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57 Cards in this Set

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Hormonal Induction of Labour

5 days

Sperm Capacitation

Further maturation sperm must undergo to be capable of fertilizing an egg


- Occurs following ejaculation once sperm in female tract


- Seminal fluids contains capacitation inhibiting factors

Sperm changes to do something


Occurs when?


Seminal fluids contain?

After capacitation, sperm (2):

1. Have increased rate of flagellate beat & accelerated motility pattern


2: Plasma membranes are more fragile (facilitates acrosome reaction)

1. Increases…


2. Plasma membranes?

In Vitro Fertilization (IVF) can…

Can induce capacitation by washing sperm or running them thru a Percoll gradient



- Where an egg is combined with a sperm in a laboratory dish

Involves an egg and sperm

Acrosome Reaction

- Binding of the sperm to receptors in the zona pellucida


- This causes Ca++ levels to rise, triggering the release of acrosomal enzymes

Binding of X to Y in Z


This causes x lvls to rise

Zona Pellucida and Sperm

The zona pellucida can bind many sperm, but only 1 sperm fertilizes the egg

Polyspermy

The fertilization of an egg by more than one sperm

As soon as first sperm penetrates perivitelline membrane:

1. Fast block to polyspermy


2. Slow block to polyspermy

Fast block to polyspermy

Oocyte sperm-binding membrane receptors are shed


(Oocyte membrane block)

Membrane block

Slow block to polyspermy

Increased Ca++ lvls trigger exocytosis of cortical granules. This hardens the zona pellucida and destroys its sperm-binding receptors

Cortical reaction

After the sperm penetrates 2ndary Oocyte?

Oocyte completes meiosis II, forming the polar body and the ovum. The swelling of the sperm and the ovum in the oocyte produces the female pro nucleus.

Completes?


Forms?

Sperm nuclei material form?

Forms the male pronucleus; male and female pronucleus fuse to form 2n nucleus of zygote

Zygote

Fertilized egg cell that results from a female gamete (egg) with a male gamete (sperm)


Diploid

Developmental steps that occur while the embryo is traversing the fallopian tube (oviduct) (5 steps)

1. Zygote (fertilized egg)


2. 4-cell stage (continue to duplicate)


3. Morula


4. Early blastocyst


5. Hatching

Developmental steps that occur while the embryo is traversing the fallopian tube: Step 3 Morula

- occurs 72 (3 days) after fertilization


- Embryo now consists of a loose collection of cells called the morula (a solid ball of cells) and continues down from the oviduct to the uterus

Developmental steps that occur while the embryo is traversing the fallopian tube: Step 4; Blastocyst

Now the embryo consists of ~100 cells and the morula hollows out and fills with fluid


- Occurs 4 days after fertilization

Developmental steps that occur while the embryo is traversing the fallopian tube: Step 5; Hatching

The embryo looses its zone of Pellucida

What happens to the zone of pellucida?

Implantation of the egg in lining of uterus:

- Begins ~6 days following fertilization


- Blastocyst burrows into endometrium (inner-lining of uterus)


- Trophoblast cells grow out toward mat blood vessels; inner mast cells will give rise to embryo

Implantation of Blastocyst (5 steps from day 4-11)

Day 4: Early blastocyst floats in uterine cavity and “hatches” from zona pellucida


Day 6: Blastocyst adheres to uterine wall


Day 7: Implantation begins as trophoblast invades uterine wall


Day 9: Implantation continues; embryoblast has become a bolstered embryonic disc


Day 11: Implantation complete; amniotic sac and yolk form

Germinal Period

Conception to 2 weeks

Embryonic Period

3 - 8 weeks after conception

Fetal Period

9 weeks to term after conception

3 Embryonic Germ Layers

Endoderm, ectoderm, and mesoderm

Endoderm

Epithelial lining of GI and respiratory tracts

Ectoderm

Gives rise to NS and skin

Mesoderm

Gives rise to everything else not included in the ending/ectoderm during embryonic development

Placentation

Formation of the placenta

Placentation: Blood supplies & what diffuses thru placenta?

- Maternal and fetal blood supplies are NOT in direct contact


- Nutrients, gases, and wastes diffuse thru:


1. Trophoblast layer


2. Mesenchyme layer


3. Fetal capillary endothelium

Umbilical cord


(Arteries and vein?)

- Usually 50-70 cm in length


- Contains 2 umbilical arteries and 1 umbilical vein

Foremen Ovale

Diverts blood from the right atrium to the left

Ductus venosus

GI in baby is not a source of nutrition therefore bypasses the liver so it goes to other areas like developing heart and NS


- Carries blood from the umbilical vein thru the liver into inferior vena cava

3 shunts in fetal circulation (foremen ovale, ductus venosus, and ductus arteriosus)

Purpose of shunts is to bypass the lungs and liver because these organs will not work fully until after birth

Dual functions of the placenta: Endocrine

Placenta secretes hCG from the beginning


- Estrogen and progesterone of pregnancy mature more slowly


- If placental hormones are inadequate when hCG lvls wane, the endometrium degenerates and pregnancy aborts

Dual placenta function: Exchange

Nutrients and O2 diffuse into placenta while metabolic waste diffuses out

Human Chorionic Gonadotropin (hCG)

Present in maternal serum by 8th day after fertilization; lvls peak by 60-80 days, then begin to decrease


- Structurally similar to LH and can bind to LH receptors


- Produced by placenta during pregnancy and stimulates CL to produce progesterone during pregnancy


- Produced v early in pregnancy, peaks after 9 weeks and then goes down


- hCG lvls can be detected after 3 days of missed period

Human placental lactogen (hPL) = Human chorionic somatomammotropin (hCS)

- Structurally similar to GH and prolactin


- Placenta begins to secrete hPL during 1st trimester; lvls increase until delivery

hPL function

1. Stimulates breast development in preparation for postnatal lactation


2. Supports fetal bone growth


3. Makes glucose available to fetus by reducing insulin sensitivity

Estrogens and placenta

- Initially come from CL; functionally assumed by placenta


- Placenta converts circulating androgens to androgens


- Initially estrone & estradiol-17-beta, then estriol (maintains uterine endometrium and contributes to breast development)

Progesterone

Initially from CL; functionally gradually assumed by placenta


- Lvls increase over course of the pregnancy


- Has a relaxing effect on smooth muscles (see slide 17, lecture 4)

Influences of pregnancy on the Cardiovascular System


(BP, BV, pulse, etc.)

- BP decreases slowly to nadir @ 24 weeks; then slowly back up to NP


- Pulse slowly increases to max of 15-2- beats/min above NP in 3rd trimester


- Increased contractility and CO


- Myocardial hypertrophy

Nadir: Lowest point


Myocardial hypertrophy: An increase in ventricular myocardial mass

Blood Volume During Pregnancy

- Overall increase in BV (~40%):


Plasma by ~45% & RBCs by 20-30&%

GI Tract During Pregnancy

- Nausea: Increased progesterone, hCG


- Hypermesis gravidarum: If untested can lead to dehydration, ketosis, electrolyte derangements, liver & kidney dmg

Urinary Tract During Pregnancy

- Kidneys increase in length (increased renal blood flow)


- Bladder tone decrease; bladder capacity nearly doubles


- GFR increases in 1st trimester


- High progesterone promotes renal Na (& water) loss; but increased aldosterone and estrogen promote salt and water retention


- Increased risk of UTI due to retained urine

Cervix During Pregnancy

Softening & increased vascularity from early 1st trimester


Increased production of mucus by endocervical glands

Vagina during pregnancy

- Cervical secretions increase in quantity


- Decrease in pH (high estrogen)


- Increased susceptibility to vaginal candidiasis (fungal infection, high estrogen, high glycogen)

Vaginal candidiasis: Fungal infection

Uterus During Pregnancy

- Enlarges by hypertrophy due to estrogen and progesterone


- 2nd trimester: Uterus moves out of pelvis ad begins to displace intestines up


- 36th week: Intestines are pushed up to just beneath diaphragm —> discomforts experienced by mothers include shortness of breath and constipation


- 10x increase blood flow to uterus at term


- Contracts every 5-20 min during later weeks of pregnancy

Prostaglandins

- Important for labour and delivery


- Hormones act close to where they’re produced


- Comes from placenta


- Stimulates uterine contractions

Stages of Parturition (3):

1. Dilation: Uterine contractions dilate cervix up to 10c m (variable in duration)


2. Expulsion: Full d’isolation to birth (mins to hours)


3. Placental: Delivery of placenta; usually within 30 min after birth (all of placenta has to come out cause it is highly mitotic; can cause cancer)

Braxton Hicks Contractions

Irregular contractions that are not coordinated due to rising lvls of estrogen (false contractions)

Increasing lvls of estrogen interfere with progesterone’s ability to constrict uterus

Vitamin D during pregnancy

Important for intestinal absorption for Ca

Vitamin K During Pregnancy

Important in blood clotting

Folic Acid

Helps prevent neuro tube defects

Important minerals during pregnancy:

Iron: Helps increase RBC


Calcium: Support development of skeleton of fetus; baby will take Ca of mother so need Ca in diet to maintain mother’s bone density

Parturition

Labor and delivery

Oxytocin

Responsible for stimulating labour contractions; most important hormone during labor and delivery


- Produced in hypothalamus

Fetal Cortisol

Important trigger for parturition and stimulates maturation of lungs in preparation for breathing air

When are estrogen lvls highest?

Towards time of parturition