pregnancy and placenta Flashcards

1
Q

trophoblast develops into placenta

A

splits into two layers
syncytiotrophablast
cytotrophoblast

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2
Q

syncytiotrophoblast

A

direct contact with maternal blood

outer layer of multiple fused trophoblast cells

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3
Q

cytotrophoblast

A
inner layer with several specialised functions:
proteolytic enzyme secretion 
endometrial invasion 
villous formation 
angiogenesis
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4
Q

placenta praevia

A

placenta lies close to/across cervical os
presents with bleeding during pregnancy
normally painless

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5
Q

placental abruption

A

bleeding in plane between the placenta and uterus
normally painful
bleeding can be revealed (tracks down to cervix) or concealed(contained behind placenta)

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6
Q

prolapsed cord

A

cord bulges through cervix when membranes rupture

metal head compresses cord during contractions cutting off umbilical flow

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7
Q

pre-eclampsia

A
complex disease originating in placenta that leads to multiple problems for mother and baby 
placental vessels fail to develop normally
placental perfusion inadequate 
interpreted as shock from blood loss 
vasoconstricting substances released 
maternal:
hypertension 
fluid retention 
renal damage etc
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8
Q

congenital rickets

A

due to vit D deficiency

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