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DEVELOPMENT Once spermatozoa and ova have developed through meiosis and maturation, and the sperm have been deposited into the vagina, pregnancy can occur. What is pregnancy? Pregnancy is the sequence of events that normally includes fertilization, implantation into the uterus, embryonic and fetal growth, and 266 days after fertilization (the gestation period), birth (parturition). A. DEVELOPMENT DURING PREGNANCY 1. FERTILIZATION What is fertilization? Fertilization is the series of events from initial contact of sperm with the barriers surrounding the egg to the union of the genetic materials of the sperm and ovum into a single nucleus, forming the zygote. How many sperm actually reach the vicinity of the egg? Of the 300 million or so ejaculated into the vagina, less than 0.0001% (about 2,000 - 3,000) reaches the egg. When and where does fertilization take place? A successful pregnancy usually begins in the ampulla of the oviduct, some 12 - 24 hours after ovulation. Name and then briefly describe three factors that aid sperm during their movement towards the ovum. sperm acrosome -- Once the sperm is within the female reproductive fluids, the acrosome of the sperm releases the enzyme acrosin. This enzyme works to increase sperm motility. prostaglandins -- Prostaglandins in semen stimulate uterine contractions that draw sperm towards the uterine openings of the oviducts. the ovum -- The ovum itself is thought to secrete a chemical attractant for the sperm, giving the sperm a chemotactic gradient to follow. 371 Define capacitation. Capacitation refers to the functional changes that occur in sperm once inside the female reproductive tract that allow them to fertilize the ovum. What is the approximate minimum time that sperm must reside in the female reproductive fluids for capacitation to occur? about 10 hours What happens during the capacitation process? The membrane of the sperm head contains substantial amounts of cholesterol, making the membrane tough to prevent accidental leakage of the acrosomal enzymes. The female fluids “wash away” this extra cholesterol and other inhibitory factors, making the membrane more fragile, thus allowing the acrosome to be released. List and define the barriers to penetration through which a sperm passes to enter an ovum. Sperm, using acrosomal enzymes and flagellar movement, push through the following barriers, from the outside in: 1. corona radiata 2. zona pellucida 3. ovum cell membrane Describe the corona radiata. The corona radiata consists of the several rows of follicular cells immediately around the ovum when it was ovulated. They provide protection and probably nourishment for the ovum during its journey down the oviduct. Describe the zona pellucida. The zona pellucida is a gelatinous material surrounding the ovum cell membrane. On reaching the zona pellucida, sperm bind in a species-specific manner to receptors there and greatly increase their flagellar activity. Describe the ovum cell membrane and its role in fertilization. When the first sperm touches the egg cell membrane, it begins to push itself into the egg. As the sperm and egg cell membranes merge they ultimately fuse together and the two cells become one. The sperm cell membrane and cytoplasm 372 are incorporated into that of the ovum. The male genetic material, inside the ovum, is known as the male pronucleus. What are blocks to polyspermy and when are they initiated? What is their purpose? When the first sperm touches the egg membrane, a series of events known as the blocks to polyspermy are initiated. There is a change in egg cell membrane polarity (more positive) and a pushing away of the zona pellucida. These changes prevent other sperm from entering the egg, thus preserving genetic integrity of the zygote. What two events occur within the ovum after the male pronucleus enters? 1. 2. The secondary oöcyte, which was arrested in meiosis II, resumes its meiotic division. This gives rise to the female pronucleus, with its proper number of chromosomes (1n1c), and a polar body that is expelled. The male (1n1c) and female (1n1c) pronuclei fuse and the chromosomes (now 2n), line up at metaphase for their first mitotic cell division. Fertilization is completed and the fertilized egg is now called a zygote. What is the fast block to polyspermy? When the first sperm membrane touches the egg cell membrane, a wave of depolarization sweeps across the cell, much like the depolarization that occurs in muscle and nerve cells. This change to a positive membrane potential prevents any other sperm from touching the ovum. What is the slow block to polyspermy? The wave of depolarization also causes the release of stored materials from the egg into the space between cell membrane and zona pellucida. This physically forces the zona pellucida and all attached sperm away from the egg. Furthermore, the egg secretes hydrogen peroxide into this newly-formed space, effectively killing any sperm in the space. 373 2. 3. FORMATION OF THE MORULA DEVELOPMENT OF THE BLOASTOCYST Describe each of the following: cleavage -- After fertilization, the one-cell zygote undergoes a series of rapid mitotic divisions in a process called cleavage. During this time the total number of cells of the zygote increases, but not its overall size as individual cells, called blastomeres, become smaller and smaller. morula -- The first cleavage occurs 36 hours after fertilization, with each successive one occurring about every 24 hours. At about 96 hours (4 days), the cluster of 16 - 32 blastomeres forms a solid ball of tightly-packed cells that resemble a mulberry. This cluster, still in the oviduct, is known as a morula. blastocyst -- By the fifth day, the morula, still moving through the oviduct towards the uterine cavity, continues to divide, giving rise to a hollow ball of 64 - 128 cells called the blastocyst. The blastocyst consists of two distinct groups of cells, the trophoblast and the inner cell mass. There is an internal cavity called blastocoel. trophoblast -- The trophoblast forms a single-cell layer around the blastocyst, separating its contents from the surrounding environment. The cells of the trophoblast are used in implantation into the stratum functionalis of the uterus and will form the fetal portion of the placenta. inner cell mass -- The inner cell mass is a cluster of cells tucked into one side of the blastocyst. Opposite it is the cavity known as the blastocoel. The cells of the inner cell mass give rise to the embryo proper and the extraembryonic membranes. 4. IMPLANTATION Describe implantation. On the 6th – 7th day, the blastocyst is moved into the uterine cavity where it begins to attach itself to the endometrium. The trophoblastic cells begin to grow rapidly and invade the soft, glycogen rich stratum functionalis. This eventually causes the embryo to be completely embedded in the wall of the uterus. 374 What is accomplished by implantation? Three things are accomplished at implantation: 1. The blastocyst establishes itself in an environment rich in nutrients. 2. The trophoblast orients itself for formation of the fetal portion of the placenta. 3. It induces formation of the maternal portion of the placenta. B. EMBRYONIC DEVELOPMENT 1. BEGINNINGS OF ORGAN SYSTEMS When is the embryonic period of development? The first two weeks of development are given over to the events of cleavage and implantation. Weeks 3-8 mark the embryonic period. Name the three major events of the embryonic period. The three major events of the embryonic period are: 1. gastrulation 2. formation of the extraembryonic membranes 3. formation of the placenta What is gastrulation? During the embryonic period the inner cell mass of the blastocyst differentiates into the 3 primary germ layers by the process of cell migration collectively known as gastrulation. Name the primary germ layers. The three primary germ layers are the: 1. ectoderm 2. endoderm 3. mesoderm What is the ectoderm and what are its major derivatives in the adult? Ectoderm, the outermost germ layer, gives rise to the nervous system and all of its derivatives and the epidermis, and all of its derivatives. 375 What is the endoderm and what are its major derivatives in the adult? Endoderm, the innermost germ layer, gives rise to the epithelial linings of the digestive, respiratory, urinary, and reproductive systems. What is the mesoderm and what are its major derivatives in the adult? Mesoderm, the middle germ layer, gives rise to the connective tissues, muscles, cardiovascular system, and blood of the body. 2. EMBRYONIC MEMBRANES What are the extraembryonic membranes? The second major event of the embryonic period is the formation of the extraembryonic membranes. These membranes lie outside the embryo proper and serve to protect and nourish it. Name the extraembryonic membranes. The extraembryonic membranes are the: 1. yolk sac 2. amnion 3. chorion 4. allantois Describe the yolk sac. The yolk sac is an endodermal structure that gives rise to the original blood cells and germ cells of the individual. Its function as a yolk sac in mammals is vestigial (a bodily part or organ that is small and degenerative or imperfectly developed in comparison to one or more fully developed in an earlier stage of the individual, in a past generation, or in closely related forms), since mammalian ova have no yolk. Describe the amnion. The amnion is an ectodermal sac that surrounds the embryo/fetus and secretes the amniotic fluid that bathes the embryo/fetus. It serves to absorb shocks, help regulate temperature, and prevent adhesion during growth. 376 Describe the chorion. The chorion is a mesodermal structure derived from the trophoblast. It serves to form the fetal contribution to the placenta. Describe the allantois. The allantois is a vestigial endodermal structure in humans. In lower animals it is used to store liquid wastes (urine) prior to hatching. In mammals the allantoic blood vessels are used to help make the placenta. 3. PLACENTA AND UMBILICAL CORD Discuss the placenta and umbilical cord. The third major event of the embryonic period is formation of the placenta, a structure formed by trophoblastic cells of the embryo and stratum functionalis cells of the uterus. What is the role of the placenta in development? The fetal placenta, containing fetal blood, lies within the maternal placenta, which contains maternal blood. This arrangement allows free exchange by diffusion of gases, nutrients, and wastes between the two compartments. The umbilical cord is the vascular connection between the fetus and the placenta. Describe the blood vessels and connective tissue components of the cord. The umbilical cord contains two umbilical arteries, each derived from the internal iliac arteries, which carry relatively nutrient-poor and oxygen-poor blood to the placenta. The umbilical cord contains one umbilical vein that brings fresh oxygen and nutrients into the fetus, opening into the inferior vena cava of the fetus. Surrounding the vessels is a layer of amnion filled with a supporting mucous connective tissue known as Wharton’s jelly. At birth, the placenta detaches from the uterus and becomes the afterbirth. The umbilical cord, after it’s tied and cut, eventually dies and leaves a scar called the umbilicus (navel, belly button). 377 C. FETAL GROWTH What is the extent of the fetal period of development? At the end of the 8 weeks, the germ layers have formed the rudiments of all the future tissues and organs of the body. It is at this time that the fetal period begins, extending from weeks 9 - 38 (birth). What are the primary events of the fetal period? 1. 2. organ systems complete development and become ready for normal functioning outside the uterus individual grows from 1 inch and 1/30th ounce to about 20 inches and 7 pounds. Distinguish the ovarian phase from the placental phase of pregnancy. During the first 10 weeks of pregnancy, the corpus luteum continues secreting estrogen and progesterone to maintain the uterus. This is the ovarian phase of the pregnancy. After this time, the placenta becomes the source of the hormones of pregnancy. This is the placental phase. D. HORMONES OF PREGNANCY Name and describe the hormones of pregnancy. The hormones of pregnancy are: 1. human chorionic gonadotropin (HCG) 2. estrogen 3. progesterone 4. human somatomammotropin (human placental lactogen) 5. relaxin 6. inhibin Describe the role of HCG in pregnancy. HCG is secreted by the trophoblast and fetal placenta for about 12 weeks following fertilization. It stimulates the continued secretion of estrogen and progesterone from the corpus luteum to ensure maintenance of the endometrium in the secretory phase. Describe the role of estrogen and progesterone in pregnancy. As corpus luteum activity tapers off, the placenta becomes the source of estrogen and progesterone. These hormones continue to 378 maintain the uterus and begin preparing the mammary gland for milk synthesis and secretion. Describe the role of human somatomammotropin in pregnancy. Human chorionic somatomammotropin (human placental lactogen) is secreted during the last trimester. It aids in breast development for lactation and enhances fetal growth by causing mother to conserve glucose, thus making it available for the fetus. Describe the role of relaxin in the pregnancy. Relaxin works to relax the pubic symphysis and the ligaments of the sacroiliac and sacrococcygeal joints, thus widening the pelvis and therefore the bony birth canal. It also helps to dilate the cervix. Describe the role of inhibin in pregnancy. The role of inhibin is unknown, but it is believed to inhibit the secretion of FSH during pregnancy. E. PARTUITION OF LABOR What is the process of labor? After approximately 266 days of gestation, the process of parturition (birth) begins. Labor is the process by which the fetus is expelled from the uterus through the birth canal to the outside. Name the three stages of labor. The three stages of labor are 1. stage of dilation 2. stage of expulsion 3. placental stage What are the events of the stage of dilation? The stage of dilation is from the onset of labor to the complete dilation of the cervix (10 cm). The regular uterine contractions that occur during this time are in response to oxytocin. Also during this time is the rupture of the amniotic membrane. 379 What occurs during the stage of expulsion? The stage of expulsion extends from complete cervical dilation to delivery of the baby. What occurs during the placental stage of birth? The placental stage is the time after delivery until the placenta is expelled. It is characterized by very powerful uterine contractions that aid in constriction of uterine blood vessels to prevent hemorrhage. F. ADJUSTMENTS OF THE INFANT AT BIRTH Immediately after birth, the neonate must make certain anatomical and physiological adjustments to ensure continued life outside of the uterus. 1. RESPIRATORY SYSTEM Describe the changes that occur in the respiratory system. When the umbilical cord is cut, fetal blood oxygen drops rapidly, as carbon dioxide, and therefore hydrogen ion, concentration rises. The rising hydrogen ions stimulate the inspiratory neurons of the medullary rhythmicity area. Because the first inspiration is so deep, exhalation is vigorous and the baby emits crying sounds as air rushes past the vocal cords. 2. CARDIOVASCULAR SYSTEM Describe the changes in the cardiovascular system immediately after birth. Following the first inspiration, the cardiovascular system must also make immediate changes. Name and discuss the five differences between the fetus and the adult. 1. Increased pressure in the left atrium due to the increased venous return from the lungs causes the foramen ovale to close, thus closing the interatrial septum functionally The septum grows closed, forming the fossa ovalis. 2. The ductus arteriosus, a vascular connection found between the pulmonary trunk and the aortic arch, collapses and grows together to form the ligamentum arteriosum. 380 G. 3. The ductus venosus, a fetal bypass of the liver that allowed blood to move from the umbilical vein directly to the inferior vena cava, collapses and grows together to form the ligamentum venosum of the adult liver. 4. The umbilical vein collapses and fuses to form the ligamentum teres (round ligament of the adult liver). 5. The right and left umbilical arteries collapse and grow together to form the median umbilical ligaments. The proximal parts of each vessel persist as vessels to the urinary bladder. PHYSIOLOGY OF LACTATION Now that we have a baby, we have to feed her. What is lactation? Lactation refers to the synthesis, secretion, and ejection of milk from the mammary glands. How are the mammary glands prepared for milk synthesis during pregnancy? Estrogen, progesterone, and human chorionic somatomammotropin stimulate the milk-producing cells of the breast to increase their numbers by mitosis. If the breasts are prepared to make milk during the pregnancy, why does the mother not make milk during this time? In fact, why does it take a couple of days after delivery for milk letdown to occur? Milk synthesis is dependent upon prolactin (PRL) synthesis by the anterior pituitary gland. PRL secretion is controlled by PRL-RF and PRL-IF from the hypothalamus. High blood levels of estrogen and progesterone during pregnancy prevent the secretion of PRL by stimulating the secretion of PRL-IF. Low blood levels of estrogen and progesterone allow the secretion of PRL by stimulating the secretion of PRL-RF. After birth, when estrogen and progesterone levels fall, PRL-RF and therefore PRL is secreted, allowing milk synthesis to begin. In a stepwise fashion, describe the suckling (milk letdown) neuroendocrine reflex. The initial stimulus for milk let down is …? tactile stimulation of the nipple and areola by the sucking reflex. Sensory input from the tactile receptors is to the ...? hypothalamus 381 Motor output is in the form of what 2 hormones? oxytocin – Oxytocin stimulates the myoepithelial cells surrounding the ducts of the mammary glands to contract, thus ejecting milk into the lactiferous sinuses where it can be suckled. prolactin – Prolactin stimulates the milk-producing cells of the breasts to synthesize more milk. One often hears, or reads in books that are supposed to contain correct information, that while nursing your baby you don’t have to worry about birth control because you cannot ovulate. Why might this be so? High PRL levels TEND to inhibit FSH secretion. No FSH means that the ovarian cycle cannot begin to produce a new egg for ovulation. THIS IS A VERY UNRELIABLE BIRTH CONTROL!!!!!!!!!!!! If you use this method of birth control, you will most likely be having another child in 11 months or so. 382