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HYPOTHALAMUS ESTROGEN
GnRH Maturation of Secondary Follicle
GONADOTROPINS LH SURGE
FSH^^
Secondary follicle forms into Graafian follicle
Stimulates growth and maturation of GRANULOSA CELLS Collagenase activity/ Prostaglandins level
GC Together with THECA INTERNA
Digestion of Collage fibers surrounding the follicles/ Local
Produce ESTROGEN^^ muscular contraction in Ovarian walls
Estrogen stimulates Anterior Pituitary Gland Uterine Tube contract Rhythmically
Produce LH^^ The PRIMARY OOCYTE is extruded from the ovary
together with cumulus oophorus
Stimulates FOLLICULAR CELLS
Fimbrae sweeps over the surface of ovary
Produce PROGESTERONE
SECONDARY OOCYTE is propelled by peristaltic
movement or contraction of Uterine Tube
SECONDARY OOCYTE on uterine tube
^^FSH
Cumulus Oophorus rearrange around the zona pellucida
Nourishes the follicular cells of PRIMORDIAL FOLLICLE,
saving the 25-20 Primary follicle from dying and become Forming CORONA RADIATA**
atretic
^^ESTROGEN
Uterine Endometrium enter FOLLICULAR/PROLIFERATIVE
PHASE
/ Thinning of cervix mucus to allow passage of sperm
^^LH
Maturation promoting factor / Follicular Rupture and
Ovulation
Maturation of secondary follicle and completion of Meiosis
I
FERTILIZATION **CORPUS LUTEUM (SECRETORY PHASE)
Develops into CORPUS LUTEUM of PREGNANCY
th
Produce PROGESTERONE (until end 4 month that the
uterus is ready for implantation)
IMPLANTATION
Uterine glands and arteries become coiled and tissues
become succulent
CLEAVAGE SPERMATOGENESIS
Meiosis 2 completed
Forms SPERMATIDS
Mature Spermatozoa
Epididymis
nd
2 Week of Development (FORMATION OF BILAMINAR DISC)
Blastocyst attaches its outer cell mass in Blastocyst is partially embedded Blastocyst is completely
the epithelium of Endometrial Stroma in the endometrial stroma embedded in endometrial stroma
Day 14 Day 16 - 18
Formation of PRIMITIVE STREAK Formation of NOTOCHORD (Basis of axial skeleton)
Migration of Epiblast cells Elongation
o Towards the hypoblast ENDODERM o Cranial end (from prechordal plate)
o Epiblast and newly created endoderm MESODERM o Caudal end are added (in primitive pit)
o Remains in the epiblast ECTODERM o Primitive pit forms indentation in the epiblast neurenteric canal
*These cells spread laterally and cranially temporarily connects the amniotic and yolk sac cavities
o CLOACAL MEMBRANE is formed at the caudal end
Formation of NEURAL Neuroectoderm Neural folds fuse cranially and Closure of the Closure of
PLATE becomes elevated caudally forming the NEURAL ANTERIOR POSTERIOR
forming the NEURAL TUBE NEUROPORE (18 NEUROPORE (25
FOLDS 20 somite stage) somite stage)
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4 WEEK (ORGANOGENESIS)
ECTODERM
NEURAL TUBE NEURAL CREST CELLS
o Ventromedial forms o Remains in o Dorsomedial & o Cranially (in w/ ectoderm w/ embryonic o Bowmans o Ureter
the cartilage, tendons the middle Ventrolateral association with dermis of skin in endoderm wall capsule
and bones forms the forms the neural plate) forms body wall, of Gut Tube o Renal
dermis of segmental the NEUROMERES connective tissue o Proximal Pelvis
o Vertebrae back muscles and then into of limbs Hemangioblast Convulated
Primary Curves MESENCHYME OF blood islands Tubule
THORACIC CURVE DERMOMYOTOME THE HEAD w/ sclerotome and blood cells o Major
SACRAL CURVE myotome costal Calyx
Secondary Curves o Caudally to form the cartilage, limb o Stroma of glands o Loop of
CERVICAL CURVE Ventrolateral lip SOMITES which will muscles and Henle o Minor
(develops when a o INFRAHYOID, ABDOMINAL form the AXIAL most body wall o Visceral muscles, Calyx
child learns to hold WALL, LIMB MUSCLES SKELETON muscles connective tissue o Distal
up his head) and Peritoneal Convulated
LUMBAR CURVE Dorsolateral lip components of Tubule
(develops when a child o Muscles of the back, surround in the gut
learns to walk) shoulder girdle and intraembryonic
intercostal muscles cavity
o Intervertebral disc mesothelial and
serous
o Together with Lateral membranes
Plate mesoderm forms
the COSTAL MANUBRIUM,
CARTILAGE STERNEBRAE
XIPHOID
o BONY PART OF THE PROCESS
RIBS
Together with
neural crest
cells form
SMOOTH
MUSLES
ENDODERM
FOREGUT MIDGUT - HINDGUT
Dorsal portion of the Respiratory Diverticulum Cephalic limb of the primary intestinal loops DISTAL 1/3 OF TRANSVERSE COLON
forms the ESOPHAGUS develop into DISTAL PART OF DUODENUM,
JEJUNUM AND PART OF ILEUM DESCENDING COLON
Fusiform dilation of the foregut forms the
STOMACH Caudal limb of the primary intestinal loops SIGMOID
becomes the LOWER PORTION OF ILEUM,
CECUM, APPENDIXASCENDING COLON AND RECTUM
The terminal part of the foregut and the cephalic PROXIMAL 2/3 OF TRANSVERSE COLON
part of the midgut forms the DUODENUM
*formed from rapid elongation of the gut and its mesentery UPPER PART OF ANAL CANAL (derived from
Outgrowth of the endodermal epithelium at the endoderm of hindgut and ectoderm of
distal end of the foregut forms the LIVER o proctodeum)
PHARYNGEAL ARCH
ST ND RD TH TH
1 PHARYNGEAL ARCH 2 PHARYNGEAL ARCH 3 PHARYNGEAL ARCH 4 AND 6 PHARYNGEAL ARCH
(Hyoid arch)
o Maxillary Process (Dorsal) o STAPES, STYLOID PROCESS, o LOWER PART OF THE BODY o THYROID, CRICOID,
PREMAXILLA, MAXILLA, TEMPORAL BONE, OF HYOID BONE, GREATER ARYTENOID, CORNICULATE
ZYGOMATIC BONE, part of STYLOHYOID LIGAMENT, HORN OF HYOID BONE CUNEIFORM CARTILAGE OF
TEMPORAL BONE LESSER HORN and UPPER LARYNX
PART OF THE BODY OF
o Mandibular Process (Ventral) HYOID BONE o SUPERIOR LARYNGEAL
INCUS, MALLEUS BRANCH OF VAGUS NERVE
(4TH Arch)
o TRIGEMINAL NERVE
o FACIAL NERVE o GLOSSOPHARYNGEAL
NERVE o RECURRENT LARYNGEAL
BRANCH OF VAGUS NERVE
(6TH Arch)
PAHRYANGEAL POUCH
ST ND RD TH
1 PHARYNGEAL POUCH 2 PHARYNGEAL POUCH 3 PHARYNGEAL POUCH 4 PHARYNGEAL POUCH
Palatine Tonsils
o TYMPANIC MEMBRANE o INFERIOR PARATHYROID
(Distal) GLAND (Dorsal) o SUPERIOR PARATHYROID
o EUSTACHIAN TUBE o THYMUS (Ventral) GLAND (Dorsal)
(Proximal) o ULTIMOBRANCHIAL BODY
(Ventral)
Parafollicular Cells of Thyroid
Gland
Calcitonin
TONGUE
TH
MESODERM OF 1ST PHARYNGEAL ARCH MESODERM OF 2ND, 3RD AND Posterior Part of the 4
4TH PHARYNGEAL ARCH Arch
LATERAL LINGUAL 1ST MEDIAL SWELLING 2ND MEDIAN SWELLING 3rd MEDIAN SWELLING
SWELLING
Merge with 2 Merge with the INTERMAXILLARY SEGMENT Merge across the midline
MEDIAL
NASAL
PROMINENCE
UPPER LIP UPPER JAW LABIAL PALATAL LATERAL NASAL MEDIAL NASAL LOWER LIP
COMPONENT COMPONENT COMPONENT PROMINENCE PROMINENCE
Month Development
nd
2 Month
th th
(5 week 8 week) INCREASE IN HEAD SIZE
LIMBS AND HEAD FORELIMBS APPEAR as paddle shaped buds
HINDLIMBS appear later
RD th th
3 Month ( 9 12 week)
FULL DEVELOPMENT OF Slowdown in the growth of the head compared to the rest of the body
ORGANS FACE becomes more HUMAN LIKE
EYES from lateral position moves to the ventral portion of the head
Ears comes to lie at their definite position in the head
Limbs reach their relative length
Primary ossification are present in long bones and skull
External genitalia develop to such degree that the sex of the fetus can be determined
Large swelling (Herniation) has withdrawn into the abdominal cavity
th th th
4 ( 13 16 weeks)
LENGTH Fetus lengthens rapidly
Weight increase a little
Fetus is covered with fine hair (lanugo), eyebrows are visible
th th th
5 Month (17 20 weeks)
WEIGHT Movements of fetus can be felt by the mother
Weight increase rapidly
Fetus swallows its own amniotic fluid (400 mL a day) FETAL urine is added daily to the amnion
th ST TH
6 Month (21 24 weeks)
RED SKIN Skin is reddish and wrinkled because lack of underlying connective tissue
Fetus born in this month cannot survive since Respiratory and Nervous System has not yet sufficiently differentiated
th th
7 Months (25 - 28 weeks)
WHITE SKIN Fetus obtains well rounded contours as a result of fat deposition
The skin is covered with whitish fatty substance (Vernix caseosa) composed of secretory products of sebaceous glands
th
9 Month ( 33th - 36 weeks)
FETUS READY FOR DELIVERY Skull has the largest circumference of all parts of the body
CHANGES IN THE TROPHOBLAST/ PLACENTA
nd TH TH
2 MONTH 4 MONTH 5 MONTH
PLACENTA ENLARGES with growth of the fetus
Cytotrophoblastic cells invades Cytotrophoblastic cells and connective tissue cells and expansion of Uterus not due to further
(ENDOVASCULAR INVASION) the terminal ends disappears due to increase in diameter of villi penetration into maternal tissues but due to
of SPIRAL ARTERIES The SYNCYTIUM and ENDOTHELIAL WALL OF arborisation of existing villi
This transforms SPIRAL ARTERIES from small BLOOD VESSELS are the only layers that
diameter, high resistance vessels to large separate maternal and fetal circulation
diameter, low resistance vessels Villi covers the surface of the CHORION
Spiral arteries release blood into the Villi grow and expand to form CHORION
INTERVILLOUS SPACE derived from lacunae of FRONDOSUM
Syncytiotrophoblast; filled with maternal blood Villi on abembryonic region degenerate forming
CHORION LEVAE
CHRORION LEVAE comes in contact with
DECIDUA PARIETALIS on the opposite side of
the uterus and fuse, obliterating the uterine
lumen
Amnion expands, and come in contact with
Chorion, obliterating the CHORIONIC CAVITY;
yolk sac shrinks and gradually obliterated
Placenta produce:
o PROGESTERONE to maintain pregnancy
(synthesized in SYNCYTIAL TROPHOBLAST)
o ESTROGEN just before end of pregnancy to
promote uterine development and growth of
mammary glands
o hCG to maintain Corpus luteum
o Placental lactogen which gives fetus priority on
maternal blood glucose and makes mother
diabetogenic; promotes breast development for
PARTURITION
EFFACEMENT DELIVERY OF THE FETUS DELIVERY OF THE PLACENTAL MEMBRANES
o Uterine contracts, amniotic sac s forced against o Uterus contracts o Uterine contractions
the cervical canal like a wedge o Increased intraabdominal pressurefrom o Abdominal muscle contraction
o If memebrane is ruptured, pressure will be exerted contraction of Abdominal Muscles
by the presenting part of the fetus, usually the
HEAD
PLACENTA
Placenta is composed of: CHORIONIC VESSELS converge toward the umbilical cord
CHORION is covered by AMNINON
CHORION FRONDOSUM (Fetal Component) derived from TROPHOBLAST 4 Layers of Placental Membrane:
and EXTRAEMBRYONIC MESODERM
o Bordered by CHORIONIC PLATE Endothelial lining of Fetal Vessels
Connective Tissue on Villous Core
DECIDUA BASALIS (Maternal Component) derived from UTERINE Cytotrophoblastic layer
ENDOMETRIUM Syncytium
o Bordered by DECIDUAL PLATE The Amniotic Fluid
o Contains compartments called COTYLEDONS maintain its contact with
INTERVILLOUS SPACE through DECIDUAL SEPTA Derived from maternal blood
Function: Produced by amniotic cells
Clear, watery fluid replaced every 3 hours
Exchange of gases (simple diffusion) Normal amount:
Exchange of nutrients o 10 weeks 30 mL
Transmission of Maternal Antibodies o 20 weeks 450 mL
Hormone Production (hCG , progesterone, estrogen and placental lactogen) o 37 weeks 800 1000 mL