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Bio 124 Lecture 7
Human pregnancy - the first trimester and placentation
25
Biology
Undergraduate 1
03/08/2013

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Term
after fertilisation rapid mitotic division of the zygote takes place. What is this known as?
Definition

cleavage.

 

the first division of the zygote begins about 24 hours after fertilisation and is completed about 6 hours later

 

By day 2 the 2nd cleavage is complete and there are four cells

Term
by the end of the 3rd day of fertilisation there are 16 cells. the progressivley smaller cells produced by cleavge are known as what?
Definition

blastomeres.

 

successive cleavages produce a solid sphere of cells called a morula

Term
when the morula enters the uterine cavity on day 4 or 5, a glycogen rich secretion (uterine milk) from the glands of the endometrium of the uterus passes into the uterine cavity and enters the morula through which part?
Definition

zona pellucida.

 

the uterine milk provides nouishment for the morula. At 32-cell stage this fluid enters the morula collecting between the blastomeres and reorganising them around a fluid filled cavity called the blastocyst cavity

Term
during the formation of the blastocyst two distinct cell populations arise. what are they?
Definition

embryoblast AKA inner cell mass - located internally and develops into the embryo

trophoblast - the outer layer of cells forming wall of blastocyst. will form the outer chorionic sac surrounding the fetus and fetal portion of placenta. 

Term
on the 5th day the blastocyst hatches from the zona pellucida by digesting a hole in it and squeezing out. what is the next step?
Definition

Implantation.

 

attatchment into the vascular, glandular endometrial lining of the uterus

Term
about 8 days post fertlisation, the trophoblast develops into 2 layers in the region between the blastocyst and the endometrium. name the two layers please
Definition

Syncytiotrophoblast - this contains no disctint cell boundaries

 

Cytotrophoblast - this forms between the embryoblast and the synctiotrophoblast and composed of distinct cells.

Term
what do the two layers of the trophoblast become as they develop?
Definition

part of the chorion (one of the fetal membranes)

 

during implantation the synctiotrophoblast secrete enzymes(hyaluroniase) that let the blastocyst penetrate the uterus lining.

Term
what secretes human chorionic gonadotrophin?
Definition

trophoblasts.

 

hCG has actions similar to LH. prevents degeneration of corpus luteum and sustains its progesterone and estrogen secretion. 

Term
during pregnancy the corpus luteum secretes progesterones and estrogens with help of hCG secreted from trophoblasts. what do these hormones do? (progesterone and estrogen)
Definition
keep uterine lining in a secretory state, preventing periods
Term
the embryoblast also differentiates into 2 layers. what are they?
Definition

hypoblast - primitive endoderm

epiblast - primitive ectoderm

together these form a flat disc known as the bilaminar embryonic disc 

a small cavity appears in the epiblast enlargening to form the amniotic cavity 

Term
as the amniotic cavity enlargens a single layer of squamous cells form a domelike roof above the epiblast called the.....
Definition

amnion.

thus the amnion forms the roof of the amniotic cavity and the epiblast forms the floor

Term
where do ectopic pregnanices occur?
Definition

in oviduct or body cavity

0.6% of pregnancies

symptoms : abdominal pain, uterine bleeding and a slower than normal rise in serum hCG

Term
describe Gestational trophoblastic neoplasias
Definition

it happens 1 in 1000 conceptions

hydatidiform mole is benign

choriocarcinoma - malignant and may metastisise, may be fatal 

 

with this  condition you get high levels of hCG

Term
when does the UK Human Fertilisation and Embryology Act 1990 forbid keeping or using a human embryo?
Definition

After the appearance of the primitive streak or after 14 days, whichever is earlier.

 

the primitive streak is the first sign of gastrulation where the embryonic disc forms the primary germ layers

Term
how would nutrients get to the embryo on day 14 post fertilisation?
Definition

they can diffuse

3 weeks post fertilisation is when the heart starts beating and blood vessels form

Term
characteristics of a 4 week fetus
Definition

5mm

20mg

heart beating

trachea, lungs, liver, pancreas

no kidneys waste discarded via allantois

Term
characteristics of an 8 week fetus
Definition

28mm

2.7g

nail beds, sweat glands, hair follicles, cartilage, fingers, toes, thymus, thyroid, pituitary

embryonic kidney (metanephros)


@9weeks gonads differentiate

Term

characteristics of 12 week fetus

 

Definition

78mm

26g

epidermis, bone, CNS, brain and spinal cord

gall bladder

external genitalia

Term
drugs such as teratogens are a risk in the first trimester. what is the effect of teratogens?
Definition
Teratogens are substances or environmental agents which cause the development of abnormal cell masses during fetal growth, resulting in physical defects in the fetus.
Term
smoking, alcohol and rubella virus are all risks in the first trimester. what consequences arise if a mother to be contracts rubella in the first trimester?
Definition
Infection of the mother by Rubella virus during pregnancy can be serious; if the mother is infected within the first 20 weeks of pregnancy, the child may be born with congenital rubella syndrome(CRS) Spontaneous abortion may occur or baby may be still born. If the baby survives the infection, it can be born with severe heart disorders (Patent ductus arteriosus being the most common), blindness, deafness, or other life threatening organ disorders.
Term
what is Patent Ductus Arteriosus (PDA)?
Definition
Patent Ductus Arteriosus (PDA) is a congenital disorder in the heart wherein a neonate's ductus arteriosus fails to close after birth
Term
the following are condtions associated with congenital rubella syndrome
Definition

cataract, glaucoma, retinitis and microphthalmos

sever bilateral deafness

patent ductus arteriosus, pulmonary stenosis, atrial septal defect, ventricular septal defect, valvular aortic stenosis and pulmonary hypertension,

thrombocytopenia, microcephalgy, mental retardation, growth retardation and late onset diabetes mellitus

Term
what is Alpha-foetoprotein? (AFP)
Definition

AFP is a major plasma protein produced by the yolk sac and the liver during fetal development that is thought to be the fetal form of serum albumin.

 
Term
what can alpha-foetoprotein measure?
Definition

AFP is measured in pregnant women through the analysis of maternal blood or amniotic fluid, as a screening test for developmental abnormalities. It is increased in open neural tube defects and omphalocele and is decreased in Down syndrome

Elevation of AFP is used as one factor in the diagnosis of ataxia telangiectasia

 
Term

define omphalocele

and ataxia telangiectasia

Definition

An omphalocele is a type of hernia, a a birth defect in which the infant's intestine or other abdominal organs stick out of the belly button.

Ataxia telangiectasia AKA Louis–Bar syndrome is a rare, neurodegenerative, inherited disease causing severe disability. Ataxia refers to poor coordination and telangiectasia to small dilated blood vessels, both of which are hallmarks of the disease

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