YAN PLACENTA Flashcards

1
Q

Describe the structure of a blastocyst.

A

inner cell mass=embryoblast
outer cell mass=trophoblast
blastocyst cavity

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2
Q

What happens to the blastocyst at day 6?

A

it implants in the endometrium! the outer trophoblastic cells invade the uterine epithelium/endometrial layer!

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3
Q

What happens to the blastocyst’s trophoblast by day 8?

A

it has 2 separate layers!
Outer layer = syncytiotrophoblast
inner layer = cytotrophoblast

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4
Q

What are other important features of the blastocyst on day 8?

A

amniotic cavity present
amnioblasts are there
epiblast & hypoblast are there too.

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5
Q

What happens to the trophoblast of the blastocyst on day 9?

A

you see the presence of trophoblastic lacunae

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6
Q

How did lacunae form in the trophoblast?

A

first you have vacuoles that form & then they fuse to form lacunae

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7
Q

What are other important features of the blastocyst on day 9?

A

primitive yolk sac

fibrin coagulum: closes everything off

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8
Q

What happens to the trophoblast around days 11-12?

A

uteroplacental circulation is established

**trophoblast lacunae become continuous w/ the maternal sinusoids. Therefore, maternal blood can enter circulation.

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9
Q

What are other features of the kid on days 11-12?

A

extraembryonic coelom
extraembryonic somatic mesoderm
extraembryonic splanchnic mesoderm

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10
Q

What happens to the trophoblast of the kid around day 13?

A

its cytotrophoblastic cell layer proliferates. It penetrates into the syncytioctrophoblastic layer. these become cellular columns & then primary villi.

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11
Q

What are other features of the kid @ day 13?

A

secondary yolk sac formed

connecting stalk

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12
Q

Describe the structure of a primary villus.

A

syncytiotrophoblast on the outside

cytotrophoblast on the inside

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13
Q

Describe the structure of a secondary villus.

A

syncytiotrophoblast on the outside
cytotrophoblast on the inside
**mesoderm core

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14
Q

Describe the structure of a tertiary villus or placental villus.

A

syncytiotrophoblast on the outside
cytotrophoblast on the inside
mesoderm core
**some of the mesoderm has become blood vessels & blood cells

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15
Q

What happens at the end of the 3rd week to the trophoblast?

A

maternal vessels find their way into the intervillous spaces, forms syncytium
Note: capillaries in the mesodermal core of the villi are connected to chorionic plate, then the connecting stalk, & then the intraembyronic vessels
**radial apperance b/c of the tertiary & secondary villi

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16
Q

What can you see on the fetal side of a full term placenta?

A

umbilical cord
amnion
chorionic plate w/ chorionic vessels

17
Q

What is the rate of twin conceptions?

A

about 1/90

18
Q

What percentage of twins are identical or monozygotic? What percentage of twins are fraternal or dizygotic?

A

Monozygotic: 30%
Dizygotic: 70%

19
Q

What are the 2 main variations that you see with dizygotic twins?

A

whether they share the same placenta (fused)

or have completely separate placentas

20
Q

What are the different variations that you see with monozygotic twins?

A

completely separate placentas
fused common shared placenta
shared placenta & common amniotic cavity

21
Q

What are the 4 main functions of the placenta?

A

exchange of gases
exchange of nutrients & electrolytes
transmission of maternal antibodies
hormone production

22
Q

What is the advantage of having transmission of maternal antibodies to the fetus?

A

gain of passive immunity

23
Q

Where are the hormones produced in the placenta? Which hormones are produced?

A

syncytiotrophoblast

progesterones, estrogens, hCG, somatomammotropin (placental lactogen)