parturition Flashcards

1
Q

how does the corpus luteum get maintained after 8 weeks

A

the placenta maintains the corpus luteum

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2
Q

how is the corpus luteum sustained 8 weeks and below

A

hCG

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3
Q

if we removed ovaries before/after 10th week, would miscarriage occur

A

before 6th week: yes, because corpus luteum is where P4 made and keeps P4 levels up

after 15th week: prob not, placenta makes its own P4

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4
Q

is it possible to get pregnant a second time while already pregnant (20 weeks in)

A

no, increase in P4 and E2 which feedbacks on CNS, ARC doesn’t get activated, no tertiary follicles, no LH/FSH

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5
Q

what is the function of P4 during pregnancy

A

-feeds back to keep LH/FSH low
-keeps uterine lining in tact
-prevents contraction of uterine smooth muscle

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6
Q

what is the function of E2 during pregnancy

A

feeds back to keep LH/FSH low

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7
Q

what 2 hormones does the placenta release

A

-human placental lactogen (hPL)
-relaxin

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8
Q

what does human placental lactogen (hPL) do

A

increases blood sugar; aids in preparation of milk production

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9
Q

what does relaxin do

A

connective tissue of symphis pubis (where hip bones meet) and cervix; relaxes smooth muscles of uterus

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10
Q

what do GABAa receptors do

A

gets Cl- ions in the cells, more likely to fire action potentials

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11
Q

what does activation of GABAa receptors do

A

hyperpolarizes neurons (less likely to fire APs)

numbers can be modified by cell

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12
Q

what activates GABAa receptors in the hippocampus

A

allopregnanolone (P4)

made in placenta –> goes in bloodstream –> into brain —> less excitability

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13
Q

when P4 levels rise, number of GABAa subunit receptors go down proportionally. why?

A

-when P4 levels fall (at birth), expression of GABAa subunit must increase proportionally
-need to maintain neuron excitability

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14
Q

what would happen if the expression of GABAa subunit did not increase sufficiently after birth

A

postpartum depression

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15
Q

what hormone stimulates the initiation of labor

A

increasing CRH from placenta

positive feedback loop: increase of cortisol, increases CRH

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16
Q

what does CRH do

A
  1. stimulates ACTH pathway in fetus
  2. stimulates release of prostaglandins (PG)
17
Q

what do you expect would happen to a labor and delivery if there were low levels of CRH produced by placenta

A

early labor

18
Q

how does estrogens contribute to parturition

A
  1. stimulate expression of oxytocin receptors (OXTR)
  2. stimulates release of prostaglandins (PG)
  3. soften collagen of the cervix in preparation for delivery
19
Q

how does P4 contribute to contractions

A

-inhibits synthesis of PG and receptor expression for Oxy
-change in estrogen:P4 ratio is responsible for net activation of contraction

20
Q

what would happen if a P4 antagonist (blocker) were administered to someone who is 39 weeks pregnant

A

initiate labor and delivery

21
Q

what do prostaglandins do

A

initiate smooth muscle contraction

22
Q

what does oxytocin do

A

increases strength of contraction

23
Q

where is EP1 expressed

A

in fundus (upper) uterus

24
Q

where is EP2 expressed

A

lower portion (nearest cervix)

25
Q

what does EP1 activate

A

IP3 pathway in smooth muscle cells

26
Q

what does EP2 activate

A

cAMP pathway in smooth muscle

27
Q

what would happen to induction of labor if we administered ibuprofen

A

delay a little

28
Q

what are the 3 stages of delivery

A
  1. cervical effacement and dilation
  2. expulsion
  3. expulsion of placenta
29
Q
A