1. What do you know about Pregnancy, Growth and Development?
Chapter 23

2. You’re a miracle

3. Assignment:
Pg. 497 1. 3. 5.
Pg. 579 4.

4. Objectives: Pregnancy, growth, development
Why you have to be so careful
Men should be attentive to things b/c it takes two!!!
Concerns
It’s a miracle!!!

5. Conception
A secondary oocyte can be fertilized for about 24 hours after ovulation
Sperm remain viable for up to 48 hours within the female reproductive tract
This gives a three day “window” for intercourse to result in fertilization: two days before to one day after ovulation

6. Fertilization usually takes place in the outer one-third of the uterine tube, but can take place in the abdominal cavity
Sperm swim up the female reproductive tract, aided by muscular contractions of the uterus stimulated by prostaglandins in the semen.
The oocyte may also secrete a chemical that attracts sperm

7. Sperm undergo a functional change in the female tract – called capacitation
During this process the membrane around the acrosome becomes fragile, and its enzymes are released.
It requires the combined action of many sperm to allow one sperm to penetrate the oocyte.

11. When the first sperm enters the egg, the cell depolarizes causing the release of calcium ions inside the cell.
This stimulates the release of granules that cause changes in the zona pellucida to prevent entry of other sperm.
Secondary oocyte completes division, and nuclei of ovum and sperm unite to form a zygote.

12. Twins
Dizygotic or fraternal twins occur when two separate eggs are ovulated. May be of different sexes.
Monozygotic or identical twins occur when a single egg is fertilized but dividing cells break into two groups and develop into two individuals. Genetically identical (clones)

13. Zygote undergoes rapid mitotic cell division, but these do not increase the size of the zygote – called cleavage divisions
Cleavage produces a solid sphere of cells, still surrounded by zona pellucida – now called a morula.
At 4.5 to 5 days, cells have developed into a hollow ball of cells – blastocyst.
It is at this stage that it enters the uterus.

16. Blastocyst has an outer layer of cells called the trophoblast, an inner cell mass, and a fluid filled cavity called the blastocele.
The trophoblast and part of the inner cell mass will form the membranes of the fetal portion of the placenta, the rest of the inner mass forms the embryo.

17. Implantation
The blastocyst remains free in the uterus a short time, during which the zona pellucida disintegrates.
Blastocyst nourished by glycogen from glands of the endometrium.
At about 6 days after ovulation blastocyst implants – orients cell mass toward endometrium, and secretes enzymes which allow it to penetrate (digest) the endometrial wall. This nourishes the blastocyst for about a week after implantation.

21. Implantation can also occur in uterine tube, cervix, or the abdominal cavity.
Implantation anywhere outside the uterus is called an ectopic pregnancy.
It is possible for fetus to grow in the abdominal cavity, but growth inside the uterine tube causes the tube to rupture, resulting in severe bleeding.

22. As early as days after fertilization, the blastocyst begins to secrete human chorionic gonadotropin or hCG.
hCG keeps the corpus luteum active until the placenta can produce estrogens and progesterone.
The presence of hCG is the basis for pregnancy tests.

23. Inner cell mass forms two cavities:
The yolk sac
Amniotic cavity
In humans the yolk sac produces blood cells and future sex cells
The amniotic cavity becomes the cavity in which the embryo floats. Fluid is produced from fetal urine, and secretions from the skin, respiratory tract, and amniotic membranes.

25. Primary germ layers
In between the yolk sac and the amniotic cavity is the embryonic disc, which gives rise to the primary germ layers:
Endoderm
Mesoderm
Ectoderm

28. Gestation period Divided into three trimesters.
During first trimester individual starts out as a zygote, then morula, blastocyst, and after implantation, is called an embryo.
Embryonic phase of development lasts from fertilization until the 8th week of gestation, when it becomes a fetus.
By day 35 the heart is beating, and eye and limb buds are present.

32. First Month
By the end of the first month, the embryo is about 1/10 of an inch long. The heart, which is no larger than a poppy seed, has begun beating.

33. First Month

34. Two Months

35. Three Months
By now the fetus is 2 1/2 to 3 inches long and is fully formed. He has begun swallowing and kicking. All organs and muscles have formed and are beginning to function.

36. By month four, the rudiments of all organ systems are formed and functioning, and from then on, fetal development is primarily a matter of growth.
By the end of the third month the placenta is functioning.

37. Four Months
Your baby is covered with a layer of thick, downy hair called lanugo. His heartbeat can be heard clearly. This is when you may feel your baby's first kick.

38. 4 months

39. Five Months
A protective coating called vernix caseosa begins to form on baby's skin. By the end of this month, your baby will be nearly 8 inches long and weigh almost a pound.

40. 6 Months

41. 7 Months

42. Eight Months
Your baby is gaining about half a pound per week, and layers of fat are piling on. He has probably turned head-down in preparation for birth. He weighs between 4 and 6 pounds.

43. 8 months

44. The placenta The chorion develops into the fetal part of the placenta.
The chorionic villi connect the fetal circulation to the placenta
Composed of both fetal and maternal tissues

46. Functions of the placenta:
1 Transfer gasses
2 Transport nutrients
3 Excretion of wastes
4 Hormone production – temporary endocrine organ – estrogen and progesterone
5 Formation of a barrier – incomplete, nonselective – alcohol, steroids, narcotics, anesthetics, some antibiotics and some organisms can cross

48. Quickening
The first movement of the fetus felt by the mother, usually occurring during the fourth or fifth month of pregnancy
By month seven the fetus is quite active
During the last month the fetus becomes less active (usually due to space considerations.)

49. At the end of pregnancy both the mother and the uterus become “irritable”
The uterus undergoes Braxton-Hicks contractions: intermittent, painless contractions which can come 10 to 20 minutes apart.
Become more frequent as gestation progresses, and can be mistaken for onset of labor
Cervix begins to thin and dilate

50. Labor (parturition)
Stage one – the period from the onset of true labor contractions until the cervix is completely dilated at 10 cm.
The uterine contractions cause the cervix to dilate, and the amniotic sac may rupture.
Usually lasts 6 – 24 hours depending on the number of previous deliveries.

51. Nine Months
Your baby is a hefty 6 to 9 pounds and measures between 19 and 22 inches. As he becomes more crowded, you may feel him move around less.

55. Stage 2
Period from maximal cervical dilation until the birth of the baby
Lasts minutes to an hour
Contractions become more intense and frequent.

57. Stage 3 The expulsion of the placenta
Usually occurs within 15 minutes after the birth of the baby, but can range from 5 to 60 minutes.

59. Women’s concerns

60. The End !!
That’s it !
You’ve made it !
Study well !
Good luck !