4
Q

Development of embryonic membranes and cavities during weeK 6

A

Chorion consists of trophoblast and extra-embryonic mesoderm up until this point

It now specialises and become :
Smooth (chorion laeve) at the abembryonic pole
Irregular (chorion frondosum) at the embryonic pile where the placenta is forming

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5
Q

Label this diagram of the decidua (differentiated endometrium)

A

1 decidua parietalis (uninvolved bit)
2 decidua capsularis (where embryo implants - between the blastocyst and uterine cavity)
3 decidua basalis (between the blastocyst and the musculature)

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6
Q

Name the areas of the uterus where the embryo should implant in

A
Decidua capsularis (in front and covering the embryo) 
Decidu basalis (behind embryo)
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7
Q

Main developments in week 8

A

Expanding embryo and its covering membranes begin to obliterate the uterine cavity

Decidua capsularis fuses with decidua parietalis

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8
Q

what are the lacunae ?

A

Cavities that form in the syncytiotrophoblast ; they eventually become the placenta

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9
Q

Development of embryonic membranes and cavities during month 3

A

Embryo floats in expanded amniotic cavity
Uterine cavity completely obliterated
Amnion and chorion have formed the amniochorionic membrane

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10
Q

Explain how uteroplacental circulation is established

A

Days 9-11 the penetration site is plugged by a fibrin clot

the lacunae become filled by maternal vessels ; plug is fully removed by 8-12 weeks

foetal villi grow into the lacunae and develop into fetal blood vessels which connect with the umbilical arteries/veins

this allows exchange of gases (but not of blood|)

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11
Q

Name the 4 components of the feto-maternal barrier

A
  1. Syncytiotrophoblast
  2. cytotrophoblast
  3. mesoderm
  4. endothelium of foetal vessels
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12
Q

Where does exchange between the foetus and mother take place

A

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

villi that extent from the edge of the embryo to the edge of the trophoblast anchor the vessels in place

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13
Q

Placental formation week 4 post fertilisation

A

Branching of stem villi into intermediate and terminal villi

septa bind cotyledon

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14
Q

How does exchange between the embryo and the mother occur during the first trimester

A

diffusion across the amnion rather than through villi as there are few if them and the vessels are central (so large diffusion distance)

nutrition provided mainly via the glands in the decidua

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15
Q

Exchange between embryo and mother 2nd and 3rd trimester

A

Mainly via the villi as diffusion across amnion not sufficient to meet metabolic demands

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16
Q

Describe the inter vascular barrier during the first trimester

A

Few large villi with central vessels

barrier comprised of:

layer of syncytiotrophoblast

complete layer of cytotrophoblast

substantial amount of mesoderm

endothelium of foetal vessels

17
Q

describe the intervascular barrier in the 3rd trimester

A

many small villi with peripheral fetal vessels

barrier now comprises of :

syncytiotrophoblast layer

isolated cytotrophoblast cells

little mesoderm

endothelium of foetal vessels