Fertilisation and placental development Flashcards

1
Q

Fertilisation and beyong

A

Sperm and ovum meet in fallopian tube 12-24 hours after ovulation

Fusion occurs and 2nd meiotic division occurs

Acrosome reaction makes ovum impermeable to other sperm

End- zygote- has diploid (46 chromosomes )

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2
Q

Stages from zygote to blastomere

A

Zyogte

2 cell stage

4 cell stage

8 cell stage

Morula (72 hours)

Blastocyst (4 days)

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3
Q

Days 4-5

A

The morula develops cavity and becomes blastocyst

Blastocysts thins out and becomes the trophoblast- start of the placenta

The rest of the cells move for form the inner cell mass- creates embryonic pole

The blastocyst has now reached the uterine lumen and is ready for implantation

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4
Q

Day 6-7 Bilaminer disc of the embryo

A

Inner cell mass differentiates into two layers: epiblast and hypoblast

These two layers are in contact

Hypoblast forms extraembryonic membranes and the primary yolk sac

Epiblast forms embryo

Amniotic cavity develops within the epiblast mass

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5
Q

Dasy 16+

A

Bilaminar disc develops further forming 3 distinct layers (gastrulation)

Initiated by primitive streak

The epiblast becomes known as ecyoderm

The hypoblast is replaced by cells from the epiblast and becomes endoderm

The epiblast gives rise to the third layer the mesoderm

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6
Q

Embryo- the 3 germ layers

A

The hypoblast degenerates

The epiblast gives risk to all three germ layers

The embryo folds to create the adult pattern

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7
Q

Development of the placenta

A

Syncytiotrophoblast burrows into the myometrium of the uterus

The syncytiotrophoblasts invading the maternal spiral arteries and starting the formation of the primary/ secondary and tertiary villi

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8
Q

Formation of the placenta

A

Syncytiotrophoblast invades decidua (endometrium)

Cytotrophoblast cells erodes maternal spiral arteries and veins

Spaces (lacunae) between ten fill up with maternal blood

Followed by mesoderm that develops into foetal vessels

Aiding the transfer of nutrients, O2 across a simple cellular barrier

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9
Q

Cytotrophoblast cells

A

Undifferentiated stem cells

Invade the maternal blood vessels and destroy the epithelium

Give risk to syncytiotrophoblast cells

Reduce in number as pregnancy advances

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10
Q

Syncytiotrophoblast cells

A

Fully differentiated cells

Direct contact with maternal blood

Produce placental hormones

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11
Q

The placenta as an endocrine organ

A

Human chorionic gonadotrophin

  • maintenance of corpus luteum of pregnancy
  • progesterone and oestrogen

Human placental lactogen

  • growth, lactation
  • carbohydrate and lipid
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12
Q

Placental barrier

A

Maternal blood in the lacunar in direct contact with cyncytiotrophoblasts

Mono layer of syncytioptrpphoblast/ cytotrophoblast/ foetal capillary epithelium is all that separates the foetal and maternal blood

Cytotrophoblasts decrease as the pregnancy advances

The barrier thins as pregnancy advances leading to a greater surface area for exchange

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13
Q

Transfer across the placenta

A

Gases- oxygen and CO2 by simple diffusion

Water and electrolytes

Steroid hormones

Proteins poor- only by pinocytosis

Transfer of maternal antibodies IgG- starts at 12 weeks- mainly after 34 weeks therefore lack of protection for premature infants

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14
Q

Topographical names of parts of the decidua

A

Capsularis- overlying embryo and chorionic cavity

Parietalis- side uterus not occupied by

Basalis- between uterine wall and chorionic villae

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15
Q

Position of the placenta within the uterus

A

Mainly fundal

Anterior or posterior

Low lying or placenta praevia (near to the cervical os)

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16
Q

Placenta praevia

A

Massive bleeding in pregnancy

Painless bleeding

Foetal death

Maternal death

17
Q

Failure of trophoblastic invasion in to maternal circulation at 12 and 18 weeks

A

Poor maternal foetal mixing of blood

Lack of oxygen and nutrients to the foetus

Leads to foetal growth restriciton

Pre-eclampsia

18
Q

Placenta accreta

A

Placenta has invaded too deep into the myometrium and thus after birth the placenta cannot separate and stays within the uterus

As a consequence the uterus cannot contract down and massive bleeding can occur leading to the requirement to do a hysterectomy

19
Q

Placental abruption

A

Massive bleeding in pregnancy

Extremely painful

Foetal death

Maternal death