01) Fertilization - Copy
01) Fertilization - Copy
Development, and
Placenta Formation
Introduction
-Introduction to fertilization
-Importance in human reproduction
-Overview of key steps of fertilization
- Overview of fetal development and maternal changes
- Importance of prenatal care
Introduction to Fertilization
• Fertilization is the process where a sperm cell fuses with an egg cell to
form a zygote.
• It marks the beginning of human development.
• Normally occurs in the ampulla of the fallopian tube.
• Ensures genetic recombination from both parents.
Step 1 – Sperm Transport
• Millions of sperm are released into the female reproductive tract.
• Sperm undergo capacitation (biochemical changes that improve
motility and membrane fluidity).
• Only a few hundred sperm survive the journey to the ampulla of the
fallopian tube.
Step 2 – Oocyte Activation
• Once a sperm enters, the cortical granules inside the oocyte release
enzymes.
• This causes the zona pellucida to harden, preventing polyspermy
(entry of multiple sperm).
• Ensures only one sperm fertilizes the egg.
Step 5 – Completion of Meiosis II
-
Weeks 1-2: Pre-implantation Phase
- Fertilization occurs in the fallopian tube.
- Zygote undergoes mitotic divisions, forming a blastocyst.
- Around Day 6-7, the blastocyst reaches the uterus and begins
implantation.
- The trophoblast differentiates into:
1. Cytotrophoblast: Inner layer of mononucleated cells.
2. Syncytiotrophoblast: Outer multinucleated layer that invades the
endometrium.
Weeks 3-4: Implantation and Early
Placenta Formation
- Syncytiotrophoblast secretes human chorionic gonadotropin (hCG) to
maintain the corpus luteum.
- Primary villi form from proliferating cytotrophoblast cells.
- Maternal spiral arteries begin interacting with the trophoblast,
initiating uteroplacental circulation.
Weeks 5-8: Chorionic Villi
Development
- Secondary villi form as mesoderm invades primary villi (Week 5).
- Tertiary villi develop as fetal blood vessels begin to form inside the villi
(Week 6-7).
- The placenta establishes a functional maternal-fetal exchange system.
Primary
villous Secondary
villous
Weeks 9-12: Placental Maturation
- The placenta expands, increasing surface area for exchange.
- Chorionic villi differentiate into:
1. Smooth Chorion: Non-functional regions regress.
2. Villous Chorion (Chorion Frondosum): Functional area that remains
in contact with maternal blood.
- Placental barrier forms, allowing selective exchange of substances.
Weeks 13-24: Functional Expansion
- Placenta enlarges to support rapid fetal growth.
- Increased hormone production: hCG levels decline while progesterone
and estrogen rise.
- Formation of placental cotyledons, structural units containing fetal
capillaries.
Weeks 25-40: Final Maturation
- The placenta reaches full functional capacity.
- Enhanced maternal-fetal nutrient, gas, and waste exchange.
- Produces hormones to maintain pregnancy and trigger labor.
Placental Functions
• Gas Exchange: Oxygen and carbon dioxide transfer between mother
and fetus.
• Nutrient Transport: Glucose, amino acids, lipids, vitamins, and
minerals.
• Waste Removal: Urea, bilirubin, and carbon dioxide transported back
to maternal circulation.
• Immune Protection: IgG antibodies pass through the placenta to
provide passive immunity.
• Hormonal Regulation: hCG, progesterone, estrogen, and placental
lactogen support pregnancy.
Placental Abnormalities
• Placenta Previa: Placenta covers the cervix, leading to bleeding risks.
• Placental Abruption: Premature separation from the uterine wall,
causing fetal distress.
• Placental Insufficiency: Poor placental function leading to fetal
growth restriction.
• Preeclampsia: Placental dysfunction leading to high maternal blood
pressure.
summary