Lecture 19-20 Flashcards

(44 cards)

1
Q

Diffuse Placenta

A

Horses and Pigs

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2
Q

Cotyledonary

A

Ruminants (cattle, goats, sheep, deer)

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3
Q

Zonary

A

Carnivores (dogs, cats, ferret)

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4
Q

Discoid

A

Humans, apes, monkeys, rodents

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5
Q

Epitheliochorial

A

pigs, horse, ruminants
least intimate exchange
young born leaner, lower nutrients, and less immunity

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6
Q

endotheliochorial

A

dogs, cats

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7
Q

hemochorial

A

humans,rodents
Most intimate exhange between mom and fetus
young have higher fat and nutrient stores
more developed immune system

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8
Q

Ruminant epitheliochorial

A

Syndesmochorial: the endometrial epithelium transiently erodes and then regrows so maternal connective tissues are intermittently exposed to the chorionic epithelium
Made up of Bi-nucleate cells

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9
Q

Binucleate Giant Cells

A

–migrate from chorionic to endomet. epithelium
–transfer complex mlcls from fetus to mom
–endocrine fxn (secretes lactogen, steroid and PAG’s)
–constitutes 20% of fetal placenta
–originated from trophoblast cells

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10
Q

Placental Function

A

The placenta is a transient organ: metabolic interchange between mother and fetus
the placenta is is the major endocrine organ of preg: produces hormones, stims mammary glands, and promotes fetal growth

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11
Q

Maternal-Fetal Exhange mechanisms

A

Simple Diffusion: High [ ] to low [ ] (gas and water)
Facilitated: membrane transport (proteins and glucose)
Active Transport: membrane proteins transport AGAINST gradient (Na, K, and Ca ++)

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12
Q

Can Cross and Can’t

A

pg 8 and 9 of Lec. 19

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13
Q

Placental Hormones Can . .

A

Stim Ovarian Fxn
Maintain Pregnancy
Influence Fetal Growth
Stim Mammary Function
Assist in Parturition

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14
Q

Progesterone

A

CL produces most P4 at first and then placenta

CL: secretion of endometrial glands and embryonic membrane attachment

Placenta: maintains preg
depends on species if this takes over

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15
Q

Progesterone Block

A

High P4 blocks myometrial contractions

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16
Q

ecg = PMSG

A

produced by endometrial cups of placenta
5-10 develop over placental surface
develop between days 35-60 and slough around 100
-Maintains primary CL
-forms and maintains supplemnetary CL’s
-acts like FSH

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17
Q

hCG

A

primates
from trophoblastic cells
found in blood and urine after 8-10 days of preg
pg 12 lec 19

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18
Q

Placental Lactogen

A

Somatotropic:
maternal growth hormone-like
promotes fetal growth
Lactogenic:
stims mammary gland in the dam

19
Q

Somatotropic and Lactogenic balances in species

A

More lactogenic: ewe, woman, rat
equally: cow, goat

20
Q

Relaxin

A

Produced by either CL or or Placenta
Causes softening of connective tissue in cervix and promotes elasticity of pelvic ligaments

21
Q

Estrogen

A

Important close to and during birth
produced by placenta
increased estradiol removes P4 block
increase secretion of mucosa in cervix and vagina

22
Q

Parturition Requires

A

–myometrium contractility
–cervix dilation
–fetal organ systems for putside uterus survival must be mature
–maternal organ undergone change needed for lactation

23
Q

Parturition and Viviparous species

A

–transition of myometrium from relaxed to excited
–softening of ecm
–weakening of fetal membrane
–inflammation

24
Q

Stages of Hormonal Environment

A

Stage 0: Uterine Contractile Quiescence
Stage 1: Initiation of uterine contraction
stage 2: expulsion of fetus
stage 3: expulsion of fetal membranes

25
Stage 0
Uterine Contractile Quiescence High P4 (block) Low Estrogen Myometrium Contractions: During pregnancy- irregular (braxton hicks) End of Pregnancy: regular, cervical ripening switch from irrgeular to regular shows effacing and dilation of uterus- birth!
26
Stage 1
Initiation of Contractions- cervix dilation 6-12 h humans 3-4 h in sheep regular uterine contractions amnion ruptures (water breaking) cervix becomes dilated (full is 10 cm in humans)
27
Stage 2
In human up to 2 hours fetus pass cervix and vagina vertex (normal) position: head first Breech (bad): buttocks first
28
Stage 3
15 minutes after fetal expulsion All placental fragments must be removed to avoid postpartum infection
29
After stage 0
Initiation of Parturition
30
After Stage 1
Onset of Labor
31
After Stage 3
Delivery of conceptus
32
Fetus Initiates Parturition
Space becomes limited in uterus increase pressure increased fetal stress (hypoxia) fetal anterior pituitary releases ACTH and the fetal adrenal cortex releases Cortisol
33
Effects of Increased Cortisol
Activates Enzymes converting P4 to E2 Ibcreases PGf2a from placenta (regress of CL)
34
PGF2a
produced by uterus and responsible for lutelysis detrimental to pregnancy prior to parturition Decreases P4 Increases myo contractractions Stims Relaxin Synthesis
35
Estrogen increases at Parturition
Stims Uterine Contractility Initiates secretory activity
36
Which Hormones Cause increased myo contractions
oxytocin from maternal pituitary estradiol from placenta
37
Puerperium
Repro Tract Returns to its non-pregnant state so female can become pregnant again -uterine involution -restore of ovarian function -repair and restoratuon of repro tract
38
4 major puerperium events
-Myometrail Contractions+ expulsion of lochia -endometrial repair -resumption of ovarian function -elimination of bacterial fxn
39
Lochia
Blood-tinged fluid containing embryonic and endometrial remnants
40
Conditions that predispose uterus infection
retained fetal membranes dystocia delay in lochia expulsion due to weak myometrial contractions
41
Milk Contents
Colostrum: 1st secretion increase nutrients and growth factors and immunoglobins
42
Milk Hormones + Growth Factors
Prolactin, Growth Hormone, Estradiol, Progesterone
43
Physiological Peptides
anti-hypertension anti-thrombotics immuno-stimulents casomorphins
44
Mammogenesis
Prenatal: thickened epidermal tissue postnatal: endocrine mediated birth to puberty- isometric growth puberty to pregnancy- allometric growth SLIDE 15