TEST 3 REPRO THEORY Flashcards
ovaries
oval-shaped organs, lies in ovarian fossa
ligamentous
supports ovarian and suspensory ligaments
ovarian ligaments
connects ovary to uterus
suspensory ligaments
connects ovary to pelvic wall - carries blood supply (ovarian artery and vein) to ovary
ovaries functions
produce gametes and secretes hormones - oestrogen (B.O) and progesterone (A.O)
fallopian tubes
infundibulum (funnel-shaped with fimbriae), ampulla (widest - fertilization), isthmus, intramural
fallopian tubes functions
pick up ovum (fimbria), fertilization, passage and nourishment (for ovum, sperm and embryo)
uterus
fundus, body, isthmus, cervix
layers of the uterus
endometrium, myometrium and perimetrium
uterus functions
nutrition support, accommodation for fetus and contracts during labour
cervix functions
passage for sperm, menses, cervical plug, holds tight during pregnancy
vagina
elastic muscular tube; 9-10 cm in length; 45 degrees angle backwards
vagina lined by
stratified squamous epithelium; has acidity –> glycogen digested by the lactobacillus
breast
internal - glandular tissue (oxytocin - ejection of milk and prolactin - secretion of milk)
reproductive cycles
menarche, reproductive years, menopause
preovulation, ovulation, postovulation
menarche
onset of menstruation - only 400,000 follicles in ovary
reproductive years
from puberty till menopause where monthly one follicle matures to release ovum
menopause
cessation of menstruation - all follicles used up
preovulation
menstrual phase (uterus): shedding of functional layer
follicular phase (ovary): GnRH –> FSH –> grow follicle (growing follicle –> oestrogen)
proliferative (uterus) - oestrogen –> proliferate the functional endometrium
ovulation
LH surge –> graafian follicle to release ovum; remnant of follicle –> corpus luteum
postovulation
Luteal phase (ovary) - LH maintains corpus luteum in ovary secretes progesterone.
Secretory phase (uterus) – progesterone maintains the lining for implantation.
hormones
GnRH (Gonadotropin releasing horomones), FSH (follicle stimulating hormone), LH (luteinizing hormone), HCG (human chorionic gonadotropin)
GnRH
Gonadotropin releasing hormones from hypothalamus- Stimulates pituitary to release FSH and LH
FSH
FSH from pituitary (Follicle stimulating hormone) - Stimulates follicle in ovary –> growing follicle –> oestrogen
LH
LH from pituitary (Luteinizing hormone) -Stimulates corpus luteum in ovary –> Corpus luteum –> Progesterone
HCG
HCG (Human Chorionic Gonadotropin) - secreted by placenta; tested for pregnancy in urine
testes
divided into compartments with seminiferous tubules which has sustentacular, interstitial cells and spermatogonia
sustentacular
sertoli cells - nourish developing sperms
interstitial
leydig’s cells - produce testosterone
spermatogonia
produce sperms/ spermatozoa, sperm- head, acrosomal cap, midpiece (mitochondria), tail
epididymis
7m, continues as vas deferens
epididymis functions
storage and maturation of sperms
vas deferens
40cm long, Starts from tail of epididymis –> ascends through inguinal canal –> curves behind bladder & arches over ureters –> joins with seminal vesicle to form ejaculatory duct and ends in prostatic urethra.
vas deferens functions
stores sperms and propels sperms via peristalsis
spermatic cord
vas deferens, testicular artery, lymphatics / nerves and pampiniform plexus
prostrate
Sits on neck bladder encircles prostatic urethra which receives ejaculatory duct
prostatic fluid
- is alkaline and makes 30% of volume of semen
- contains seminal plasmin (antibiotic), prostatic specific antigen (keeps semen in liquid form)
seminal vesicles
elongated tubular glands, located behind bladder
seminal vesicles function
produces seminal fluid
seminal fluid
60% of semen volume - mild alkaline
Has fructose (nourishes sperm), prostaglandins and fibrinogen (clots the semen after ejaculation)
Semen content: Sperm 2 – 5 %; seminal fluid 60%; Prostate 30%; Bulbourethral gland 1- 5%
penis
3 columns of erectile tissue: 1 corpus spongiosum has urethra and 2 corpora cavernosa (erection)
fertilisation
Process of union of haploid male & female gametes
Fertilization occurs usually within 12 - 24 hours after ovulation
Stages: zygote –> 2 cell stage –> 4 cell stage –> morula –> blastocyst
implantation
By day 6- 7 –> Blastocyst formed reaches and implants in endometrium (fundus)
Blastocyst has an inner cell mass (embryoblast –> embryo) and an outer cell mass (trophoblast –> placenta)
placenta
temporary organ that develops in uterus during pregnancy
placenta surfaces
fetal and maternal
fetal surface
glistening appearance with umbilical cord attached in the centre
maternal surface
meaty appearance, has 20 lobes /cotyledons (contain chorionic villi)
umbilical cord
50cm; connects fetus to placenta
umbilical cord contains
2 umbilical arteries, 1 umbilical vein (oxygenated blood) and Wharton’s Jelly
ectopic pregnancy
Implantation of blastocyst occurs outside the uterus
possible implantation sites for ectopic pregnancy
Fallopian tubes, ovary, cervix and peritoneal cavity
maternal changes in uterus during pregnancy
Increase in size (pelvic organ to abdominal organ), weight (1000g)
Displaces intestines, pushes up diaphragm, widens thorax and compresses ureters & bladder
Cervix – softening and formation of cervical plug
Vagina – hypertrophy and increased shedding-> vaginal discharge
maternal changes in haematological changes during pregnancy
RBC and WBC production increases and physiological anaemia
Clotting factors increase –> increased risk of DVT
maternal changes in heart during pregnancy
Increase slightly in size; Increase in heart rate and cardiac output
maternal changes in respiratory aspect during pregnancy
increases thoracic circumference and increased respiratory rate
maternal changes in GI system during pregnancy
Progesterone causing smooth muscle relaxation –> causes decreased peristalsis, constipation, reduced tone
of oesophageal sphincter- reflux, nausea vomiting.
maternal changes in renal system during pregnancy
increases in renal plasma flow (increases urine)and GFR
maternal changes in abdomen during pregnancy
Everted umbilicus, Linea nigra (hyperpigmentation), striae gravidarum (stretching of collagen)
maternal changes in breast during pregnancy
Enlarges (under influence of prolactin)
- relaxation and increased mobility of joints, flushed skin, leg swelling and weight gain (< than12kg)
female pelvis
3 types: gynaecoid (most common), anthropoid, android, platypelloid
labor
Process of expulsion of products of conception from uterus to the exterior
false labor
Irregular, not persistent contractions (Braxton Hicks contractions); Occurs in third trimester
Usually provoked by constipation or UTI; relieved after the provoking factor is removed/ resting
true labor
Regular, painful contractions (pain starts from the back) ; occurs at term
Associated with cervical show and progressive dilation & effacement of cervix
stages of labor
1st stage - Stage of closed cervix to fully dilated cervix ; 12 hrs in primi, 6 hrs in multi
- Cervix undergoes effacement and dilation; Amniotic bag ruptures
2nd stage - Stage of fully dilated cervix to expulsion of fetus; 2 hrs in primi, 1 hrs in multi
- Contractions increase; 2 – 3 minute intervals, each contraction lasts 1 min, lasts less than 2 hours
- Primary uterine force and secondary abdominal muscle force causes the expulsion.
3rd stage -Stage of expulsion of fetus to expulsion of placenta; 1 hrs in primi, 1/2 hr in multi
- Normal - Loss of 500 blood.
- More than 500ml within the first 24 hours following childbirth is called as post partum haemorrhage