1 Flashcards
(154 cards)
List the 2 advantages of breast milk for the mother
- The release of oxytocin, which increases the speed of uterine involution & the suppression of the menstrual cycle
List the advantages of breast milk for the development of the baby when compared to other sources of nutrition such as formula
(hint: 4 advantages)
- Better digestion & absorption of fats, iron, & amino acids
- Improved immunity
- Development of digestive system bacteria
- Decreased risk of diseases later in life
When does breast milk increase in nutrient content, mineral content, growth factors, hormones, & antibodies?
& what is included in the nutrient & mineral contents?
- After approximately the first 5 days
- Nutrient content includes: Triglyceride fat, lactose, proteins, & vitamins
- Mineral content includes: Calcium & phosphate
What is a dilute fluid that contains low concentrations of fat & lactose but high concentrations of immunoprotective factors?
- Colostrum, & is the 1st breast milk produced after the birth of the baby
What is the reflex called that induces lactation?
And, describe the events that it instigates & the hormones it releases
- Sucking of the baby (sucking reflex)
- Which instigates a series of events leading to the release of prolactin & oxytocin from the pituitary to induce lactation
During pregnancy, the mammary glands are developed due to the actions of which hormones?
Simultaneously, lactation is inhibited by the actions of which hormones?
And, when is this inhibition removed?
- Developed due to the actions of estrogens, progesterone, & human placental lactogen (hPL)
- Lactation is inhibited by the actions of estrogen, & progesterone & this inhibition is removed at parturition (the act of giving birth)
What is uterine involution?
When does it occur?
And, which type of females experience faster uterine involution?
- Uterine involution, is the return of the uterus to its pregestational size (before pregnancy)
- It occurs during that same time frame in response to decreased concentrations of estrogens & progesterone
- Females who breastfeed have increased concentrations of oxytocin, thus experiencing faster uterine involution.
Following parturition, any remaining endometrial tissue is sloughed off in a vaginal discharge called?
And, how long may it continue for following parturition?
- Lochia, which may continue for up to six weeks following parturition
What is the hormone called that binds to the uterine oxytocin receptors & stimulates contraction of the uterus?
How is it part of a positive feedback loop?
And what else does it stimulate to further the contractions of the uterus? (hint: placenta
- The posterior pituitary hormone oxytocin
- This is part of a positive feedback loop because the contractions push the uterine contents against the cervix, stretching the cervix, which results in the secretion of more oxytocin from the posterior pituitary
- Oxytocin also stimulates the placenta to secrete prostaglandins, which further stimulate the contraction of the uterus
Since Dehydroepiandrosterone (DHEA) is converted by the placenta into estrogen, where does that estrogen enter?
And, what does it stimulate & induce?
- This estrogen enters the maternal plasma & stimulates the development of gap junctions in the myometrium,
- & induces the expression of oxytocin receptors in the uterus.
What does the placental corticotrophin-releasing hormone (CRH) stimulate the secretion of?
And, what does that hormone stimulate the production of? (which 2 hormones)
& there functions
- CRH stimulates the secretion of fetal adrenal corticotrophin hormone (ACTH)
- ACTH:
Stimulates the production of fetal cortisol, which is important for fetal lung maturation,& of dehydroepiandrosterone (DHEA), which is converted by the placenta into estrogen
Which 2 things increase cytokine & prostaglandin production, triggering an inflammatory response relating to parturition?
And, what does that inflammatory response result in? (the secretion of…)
- An increase in uterine stretch (due to the growing size of the fetus) & the presence of pulmonary surfactant in the amniotic fluid (due to the maturation of the fetal lungs)
- Results in the secretion of placental corticotrophin-releasing hormone (CRH)
What is controlled by a complex series of events involving the uterus, the placenta, the developing fetus, the maternal plasma, & the endocrine system?
- The timing of parturition
Summarize the events or 3 stages of parturition
- 1st stage: Is characterized by cervical dilation and uterine contractions (labour). Uterine contractions: Begin at the superior (upper) surface of the uterus and travel downward toward the cervix. These contractions are coordinated by gap junctions throughout the myometrium. Each contraction pushes the uterine contents against the cervix, slowly wedging it open.
- 2nd stage of labour: The maximal dilation of the cervical canal allows for the baby to move through the birth canal. Voluntary & involuntary contractions of the abdominal muscles facilitate this process.
- 3rd stage of labour: Is the delivery of the placenta, which is accomplished by uterine contractions shortly after the birth of the baby.
What is the event that signals the beginning of parturition?
- The rupturing of the amniotic sac
What is it called when the fetus does not position itself with its head against the cervix?
- A breech birth
Describe the significance of cervical ripening & fetal positioning prior to parturition
- Cervical ripening also occurs prior to parturition, where the cervix begins the process of ripening in which the collagen fibres in the connective tissue of the cervix begin to be broken down
- And the fetus positions itself with its head in contact with the cervix
Why does uterine contractile activity increase prior to parturition?
And what are premature uterine contractions called?
- It increases because the plasma concentrations of estrogen exceed those of progesterone & because uterine smooth muscle stretch receptors respond to the increased size of the fetus.
- Braxton-Hicks contractions
How long is a full-term pregnancy from the date of the last menstrual period (LMP)?
- It is 38 weeks in length or 40 weeks from the date of the last menstrual period (LMP).
What is the process of birth called?
- Parturition
(Maternal effects of pregnancy) Which 2 hormones secreted by the placenta play an important role in altering maternal metabolism?
And, what are their functions?
- Human placental lactogen (hPL) or human chorionic somatomammotropin (hCS): Which Promotes a maternal glucose-sparing effect, thereby ensuring that the fetus receives an adequate supply of glucose for energy production. It also promotes the growth of the fetus & stimulates maternal breast maturation
- Parathyroid hormone-related peptide (PTHrp): Which mobilizes calcium from maternal bones, thereby ensuring that the fetus receives an adequate supply of calcium for growth.
(Maternal effects of pregnancy) What is the 1st physiological change that occurs during pregnancy?
When and why does this physiological change happen (which hormones are it attributed to)?
What other body systems experience physiological changes, as a result, to accommodate the additional demands of the fetus?
- The 1st change is often morning sickness.
- This bout of nausea, which can occur at any time of the day, and is attributed to increased concentrations of human chorionic gonadotropin (hCG), estrogens, & progesterone.
- The activities of the urinary, respiratory, & cardiovascular systems all increase to accommodate the additional demands of the fetus.
(Maternal effects of pregnancy) What is 1st anatomical change that occurs during pregnancy?
And, what anatomical changes does the uterus experience?
(Hint: Eventually, the weight of the uterus increases to…)
- 1st anatomical change is the enlargement of the breasts & the darkening of the areolaes
- The uterus begins to expand with the growing fetus & comes to occupy the majority of the abdominal cavity
- Eventually, the weight of the uterus increases to more than 20 times its original weight. This increase is largely due to the presence of a growing fetus but is also due to uterine growth.
What do the maternal effects of pregnancy include?
- Includes: Anatomical, physiological, & metabolic changes