Placentation, Parturition & Lactation Flashcards

1
Q

List ways movement across placenta occurs

A
  1. Simple diffusion (gas - O2 & CO2)
  2. Facilitated diffusion (something is transported across placenta in a different form)
  3. Active transport (when something moves across the placenta in an unchanged form but requires energy)
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2
Q

Passive transport/simple diffusion across placenta

A

Water in by osmosis
Uric acid, urea, creatine out by osmosis (as healthy mother would have lower conc. than foetus)
Gas exchange

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3
Q

Facilitated diffusion

A

Glucose (main metabolic fuel for foetus)

Fetal blood sugar ~2/3 of maternal

Placenta also needs some glucose for itself

Some glucose is converted to glycogen and stored in placenta (readily available energy)

Some glucose is converted to lactate and transported across placenta as energy source

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4
Q

Active transport

A

Minerals - Fe, Cu, Ca, Mg
Against conc. gradient

Water soluble vitamins e.g. B & C

Some amino acids (foetus can only produce a few amino acids, the rest need to come from mother for protein synthesis and growth)

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5
Q

Blockage by the placenta

A

Maternal proteins (proteins cannot cross placenta) - foetus self synthesises proteins from amino acids

Lipids - most lipids are reconstituted by placenta then pass across in different form

Most maternal hormones are to big to cross placenta (e.g. insulin) - small hormones eg. oestrogen & other steroid hormones do pass placenta and is why newborns often have enlarged genitalia

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6
Q

Why does placenta take over progesterone production in some species?

A

Species with long gestation cannot maintain corpus luteum for that long so placenta takes over progesterone production

e.g. takes over at 3.5 months

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7
Q

How do oestrogen levels indicate foetal well being?

A

Oestrogen that the placenta produces is sourced from foetal androgens - healthy foetus produces a lot of androgens = high oestrogen levels

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8
Q

When does placental oestrogen production peak and why?

A

Production peaks pre-parturition - effects uterine quiescence

Causes smooth muscle contractions

Even though placenta is always producing oestrogen, progesterone levels are still high enough to block smooth muscle contractions

But just prior to parturition oestrogen levels produced by the placenta spike - causes smooth muscle contractions

Expels the foetus

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9
Q

Equine Chorionic Gonadotropin (eCG) in horses

A

Produced by the placenta - foetal placenta

Corpus lutea of pregnant mare produce high levels of progesterone

Levels then start to fall which is normally bad but in horses there is an extra surge of follicular growth That then turn into corpus lutea in the middle of their cycle

Means they get these accessory corpus lutea that start to produce progesterone

Whilst this is happening, the blastocyst has formed to stage where it is able to produce its own eCG

So in combination with this eCG and accessory corpus lutea, progesterone levels are high enough to maintain pregnancy until the end of gestation

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10
Q

Human Chorionic Gonadotropin (hCG) in humans/primates

A

Placenta takes over progesterone production at about 3.5 months

Surge in hCG during the period that placenta takes over progesterone production form corpus lutea

hCG is produced by blastocyst - has a role in maintaining corpus lutea for the amount of time needed for the placenta to take over and be able to produce enough progesterone

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11
Q

How is eCG used in reproductive technologies?

A

When eCG is injected into non-equine species is acts just like FSH - allows animals grow more follicles - produce more eggs and have more offspring

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12
Q

How is hCG used in reproductive technologies?

A

When hCG is injected into non-primates it acts like LH - induces ovulation

can be used to synchronise a herd - inseminate all in the one day

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13
Q

How does the foetus determine day of birth (list points)

A

Lack of space may induce a stress reflex

Cortisol is released

Parturition is initiated

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14
Q

How does the mother determines the time of day of birth

A

Circardian levels seem to influence birth timing

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15
Q

Parturition cascade

A

Foetus gets stressed because of lack of space

Cortisol is released

This then causes the production of a whole lot of enzymes that start to convert progesterone into oestrogen = this is the KEY event that cortisol triggers that brings about parturition

Oestrogen interrupts uterus quiescence

Progesterone levels must fall quickly and oestrogen levels must rise quickly to cause sudden activity and contractions - this is why progesterone is converted into oestrogen instead of being produced separately - much faster response

In species where corpus lutea are still present - luteolysis will occur at the same time that P4 is converted to oestrogen - stops production of P4

Placenta switches from making progesterone to making oestrogen

Oestrogen causes contractions

This puts more pressure on the foetus and causes the cervix to be stimulated

This feeds to pituitary and causes the release of oxytocin

Oxytocin causes strong muscle contractions - puts even more pressure on cervix - stimulates more release of oxytocin - more pressure (positive feedback loop) = really fast increase in pressure that is being put on the foetus to push it through the tract

At the same time oestrogen is causing secretions of the female reproductive tract to keep it lubricated

Cortisol is also causing an increase in the amount of PGF2 alpha - causes the breakdown of corpus luteum (progesterone source)

PGF2alpha also causes myometrium contractions

PGF2alpha also causes the release of the hormone relaxin - which relaxes the pelvic ligaments so that the pelvis can expand and expel the foetus

All these hormones work individually and in a positive feedback loop together to cause contractions

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16
Q

Stages of parturition

A

First stage:
Uterine contractions
Cervix dilates
Vulva swells

Second stage:
Foetus expelled through the birth canal

Third stage:
Placenta is expelled

After the birth:
Production of colostrum
Involution of the uterus

17
Q

Why does the placenta need to remain in place until the foetus is expelled?

A

Because it is there to make sure that the foetus gets out safely whilst maintaining the foetus during that transit period

18
Q

Milk contains

A

Fat, protein, carbohydrates, vitamins, minerals & immunoglobins

Plus whatever else is in maternal blood ;
Hormones
Toxins
Viruses

19
Q

Milk secretion

A

Refers to movement of milk from milk producing epithelial cells to alveoli

Under hormonal control (not nervous!)

Milk production stops after removal of anterior pituitary

20
Q

Species differences in milk secretion

A

Differences in which hormones are required:

Rat - Prolactin & ACTH

Rabbit - prolactin

Goat & sheep - prolactin, growth hormone, ACTH and thyrotropin

Cattle - prolactin & growth hormone

21
Q

Milk ejection

A

Neuroendocrine pathway

Foetus suckles

Indicates to brain to release oxytocin from posterior lobe of pituitary

Oxytocin travels through circulation to mammary glands

Causes myometrial contractions of muscle baskets surrounding alveoli - squeezes milk out into ducts and into offspring

22
Q

Functions of placenta (3 fold rule)

A

Pregnancy maintenance

Mammary gland development in conjunction with Cl producing progesterone

Foetal nourishment