Physiology · Reproductive Physiology

Pregnancy physiology and maternal adaptations

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Definition

  • Pregnancy extends from fertilization to delivery, normally about 40 weeks from the last menstrual period (38 weeks from ovulation).
  • Fertilization occurs in the ampullary portion of the fallopian tube, usually within a day of ovulation.

Gamete Transport, Fertilization and Cleavage

  • Capacitation: changes sperm undergo in the female genital tract (altered tail beat, plasma membrane change) that make them capable of fertilizing the egg.
  • Fertilization has four steps:
    1. Fusion of sperm with egg.
    2. Acrosome reaction with sperm penetration.
    3. Polyspermy block.
    4. Zygote formation.
  • Acrosome reaction releases acrosomal enzymes, including acrosin, that digest the zona pellucida so the sperm can penetrate to the egg membrane.
  • Polyspermy block: sperm-egg fusion first changes the egg's membrane potential, then egg-released enzymes harden the zona pellucida, both blocking further sperm entry.
  • The zygote undergoes mitotic cleavage in the fallopian tube:
    • blastomere by 24 hours
    • morula (16 to 32 cells) by 96 hours
    • entering the uterus by day 4
  • Sperm transport through the cervix is favoured by estrogen-induced thinning and parallel orientation of cervical mucus; of the millions deposited, only about 50 to 100 reach the fallopian tube.
  • Monozygotic twins arise when dividing blastomere cells separate into two independent cell masses; dizygotic twins arise from two eggs ovulated and fertilized simultaneously.