Reproduction 2- Fertilisation, placenta and pregnancy Flashcards

1
Q

When must sperm be introduced in order for pregnancy to occur? Why is this?

A

Between 5 days before and 1 day after ovulation- sperm remain capable of fertilisation for up to 4-6 days and ovulated egg viable for 24-48 hours

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2
Q

How does the egg get moved into the fallopian tube? How many days for egg to move into the uterus from tube?

A

Smooth muscles of fimbriae causes them to pass over ovary while cilia of fimbriae beat waves towards interior of tube
4 days

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3
Q

Why is sperm mortality extremely high during trip rom vagina to fallopian tube?

A

Vagina is acidic- protection against yeast and bacterial infections, length and energy requirements large, so more released to increase chance of fertilisation

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4
Q

What is capacitation in relation to spermatozoa? What does this cause?

A

Final maturation in female genital tract before gain ability to fertilise the oocyte
Previous wavelike beats to be replaced by a more whiplike action that will propel sperm forward in stronger surges
Sperms plasma membrane becomes altered so it will be capable of fusing with surface membrane of egg

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5
Q

Where does fusion of the sperm and egg occur in the fallopian tube? What do many sperm bind to on zona pellucida? What protein? This binding triggers what?

A

At the ampulla
Glycoproteins- receptors for sperm surface proteins
ZP3 protein
The acrosome reaction

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6
Q

How is polyspermy blocked after fertilisation? What reactions is also initiated? This involves what?

A

Egg membrane potential is changed- prevents additional sperm from binding
The Cortical reaction- exocytosis of secretory vesicles into space between ZP and egg plasma membrane. Contain enzymes to inactive sperm binding receptors and causes hardening of entire zona pellucida

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7
Q

2 sets of haploid chromosomes each surrounded by distinct membrane known as what? What happens to these?

A

Pronuclei- equal in size and contain nucleoli
Migrate to centre of cell- haploid chromosomes pair up and DNA replication occurs in preparation for 1st mitotic division.
Pronuclei membranes break down and mitotic metaphase spindle forms

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8
Q

When does cleavage occur? Zygote remains in tube for how long? Why is this?

A

Day 2-3 of fertilisation
3-4 days
Oestrogen maintains contraction of smooth muscle where tube enters uterus- as progesterone increase, this relaxes

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9
Q

What is cleavage? What occurs during this? Each cell has what feature?

A

Number of mitotic divisions
No cell growth occurs, increase in cell numbers
Totipotent

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10
Q

What happens during compaction? On what day? Why is this essential?

A

Cells flatten and maximise intracellular contacts resulting in tight junctions forming and outer cells polarise
Day 4
To be able to differentiate quickly

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11
Q

When does cavitation and differentiation occur? What happens during this? Consists of what 3 things? How many cells? Don’t have quality anymore?

A
Day 5 
Fluid filled cavity--> blastocyst
Outer cell layer- trophoblast, inner cell mass and central fluid filled cavity 
More than 80 cells 
Lost totipotentiality
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12
Q

When does expansion occur? What happens during this?

A

Day 5-6

Cavity expands further, diameter of blastocyst increases and zona pellucida thins

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13
Q

When does hatching occur? What occurs during this? Needed for what?

A

Day 6+
Blastocyst expansion and enzymes result in embryo hatching from zona pellucida
Implantation

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14
Q

When does implantation occur? Embryo reaches uterus on day what? What happens during apposition? When does this occur?

A

21st day of cycle
Day 5/6
Hatched blastocyst orientates via embryonic pole and synchronises with receptive endometrium- 9 days after fertilisation

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15
Q

What happens during attachment of fertilisation?

A

Endometrial epithelial cells and trophoblastic cells express integrins which connect with one another

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16
Q

What does the trophoblast differentiate into? What occurs during invasion? During decidual reaction?

A

Cytotrophoblast and syncitiotrophoblast (erodes endometrial blood vessels- using proteolytic enzymes)
Enzymatic degradation of the basal lamina
Stromal cells differentiate adjacent to blastocyst

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17
Q

Secretion of what substance prevents antigenic rejection of the embryo? What cells are able to provide metabolic fuel and raw materials required for the early growth of the embryo?

A

Interleukin-2

Nutrient-rich endometrial cells

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18
Q

How long can the endometrial cells provide the embryo for? When does the placenta begin to develop? By what day is this implantation complete?

A

The first few weeks when the embryo is very small
At blastocyst implantation
By the 11th day post ovulation

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19
Q

The outer cell layer of the blastocyst forms from what? The TCM then does what?

A

Primary trophoblastic cell mass (TCM)

Invades the endometrium which degenerates and the trophoblast contacts stroma

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20
Q

The embryonic portion of the placenta is supplied by what cells? What extend from the chorion into the endometrium? They contain what? The endometrium around the villi is altered by what?

A

The outermost layers of trophoblast cells- the chorion
Chorionic villi
Rich network of capillaries that are part of the embryo’s circulatory system
Enzymes and other paraffin molecules secreted from the cells of the invading villi- each villus surrounded by placental sinus of maternal blood

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21
Q

Maternal blood enters placental sinuses via what artery? Exits via what? Simultaneously blood flows from foetus into where? Umbilical vessels are contained in what structure?

A

Uterine artery
Uterine veins after going through sinuses
Capillaries of chorionic villi via umbilical arteries and back to foetus via umbilical vein
Umbilical cord

22
Q

The maternal portion of the placenta is supplied by what? This provides what for the foetus?

A

The decidua- uterine lining forming maternal part of placenta underlying the chorion
Nutrition, gas exchange, waste removal and endocrine and immune support

23
Q

The placenta synthesises what? It transports what?

A

Glycogen, cholesterol and fatty acids–> nutrients and energy
Gases and nutrition, O2 and CO2, water, glucose, vitamins, amino acids, hormones, electrolytes, maternal antibodies IgG and not IgM, waste products, drugs and their metabolites

24
Q

6 placental barriers to transport from maternal to foetus?

A

Maternal endothelial cells, maternal connective tissue, endometrial epithelial cells, chorionic epithelial cells, fetal connective tissue and fetal endothelial cells

25
Q

What has happened since 5 weeks after implantation? Space called what forms between inner cell mass and chorion whilst placenta develops?

A

Placenta= well established, fetal heart has begun to pump blood, mechanism for nutrient of embryo and foetus and excretion of waste products= in operation
Amniotic cavity

26
Q

The epithelial layer lining the amniotic cavity derived from where- called what? This fuses with what? Amniotic fluid resembles what?

A

Inner cell mass= called amniotic sac
The inner surface of the chorion= single combined membrane surrounds foetus
The fetal extracellular fluid- buffers mechanical disturbances and temp variations

27
Q

Throughout pregnancy, plasma concentrations of what increase? What does oestrogen do?

A

Oestrogen and progesterone
Growth of uterine muscle mass- contractile force for delivery, regulates progesterone levels, prepares breasts for feeding, induces synthesis of receptors for posterior pituitary hormone oxytocin

28
Q

What does progesterone during pregnancy? During first 2 months of pregnancy, almost all of oestrogen and progesterone supplied by what?

A

Inhibits uterine contractility so foetus not expelled prematurely, increases thickness of uterine lining to prevent miscarriage
Corpus luteum

29
Q

Persistence of corpus luteum due to what hormone? Produced by what? Gets into what?

A

hCG
Trophobloast cells around time begin endometrial invasion at day 7-8
Maternal circulation- test for pregnancy in plasma/ urine

30
Q

What does hCG do? Reaches peak when and rapidly decreases when?

A

Prevents degeneration of corpus luteum, stimulates secretion of oestrogen and progesterone from here, stimulates maternal ovaries to continue to secrete oestrogen and progesterone
Around 60-80 days after last menstruation- end of 3rd month reached low conc remains constant til end of pregnancy

31
Q

As hCG levels decrease, placenta begins to secrete what? Sharp increase in O and P during last 6 months due to what?

A

Large quantities of oestrogen and progesterone

The trophoblast cell of the placenta- the corpus luteum regresses after 3 months

32
Q

The placenta has enzymes needed to synthesise what but not what? Supplied with androgens via what? Converted into oestrogen by expressing what enzyme?

A

Progesterone but not androgens–> oestrogen
Maternal ovaries, maternal adrenal medulla, foetal adrenal medulla
Aromatase

33
Q

What happens to prolactin at the end of pregnancy? Produced where to do what? Release also controlled by what?

A

Increases due to decrease in oestrogen and progesterone
Anterior pituitary gland to produce milk and to prevent ovulation
Suckling

34
Q

Relaxin high during what stage in pregnancy? Produced by what? Helps to do what?

A

Early pregnancy= high
Ovary and placenta
Limit uterine activity, soften the cervix and involved in cervical ripening

35
Q

Increases at what stage in pregnancy? Oxytocin produced where and used to do what?

A

Throughout pregnancy but increases at end
Posterior pituitary gland- stimulates uterine contractions during pregnancy and labour
Triggers reproductive behaviours
Drug used to induce labour

36
Q

Main 2 types of prostaglandins? Produced by what? Initiates what?

A

PGF2a, PGE2= 10 times more powerful
Uterine tissues
Labour

37
Q

Physiological changes during pregnancy?

A

Increased cardiac output, reduced systemic blood pressure, reduced total peripheral resistance, increased uterine blood flow, increased blood volume, increased plasma and blood cell mass

38
Q

Resp changes in pregnancy? GI changes? Skin changes? Biochemical changes?

A

Increased alveolar ventilation
Increased acid reflux and gastroparesis
Linea nigra- dark central line on abdomen
Striae gravidarum- stretch marks in lumbar/ lower abdominal regions
Darkened areolar of breasts
Weight gain- skinny women more as don’t have fat stores to supply energy for pregnancy
Increased protein and lipid synthesis, insulin resistance

39
Q

Throughout most of pregnancy the smooth muscle cells of myometrium are what? Feature is maintained mainly by what hormone?

A

Relatively disconnected from each other

Progesterone

40
Q

What is parturition? During last few weeks, due to increasing oestrogen, smooth muscle cells synthesise what? These proteins do what?

A

Events that occur in the uterus and foetus in the last few weeks of pregnancy that culminate in delivery- successful transition intra-uterine—-> extra-uterine life
Connexins- form gap junctions between cells, allow myometrium to undergo coordinated contractions

41
Q

What is cervical ripening? Process accelerates during last 3 months why? During pregnancy, uterus is sealed what what at its outlet? Maintained by what hormone?

A

Growth and remodelling of the cervix prior to labour
Due to presence of oestrogen
By firm, inflexible collagen fibres that constitute the cervix
Mainly progesterone

42
Q

In last few weeks of pregnancy, at same time as connexions forming, cervix becomes what? Synthesis of these enzymes mediated by what? Relaxin produced by where to do what?

A

Soft and flexible- due to an enzymatically mediated breakdown of its collagen fibres
Oestrogen, placental prostaglandins- PGE, relaxin- ovaries, placenta, uterus–> softens cartilaginous joints in pelvis in prep for labour

43
Q

During prelabour, what thing increases? Maternal signal during prelabour? Foetal signal? PGF2a enhances action of what?

A

Prostaglandins
Maternal signal: oxytocin, foetal signal: oxytocin, vasopressin, cytokines
Oxytocin

44
Q

Increased pressure on cervix stimulates release of what? Contraction is of what in myometrium?

A

Prostaglandins

Actomyosin

45
Q

Labour is initiated by increased what? At onset what also happens? Contractions occur how often and where?

A

PGFa–> enhances action of oxytocin–> myometrial contraction–> exert pressure on cervix and promotes further contraction
Amniotic sac ruptures and amniotic fluid flows through vagina
At 10-15 minute intervals, from upper portion of uterus sweeping downwards

46
Q

As contractions increase in intensity and frequency, cervix does what? 3 stages of labour?

A

It is gradually forced open to max diameter of around 10cm

Latent, active and postpartum phase

47
Q

During latent phase? During active phase?

A

Little cervical dilation- around 8 hours
Organised uterine contractions and dilation- around 5 hours, stronger higher frequency contractions, full dilation–> foetal expulsion (birth), placental expulsion

48
Q

Pregnancy defined as what?

A

Beginning not at fertilisation but after implantation is completely- approx 1 week after fertilisation

49
Q

Stages during menopause?

A

Depletion of primordial follicles- occurs at around 40 years
Decrease in follicular oestrogen production
Gradual increase in FSH and LH
Decline of inhibit–> further increase in FSH
Rapid increase in oestrogen from existing follicles–> shorter menstrual cycles
Increase in FSH no longer stimulates increase in oestrogen (at 6-12 months pre-menopause)
Decrease in oestrogen and lack of ova—> menopause

50
Q

Short term signs of pregnancy? Long term signs of pregnancy?

A

Hot flushes, sweats, palpitation, headaches, irritability, shorter menstrual cycle, altered blood loss, skin dryness
Vaginal dryness= painful intercourse, decrease in libido, hair loss/ thinning, diminished urethral seal and loss in compliance, general aches and pains