Packet 29 Flashcards
Prior to ovulation, completely different hormones are at play; ______surges approximately a day before egg release
luteinizing hormone
from day 8 until 4 months secretes hCG which keeps corpus luteum active
corpus luteum produces progesterone & estrogen to maintain lining of uterus
chorion
keeps corpus luteum active
hCG
produces progesterone & estrogen to maintain lining of uterus
corpus luteum
by 4th month produces enough progesterone & estrogen that corpus luteum is no longer important
relaxin which relaxes CT of pelvis and cervix
human chorionic somatomammotropoin (hCS) or human placental lactogen (hPL)
maximum amount by 32 weeks
helps prepare mammary glands for lactation
corticotropin-releasing hormone (CRH) increases secretion of fetal cortisol (lung maturation) & acts to establish timing of birth
placenta
by 4th month produces enough progesterone & estrogen that corpus luteum is
not important
relaxes CT of pelvis and cervix
relaxin
maximum amount by 32 weeks
helps prepare mammary glands for lactation
human placental lactogen (hPL)
increases secretion of fetal cortisol (lung maturation) & acts to establish timing of birth
corticotropin-releasing hormone (CRH)
produced by the chorion is less important after 4 months, because the placenta takes over the hormonal secretion of the corpus luteum
Human chorionic gonadotropin (hCG)
Uterus nearly fills the abdominal cavity
GI tract compressed causing heartburn & constipation
Pressure on bladder causing changes in frequency & urgency
Compression of vena cava causing varicose veins & edema in the legs
Compression of renal vessels causing renal hypertension
maternal changes during pregnancy
rise in cardiac output of 20-30% due to placenta
increase in heart rate 15% & increase in blood volume 30-50%
cardiovascular changes
increase in tidal volume 30%
decrease in expiratory reserve volume & airway resistance
minute respiratory volume increases as O2 needs increase
respiratory changes
uterus increases in size from 80 g to 1200g
hyperplasia and hypertrophy
reproductive system changes
increase in glomerular filtration rate of 40%
urinary system
giving birth
paturition
is the process of expelling the fetus
labor
Labor begins when progesterone’s inhibition is overcome by an
on test
increase in the levels of estrogen
inhibits uterine contraction
progesterone
placenta stimulates fetal anterior pituitary which causes fetal adrenal gland to secrete
dehydroepiandrosterone (DHEA)
placenta converts DHEA to
estrogen