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Chapter 20 Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. STEPS TO FERTILIZATION -several hundred sperm produce enough enzymes for one to penetrate the oocyte -enzymes then harden the zona pellucida to prevent more sperm from entry -Sex cells with 23 chromosomes -Zygote with 46 chromosomes GROWTH AND DEVELOPMENT INTRODUCTION GROWTH - increase in size DEVELOPMENT - change from one life phase to the next, includes growth PRENATAL - fertilization to birth POSTNATAL - birth to death FERTILIZATION - union of an egg and a sperm cell PREGNANCY - implantation into the uterus; consists of three trimesters - 38 weeks total TRANSPORT OF SEX CELLS - cilia in the uterine tubes move the egg along; sperm cells have tails to move promoted by prostaglandins; muscular contractions of the uterus and uterine tubes help move the sperm - estrogen is needed to make the cervical mucus thin to promote sperm survival HUMAN PRENATAL DEVELOPMENT - three days to move through the uterine tube. Morula - 16 cell “ball” which turns into a blastocyst after three days and attaches to the endometrium after the 1st week of development. BLASTOCYST IMPLANTATION and trophoblast development The trophoblast will form the placenta that secretes hCG Start of the embryonic stage 8 weeks (embryo) After 8 weeks = fetus rudimentary organs Placenta - vascular structure that attaches the embryo to the uterine wall -exchanges nutrients, gases, and wastes - secretes hormones FEMALE INFERTILITY Termed after one year of inability to conceive Causes: Insufficient gonadotropic hormones (LH/FSH) that prevent ovulation hCG (human chorionic gonadotropin) and hMG (human menopausal gonadotropin) are used to stimulate ovulation - risk of overstimulation => multiple secondary oocytes released => possibility of multiple pregnancies Endometriosis - small pieces of uterine lining implanted in the abdominal cavity. The tissue sheds like uterine tissue so blood builds up in the abdominal cavity and causes pain and fibrotic tissue growth around structures like the ovaries STD/Is - infections can scar uterine tubes and plug cervix preventing sperm and oocyte movement TESTS TO ASSESS FEMALE INFERTILITY & TREATMENTS HORMONE FLUX DURING PREGNANCY Spontaneous abortion - occurs if corpus luteum degenerates about two weeks after ovulation; when it degenerates estrogens and progesterones decline rapidly Human chorionic gonadotropin (hCG) prevents abortion; trophoblasts secrete hCG LH maintains the corpus luteum and secretes estrogens and progesterone to maintain the uterine wall hCG inhibits LH and FSH release which stops the menstrual cycle The placenta secretes hormones after the 1st trimester PLACENTAL SECRETIONS Placental lactogen- prepares the mammary glands for secretion of milk Relaxin - inhibits smooth muscles in the myometrium until birth occurs; relaxes the symphysis pubis and sacroiliac joints Placental estrogens - enlarge the vagina and external reproductive organs in preparation for birth The parathyroid stimulates high calcium concentrations in the blood and adrenal secretion of aldosterone contributes to fluid retention HORMONAL CHANGES DURING PREGNANCY EMBRYONIC STAGES - ectoderm and endoderm form first with the mesoderm forming in between them By the end of week 4 head and jaws form; the heart beats and limb buds develop By weeks 5-7 - the head grows rapidly, the face eyes, nose and mouth become more recognizable; the limbs elongate; fingers and toes develop and webbing dissolves By the end of week 7 all internal organs are present Figure 20.09 PLACENTAL MEMBRANE The layers of cells of the trophoblast secretes proteolytic enzymes that break down endometrial tissue providing nutrients for the embryo and create vessels and the placenta Oxygen and nutrients diffuse from mom’s blood to fetus and carbon dioxide and wastes diffuse from the embryo to mom Embryonic portion of the placenta = chorion and villi Maternal portion = uterine wall (decidua basalis) AMNION AND AMNIOTIC FLUID Amnion - surrounds the embryo by week 2 Amniotic fluid - fills space between the amnion and embryonic disc; provides cushion Umbilical cord - embryo attaches to the chorion and placenta Three vessels of the umbilical cord - two arteries and one vein Fetus suspended by the umbilical cord Figure 20.13 YOLK SAC AND ALLANTOIS The yolk sac gives rise to the cells that become sex cells The allantois turns into the umbilical arteries and vein Teratogens - can cause birth defects during pregnancy FETAL STAGE Begins at the end of the 8th week and goes until birth 3rd month - body lengthening; ossification centers develop 12th week - sex can be determined 4th month - lower limbs lengthen; reacts to loud noises 5th month - skeletal muscles contract and baby moves; hair grows on head MONTHS 6-9 DEVELOPMENT CHANGES 6th month - weight gain; eyebrows and eyelashes develop 7th month - fat is deposited in subcutaneous tissue; eyelids reopen; 40 centimeters in length at this point 8th month - organs specialize and grow; testes descend into the scrotum 9th month - 50 cm in length; sebum and dead epidermal cells coat skin; hair on the scalp; fingers and toes with nails; skull bones mostly ossified; fetus turns toward a downward position FETAL BLOOD CIRCULATION Fetal blood has a higher affinity for oxygen Umbilical vein brings baby oxygenated blood Half of the blood goes into the liver and the rest to the ductus venosus The ductus venosus joins the IVC where oxygenated blood from the placenta mixes with deoxygenated blood from the fetus Fetal lungs are nonfunctional - blood from the IVC enters the right atrium and is shunted to the left atrium via the foramen ovale Blood bypasses the lungs via ductus arteriosus - connects pulmonary trunk to the descending aortic arch Blood from the SVC by passes the lungs using the ductus arteriosus but is prevented from entering cardiovascular or brain blood circulation Deoxygenated blood enters umbilical arteries from the internal iliac arteries to go to the placenta for re-oxygenation THE BIRTH PROCESS MILK PRODUCTION AND SECRETION Estrogens stimulate ductile extension and branching and deposit fat around them Progesterone causes alveolar gland creation and ends of ducts Breast size doubles during pregnancy Placental expulsion causes prolactin release and milk is secreted Colostrum is what is secreted in the first few days and has more protein Ejection of milk requires contraction of myoepithelial cells around the alveolar glands Suckling or stimulation of receptors on the nipple or areola cause the reflex reaction Oxytocin causes myoepithelial cells to contract If milk is not removed regularly prolactin is inhibited within one week and milk production ends NEONATE CHANGES Neonatal period - starts at birth and goes to 4 weeks Excrete dilute urine - easy to be dehydrated Umbilical vessels constrict Ductus venosus constricts and becomes a ligament of the liver Foramen ovale closes with heart pressure changes full closure may take a year Ductus arteriosus constricts and becomes ligamentum arteriosum in 15 minutes GENETICS Genetics - how genes are passed from one generation to the next Autosomes - pairs 1-22 Sex Chromosomes - X and Y chromosomes XX = FEMALE; XY = MALE Alleles - slightly different forms of a gene Homozygous - two identical alleles of a gene Heterozygous - two different alleles of a gene Genotype - combination of alleles, for one or many genes Phenotype - appearance, health condition (ex: green eyes) MODES OF INHERITANCE The way we inherit genes from mom and dad Autosomal dominant - masks expression of a recessive allele - it causes a trait or disease; usually an X chromosome linked trait; start in adulthood Autosomal recessive - two recessive alleles from each parent elicit a trait; early onset; X linked in females X-linked recessive - males with these; hemophilia and colorblindness MULTIFACTORIAL TRAITS Influenced by environmental factors such as nutrition, exposure to toxins and pathogens Several genes contribute to phenotypes Height, skin color and intelligence are polygenic traits that vary As nutrition improved individuals became taller over the years Heart disease, diabetes, hypertension and cancers are multifactorial and are polygenic traits Box Figure 20.c Box Figure 20.d