Pregnancy & Parturition Flashcards

1
Q

Describe the difference between maternal recognition & implantation.

A

-maternal recognition = blocks luteolysis 12-16d
-implantation = placentation occurs - blastocyst hatches & embryo attaches to the wall of the uterus (endometrium) 15-20d *longer in mares due to capsule

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2
Q

Describe the extraembryonic membranes of the placenta & its functions.

A

Extraembryonic membranes:
1. Trophoblast (chorion) - external placenta
2. Mesoderm (umbilical cord, allantois)
3. Ectoderm (amnion)

Functions:
-protection, nutrition, respiration, excretion, hormone production

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3
Q

Describe the fetal membrane layers.

A

*yolk sac = nutrition & sex diff
1. Amnion = fluid, imp for mechanic protection, hydration, temp, movement
2. Umbilical cord = nutrition of embryo & secretion
3. Allantois = collect secretion from embryo & gas exchange
4. Chorion = outermost layer of placenta that attaches to uterus - nutrition of the embryo

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4
Q

Describe the placental development.

A
  1. Pre implantation
    -embryonic cells diff in ICM & trophoblast
  2. Implantation
    -blastocyst hatches & loses ZP
    -trophoblast cells invade endometrium
  3. Post implantation
    -circulation
  4. End of pregnancy
    -reduced exchange between maternal & fetal circulation = parturition & placental delivery
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5
Q

Describe the fetal & maternal components of the placenta.

A
  1. Fetal = chorion
    -fetal blood capillaries
    -fetal CT
    -fetal chorionic epi
  2. Maternal = endometrium
    -maternal blood capillaries
    -uterine CT
    -uterine epi
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6
Q

Describe the classification of placentation. (4)

A
  1. Source of vascular supply
  2. Contact/intimacy of attachment
  3. Distribution of villi to endometrium
  4. Degree of involvement of fetal & maternal tissues
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7
Q

Describe the source of vascular supply.

A
  1. Chorio-vitelline
    -yolk fuses with chorion
    -yolk develops & allantois regresses
    -kangaroo
  2. Chorio-allantoic
    -allantois fuses with chorion
    -yolk regress & allantois develops
    -mammals
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8
Q

Describe the intimacy of attachment. (3)

A
  1. Adeciduate
    -implantation is superficial = NO BLEEDING
    -pig, horse, cattle
  2. Deciduous
    -intimate implantation
    -no uterine epi
    -man, rabbit, dog, cat
    -BLEEDING
  3. Contra-deciduate
    -implantation intimate
    -PLACENTA NOT DELIVERED
    -moles
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9
Q

Describe the distribution of villi.

A
  1. Diffused
    -villi scattered on the surface of the chorion
    -mare, pig
  2. Cotyledonary
    -villi in isolated patches
    -ruminants
  3. Zonary
    -villi in a band encircling blastocyst/chorion sac
    -carnivores
  4. Discoidal
    -villi in one or two discoidal areas
    -mouse, rat, rabbit, monkey, people
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10
Q

Describe the degree of involvement of fetal & maternal tissues.

A
  1. Epitheliochorial
    -intact membrane
    -trophoblast/chorionic & uterine epi close contact
    -horse, pig, marsupial, camelids
  2. Syndesmochorial
    -fetal/maternal syncytium
    -uterine epi destroyed & chorionic villi contacts CT of uterine wall
    -ruminants
  3. Endothelio-chorial
    -uterine epi & CT destroyed so chorionic villi contacts endothelium of maternal blood
    -dog & cat
  4. Hemo-chorial
    -uterine epi, CT, endothelium destroyed & chorionic villi bath in maternal blood
    -human, mouse
  5. Hemo-endothelial
    -fetal capillary lie in maternal blood
    -rabbit
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11
Q

Describe placentation in bovine, equine, & canine.

A
  1. Bovine
    -cotyledonary
    -chorioallantoic *
    -epitheliochorial
    -syndesmochorial
    -adeciduate
  2. Equine
    -diffuse
    -chorioallantoic *
    -epitheliochorial
    -villous
    -adeciduate
  3. Canine
    -zonary
    -chorioallantoic *
    -endotheliochorial
    -deciduate
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12
Q

Describe the hormones of the placenta.

A
  1. P2 = preg
  2. E2 = develop placenta & baby organs
  3. Relaxin = body prepares for delivery by loosening muscles & ligaments of pelvis
  4. Placental lactogen = regulate metabolism, glucose, amino acid, lipid metabolism in mom, mobilize nutrients for transport to fetus
  5. Chorionic gonadotrophins (primates) = luteotrophic hormone for maternal recog of preg
  6. Prolactin = breast tissue/milk
  7. ECG = made by endometrial cups to make secondary/accessory CL
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13
Q

Describe endometrial cups.

A

-allantoic pouch
-migrate chorionic girdle into maternal endometrium
-day 35
-make eCG
>detectable day 35
>peak day 60
>gone day 100-150 (disappear due to embryo & moms immune system)
*eCG similar to LH & FSH

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14
Q

Describe fetal-placental progestin in horse, cattle, dog.

A
  1. Horse
    -similar to P4
    -appear day 40
    -increase until day 300
  2. Cattle
    -CL major source of P4
    -placenta makes estrogens
  3. Dog
    -ovaries make P4
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15
Q

Describe the role of P4 in pregnancy.

A
  1. Placental development & function
  2. Myometrial quiescence
  3. Cervical closure
  4. Immune mediation
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16
Q

Describe fetal placental estrogens.

A

-fetal gonads make androgens -> androgen aromatized to estrogen in placenta
*equine specific

17
Q

Describe relaxin in cow VS mare.

A

Mares
-made by CL & placenta
Cow
-made only by CL

18
Q

Describe the physiology of parturition.

A

-activation of fetal hypothalamic-pitutary-adrenal axis
>increase oxytocin & PGF
>fetal hypoxemia & size
-CRH -> ACTH -> cortisol
-fetal maturation (lung, kidney, brain) = high cortisol
-switch in P4:E2 ratio
-prostaglandin/oxytocin by placenta/uterus
-relaxin/estrogen soften ligaments & cervical ripening

19
Q

Describe the phases of parturition.

A
  1. Relax pelvic lig, dilation of cervix, vag, vulva
    -fergusson reflex = pressure on cervix by fetus
  2. Expulsion of fetus
  3. Fetal membrane delivery
20
Q

Describe the transition from intrauterine to extrauterine.

A
  1. Respiration = lung adaptation
    -clear lung fluid, surfactant secretion, consistent breaths
  2. Circulatory = removal of low pressure placenta
    -CVS response via change in blood flow, pressure & pulmonary vasodilation
  3. Thermoregulation & energy metabolism control