W7: embryology and pregnancy Flashcards

1
Q

gametogenesis (FT; EP)

A

production of male and female games from primordial germ cells

via meiotic cell division in the gonads

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2
Q

fertilisation

A
  1. contact sperm and egg
  2. entry of sperm
  3. fusion of egg and sperm nuclei
  4. creates zygote

restores diploid number of chromosomes

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3
Q

cleavage

A

rapid series of mitotic cell divisions that occur after fertilisation
transforms zygote (single- celled) into morula (multicellular)

zygote develop rapidly and forms smaller cells called blastomeres

advanced morula turns into blastocyst and contains:
blastomeres
inner cell mass (develops into embryo)
surrounding trophoblasts (placenta)

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4
Q

blastocyst

A

embryoblast (inner cell mass)- develops into embryo

trophoblasts- outer chorionic sac and foetal portion of placenta

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5
Q

hatching

A

about 5 days after fertilisation, blastocyst grows and eventually the zona pellucida (protective shell) ruptures

blastocyst digests hole in zona pellucida with an enzyme secreted by trophoblasts

the trophoblasts now implant onto the uterus

essential for implantation to occur

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6
Q

implantation

A
  • enzymes are secreted by trophoblasts
  • trophoblast pushes its way into the uterine lining by liquifying the endometrial cells

once blastocyst buried in endometrium, starts to secret hcG
= rescues the corpus luteum so progesterone is still secreted (develops uterine lining)

pregnancy is established here

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7
Q

bilaminar disc

A

bilaminar embryonic disc- between amniotic cavity and yolk sac

amniotic cavity- becomes filled with amniotic fluid

yolk sac- limited function in humans

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8
Q

gastrulation

A

formation of primitive streak- 3rd week of development
transformation of bilaminar germ disc into trilaminar germ disc

  • epiblastic cells invaginate (move inward) to delvelop more layers (2 to 3)
  • some cells displace the hypoblast- forming endoderm
  • others remain in space between 2 layers- form mesoderm
  • remaining epiblast cells- form ectoderm
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9
Q

germ layers

A

ectoderm (outer tissues)
skin, nails, teeth
nerves
eyes
lining of mouth

mesoderm (middle tissues)
blood, lymph
skeletal/ cardiac muscle
bone, cartilage, CT
reproductive system

endoderm (inner lining)
digestive system
lining of GI tract, bladder, lungs and vagina etc

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10
Q

stem cell

A

undifferentiated cell hat has ability to form specialise cell types

could either be an embryonic or adult stem cell

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11
Q

totipotent cell
pluripotent cell
multi-potent cell

A

T: form all differentiated cell types (could form whole organism) e.g. zygote and first few generation of blastomeres

P: form all mature cell ups except placental and extra embryonic cells (cannot form whole organism)

M: form more than one closely related mature cell types in the body e.g bone marrow stem

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12
Q

organogenesis

A

FT;EP
4th- 8th week embryo starts to develop all the major organs
head and spinal cord are formed
formation of a primitive gut
by 4th wk, upper limbs begin their development

FT; E/FP
by start of 8th wk:
digits on hand beginning to be formed
tail is shorter
eyes open
ears developing

by end of 8th wk:
all limbs formed
digits distinct
embryo clearly human

ATP embryo becomes a human

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13
Q

10-12 weeks

A

FT;FP

CNS and cardiovascular system have started developing

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14
Q

second trimester , foetal period

A

12-25 weeks

  • rapid growth
  • most organs have started maturing
  • cardiovascular system started functioning
  • head becomes more in proportion to body and limbs lengthen
  • brown fat being formed

foetus becomes less vulnerable to damaging affects of drugs, radiation and microbes

by w24, type 2 alveolar cells are starting to produce surfactant in lungs

foetus of 24 weeks could survive with expert neonatal care

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15
Q

third trimester

A

25-38 weeks

increase in weight from 1.1 to 3.4 kg
nervous system rapidly developing connections
lungs are maturing and baby preparing for life outside the womb

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16
Q

growth of foetus

A

length of foetus increases almost in proportion to age, 2-3 weeks following implantation

weight of foetus also increases proportionately to the cube of length and age

17
Q

placentation

A

formation and growth of the placenta in the uterus

key functions of placenta:
transfer nutrient from mom to fetus
eliminate metabolic wastes from embryo
produce hormones needed to sustain pregnancy
provide immunity and protect against infection

formed from chorionic villi of embryo and decidua basilis of the endometrium of the mom

maternal and foetal circulation don’t mix- o2 and nutrients diffuse across cell membranes from mother circulation into capillaries of the villi

18
Q

umbilical cord

A

foetus connected to placenta thru cord

2 arties carry deoxy blood from fetus to mom
one vein carries o2 and nutrients from mum to fetus

19
Q

amniotic cavity

A

filled with amniotic fluid
derived from maternal blood
also contains urine from foetus

main functions:
shock absorber for foetus
regulate body temp
prevent drying out
prevent adhesion between skin and surrounding tissues

20
Q

what are birth defects caused by

A

disturbance of developmental events involved in formation of particular structure

caused by environmental (teratogens) and or genetic factors

21
Q

teratogens

A

any agent that causes a structural abnormality in embryo/ foetus following exposure

infections agents
environmental agents
environmental chemicals
drugs

22
Q

principles of teratology

A

the capacity of an agent to produce birth defects depends on:

genotype of the conceptus and maternal genome
developmental stage at time of exposure
dose and duration of the exposure
placental membrane transport

23
Q

infectious agents

A

certain viruses can cross placental barrier

rubella: very high risk in first trimester- causes cataracts, cardiac defects, deafness

HIV: growth failure and craniofacial defects

cytomegalovirus: most common virus to cross, result in spontaneous abortion in first trimester, intrauterine growth, retardation

24
Q

thalidomide

A

prescribed to treats morning sickness

type of malformation seen was directly related to the time of exposure to the drug

critical period is during organogenesis

35-37= no ears
39-41= no arms
41-43= no uterus
45-47= no tibia
47-49= triphalangeal thumbs

25
exposure to radiation
- ionising radiation can cause cell death/ chromosome damage - leads to leukaemia, malformation, mental retardation and hereditary defects - dependent on dose of radiation given (diagnostic doses are too low to cause spontaneous abortion) - most vulnerable period is 8-15 weeks gestation
26
foetal alcohol syndrome
intrauterine exposure to small amounts of alcohol have potential for damage common cause for mental retardation symptoms: - slow growth before and after brith - characteristic facial features - heart and organ defects - malformed limbs - CNS damage
27
smoking in pregnancy
higher risk of ectopic pregnancy low birth weight- efficiency of placenta is reduced association between smoking and a higher infant mortality rate significant factor in cleft lip and palate abnormalities