Placenta and Extraembryonic Membranes Flashcards
amnion summary
ectodermal derivative; forms a protective fluid-filled capsule around the embryo
allantois summary
endodermal derivative; associated with removal of embryonic wastes
extraembryonic mesoderm
bulk of umbilical cord
amniotic fluid
buffer against mechanical injury; accommodates growth, allows normal fetal movements and protects the fetus from adhesions;
dilute transudate of maternal placenta
two phases of amniotic fluid production
First 20 weeks of pregnancy: composition is quite similar to fetal fluids; fetal skin is unkeratinized and there is evidence that fluid and electrolytes are able to diffuse freely through embryonic ectoderm of skin; amniotic membrane secretes fluids
After first 20 weeks: increasing contributions from fetal urine, filtration from maternal blood vessels near the chorion leave; and filtration from fetal vessels in the umbilical cord and chorionic plate
fetal swallowing is important to turnover of amniotic fluid in the late pregnancy
yolk sac
extraembryonic endoderm lining; formed ventral to the embryo
small and devoid of yolk; remains vital to embryo although not for nutritive purposes; may play role in prevention of neural tube defects
endoderm of yolk sac is lined on the outside by well-vascularized extraembryonic mesoderm
primordial germ cells which arise in extraembryonic mesoderm near the base of the allantois become visible in yolk sac
extraembryonic mesoderm becomes organized into blood islands and cells differentiate into primitive blood cells
extraembryonic hematopoiesis
occurs in yolk sac until 6th week when blood forming activity moves to the intraembryonic sites like the liver
Meckel’s diverticulum
attachment site of yolk stalk becomes less prominent, but in some adults, traces of the yolk duct persist as a fibrous cord or outpouching of small intestine
allantois
hydramnios arises from pocketing of hindgut; in humans only retains secondary function;
blood vessels that differentiate fro the mesodermal wall of the allantois; form the umbilical circulatory arc
allantois is a cord of endodermal cells and is embedded in the umbilical cord
urachus=proximal part of allantois; continuous with forming urinary bladder; after birth is transformed into dense fibrous cord (median umbilical ligament) which runs from urinary bladder to the umbilical region
hydramnios
excessive amount of amniotic fluid (>2000 mL)
associated with multiple pregnancies and esophageal atresia or anencephaly (congenital anomaly characterized by gross defects of the head and often the inability to swallow)
oligohydramnios
too little amniotic fluid (
amniocentesis
removing a small amount of amniotic fluid by inserting a needle through the mother’s abdomen into amniotic cavity
culture fetal cells present in amniotic fluid and examine for various chromosomal and metabolic defects
alpha-fetoprotein
protein of central nervous system; high concentration in amniotic fluid is strong indicator of neural tube defects
lecithin-to-sphingomyelin ratio
assess the fetal maturity by reflecting the maturity of the lungs
erythroblastosis fetalis
Rh disease that can be assessed by examination of amniotic fluid
early stages of implantation
original trophoblast surrounding embryo differentiates into cytotrophoblast and syncytiotrophoblast
lacunae in the rapidly expanding trophoblast have filled with maternal blood and connective tissue cells of endometrium have undergone the decidual reaction (containing increased amounts of glycogen and lipids)
previllous embryo
trophoblastic tissues have no consistent gross morphological features
primary villi
cytotrophoblastic projections
secondary villus
mesenchymal core within the expanding villus; surrounding the core is complete layer of cytotrophoblastic cells and outside of that is the syncytiotrophoblast
tertiary villus
when blood vessels penetrate the mesenchymal core and newly formed branches (individual villi undergo considerable branching but most of them retain the same basic structural plan throughout pregnancy)
near 3rd week of pregnancy
allow embryonic blood to come close to the maternal blood without actually touching it
Msx2 and Dlx4
genes expressed at interface between the trophoblast and the underlying extraembryonic mesenchyme
often at sites of epitheliomesenchymal interactions
Gem-1
TF which promotes an exist from the cell cycle; expressed at branching points on the villi;
cytotrophoblastic cells on either side of the region of Gem-1 expression continue to proliferate
cytotrophoblastic cell column
terminal portion of the villus remains trophoblastic, consisting of a sold mass of cytotrophoblast; covered by relatively thin layer of syncytiotrophoblast
villus is bathed in maternal blood
cytotrophoblastic shell
local hypoxic environment causes cytotrophoblastic cell column to expand distally and penetrate the syncytiotrophoblastic layer; abut directly on maternal decidual cells and spread over them to form complete cellular layer