Placenta and Umbilical Cord Anatomy

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Questions and Answers

What are the two primary components of the placenta by the beginning of the fourth month?

  • Decidua basalis and yolk sac
  • Chorionic plate and decidual plate
  • Chorion frondosum and decidua basalis (correct)
  • Chorion frondosum and decidua capsularis

During the formation of the placenta, what purpose do the decidual septa serve?

  • They aid in the transport of nutrients from the mother to the fetus.
  • They fully compartmentalize the placenta into independent structures.
  • They provide a syncytial layer separating maternal blood from fetal tissue. (correct)
  • They connect different cotyledons to share maternal blood supply.

What is the average weight of a full-term placenta?

  • 700 to 800 g
  • 300 to 400 g
  • 500 to 600 g (correct)
  • 900 to 1000 g

What characteristic distinguishes the fetal surface of the placenta at full term?

<p>It has a white and smooth appearance. (A)</p> Signup and view all the answers

What happens to the placenta shortly after the birth of the child?

<p>It is expelled from the uterine cavity approximately 30 minutes later. (D)</p> Signup and view all the answers

Which statement accurately describes the maternal circulation within the placental circulation system?

<p>Spiral arteries enter the intervillous spaces and supply blood to the decidua. (C)</p> Signup and view all the answers

What is a key function of the placenta regarding maternal and fetal exchanges?

<p>It prevents the passage of toxins, drugs, and microorganisms to protect the fetus. (A)</p> Signup and view all the answers

Which is not a layer of the placental barrier during early pregnancy?

<p>Fibrinoid material (B)</p> Signup and view all the answers

How does the structure of the placental membrane change by the fourth month of pregnancy?

<p>The layers thin, increasing the rate of exchange of substances. (B)</p> Signup and view all the answers

What materials does the placenta specifically allow to pass between maternal and fetal blood?

<p>Gases and nutrients while blocking large proteins. (D)</p> Signup and view all the answers

Flashcards

Placental Circulation

The system that allows the exchange of nutrients, oxygen, and waste products between the mother and the fetus through the placenta.

Maternal Circulation (placenta)

The part of placental circulation within the mother's body that delivers oxygen and nutrients to the fetus and removes waste.

Placental Barrier (definition)

Structures separating fetal and maternal blood, allowing selective exchange of materials, preventing mixing.

Placental Barrier Layers

Initially comprised of endothelial lining, primary mesoderm, cytotrophoblast and syncytiotrophoblast, thinning for increased efficiency then with fibrinoid material.

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Placental Function - Excretion

The placenta helps remove waste products from the developing fetus to the mother's circulatory system

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Placenta origin

The placenta develops by the fourth month, composed of fetal chorion frondosum and maternal decidua basalis.

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Placental Structure (Full Term)

The full-term placenta is a disc-shaped organ about 15-25 cm in diameter, 3 cm thick, weighing 500-600g. It's divided into sections (cotyledons), and the umbilical cord attaches centrally or off-center.

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Placental Barrier

The placenta has a layer of cells (syncytial) that separates maternal blood from fetal tissue. This barrier prevents mixing between the two.

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Umbilical Cord Attachment

The umbilical cord attaches to a placenta, usually in a central or eccentric position

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Placenta Cotyledons

The placenta is divided into compartments called cotyledons, which are separated by decidual septa.

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Study Notes

Placenta and Umbilical Cord

  • Placenta Structure and Origin: By the 4th month, the placenta has two parts: a fetal portion (chorion frondosum) and a maternal portion (decidua basalis). The chorionic plate borders the fetal side, and the decidual plate borders the maternal side. The intervillous spaces between these plates are filled with maternal blood.

  • Placenta Development: Decidual septa form within the intervillous spaces, but do not reach the chorionic plate. These septa create compartments called cotyledons, which maintain contact between intervillous spaces in various sections. This structure keeps maternal and fetal blood separate, but allows for nutrient and gas exchange.

  • Placental Circulation: Maternal blood enters the intervillous spaces through spiral arteries, and fetal blood enters through the umbilical vein. Oxygen and nutrients pass from maternal to fetal blood, while carbon dioxide and waste pass from fetal to maternal blood through the placental barrier.

  • Placental Functions: The placenta performs several key functions: nutrition, excretion, respiration, and protection (prevents toxins, drugs, and microorganisms from passing from mother to fetus).

Umbilical Cord

  • Full-Term Cord Structure: At birth, a typical umbilical cord is approximately 50-60 cm long and 2 cm in diameter. It has a tortuous structure, sometimes containing false knots. It typically contains two arteries and one vein surrounded by Wharton's jelly.

  • Umbilical Cord Development: The umbilical cord initially develops as a primitive structure including: body stalk containing allantois and umbilical blood vessels; yolk stalk and vitelline blood vessels; and the remaining part of extra embryonic coelom. As development progresses, the extra embryonic coelom and allantois obliterate, and the yolk stalk degenerates, leaving the definitive umbilical cord with umbilical blood vessels and Wharton's jelly covered by amniotic membrane.

Placental and Umbilical Cord Abnormalities

  • Placental Anomalies: Bilobed or trilobed placentas, accessory placentas, and placenta previa (centralis, marginalis, or parietalis) are potential abnormal conditions. A long umbilical cord can sometimes cause difficulties in delivery, while a short cord may present challenges due to limited flexibility. Other potential anomalies include one umbilical artery (increased risk of cardiac defects), velamentous insertion, and exomphalos.

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