Placental Physiology Flashcards Preview

Embryology Exam II > Placental Physiology > Flashcards

Flashcards in Placental Physiology Deck (18):
1

What are some differences between the early and late placenta?

Early:
-thick
-permeability low
-small SA
-total diffusion conductance is miniscule

Late:
-thin
-high permeability
-large SA
-large increase in placental diffusion

2

What is the oxygen pressure gradient for both the mother and fetus near the end of pregnancy?

PO2 mother: 50mm Hg

PO2 fetus: 30mm Hg

3

What are some reasons that adequate oxygenation can occur with such a low pressure gradient?

-fetal hemoglobin has a higher affinity for oxygen

-fetal blood hemoglobin concentration is about 50% greater than maternal

-Bohr effect

4

What is the Bohr effect? What can changes cause?

-hemoglobin can carry more oxygen at a low PCO2

Changes cause:
-increase in capacity of fetal blood to combine with oxygen

-decrease in capacity of maternal blood to combine with oxygen

5

What is the double Bohr effect?

Refers to double shift in the maternal blood and in the fetal blood

6

What secretes hCG? What is the timeline of the secretion?

-secreted by syncytial trophoblast cells into maternal fluids

-measurable secretion 8-9 days after ovulation

-max secretion during 10-12 week of pregnancy

-lower levels secreted 16-20 weeks

7

What are some functions of hCG?

-prevents involution of corpus luteum

-causes CL to increase secretion of progesterone and estrogens

-causes increased growth in CL

-exerts interstitial cell-stimulating effect on testes of male fetus: results in production of testosterone until birth

8

What is the function of the placenta?

-diffusion of oxygen and CO2
+PCO2 of fetal blood= 2-3x higher than maternal blood

-diffusion of foodstuffs
+facilitated diffusion of glucose via trophoblast
+slower diffusion of FA into fetal blood

-excretion of waste products
+urea, uric acid, adn creatinine diffuse from fetus to maternal blood

9

What secrets estrogens during pregnancy? What are they formed from?

-syncytiotrophoblast cells of placenta

-placental estrogens are formed almost entirely from androgen steroid compounds -> fetal and maternal adrenal glands

+converted by trophoblast cells into estradiol, estrone, and estriol

10

How many times higher is estrogen secretion toward the end of pregnancy?

30x more

11

What are the functions of estrogen?

-Breast and uterine enlargement

-growth of breast ductal structure

-enlargement of maternal external genitalia

-relaxation of pelvic ligaments

-may also affect aspects of fetal development

12

What secretes progesterone during pregnancy?

-small quantities by corpus luteum

-large quantities by placenta

13

What are the functions of progesterone during pregnancy?

-cas uses decidual cells to develop in the endometrium

-decreases contractile of pregnant uterus

-increases secretions of Fallopian tubes and uterus

-may work with estrogen to prepare breasts for lactation

14

What is human chorionic somatomammotropin?

-secreted by placenta beginning in 5th week of pregnancy

-causes decreased insulin sensitivity and decreased utilization of glucose by mother

-general metabolic hormone

15

What are some theories concerning placental immunology?

-lack of expression of major histocompatibility antigens by syncytiotrophoblast and cytotrophoblast (placental components)

-paralysis of mother's immune system during pregnancy

-decidual immune barrier

-inactivation of mother's immune system components by molecules formed on fetal placental surface

16

What is fetal alcohol syndrome?

-placenta is highly permeable to alcohol

-can result in poor growth rate, microcephaly, mental retardation, heart defects, and hypoplasia of facial structures

17

What is hydrops fetalis?

-water accumulation in the fetus with accompanying jaundice and brain damage and anemia

18

What is placenta previa?

-abnormal implantation site within the uterus

-can cover the birth canal

-can result in hemorrhage