Gould's Pathophysiology for the Health Professions, 6e
Gould's Pathophysiology for the Health Professions, 6e
6th Edition
ISBN: 9780323414425
Author: Robert J Hubert BS
Publisher: Saunders
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Chapter 22, Problem 1LO
Summary Introduction

To describe: The stages of fetal development and the basic effects on the mother.

Introduction: Gestation or pregnancy is the period during which offspring develops within a woman. There involves several developmental stages of fetus.

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Fertilization

The gametogenesis occurs in males and females. Males produce sperms and females produce eggs. During intercourse between a male and female, the male’s sperms are ejaculated into the female reproductive tract. In the fallopian tube, fertilization takes place. Fertilization is the phenomenon where the male gamete (sperm) and the female gametes (egg) unite to form the zygote. The zygote develops as the fetus in the uterus. At the end of gestation period, the act of the female where she gives birth to the baby is known as parturition.

Stages of fetal development

In humans, pregnancy is nearly nine months long, divided into three trimesters, involving several changes in the mother and the growing fetus. The developmental stages begin as a fertilized egg. This egg develops into a blastocyst, then to an embryo and at last to a fetus.

Tabular representation: Table 1 shows the stages (three trimesters) of fetal development.

Table 1: The stages of fetal development

Stages

Weeks of pregnancy

Events

First trimester (1 to 12 weeks)

2

  • Beginning of fertilization
  • The zygote (fertilized egg) starts to develop into blastocysts (hollow mass of cells),

3

  • Implantation of blastocysts into the uterus wall.
  • Formation of amniotic sac.

5

  • The region which becomes the spinal cord and brain starts to develop.

6-9

  • Beginning of arms and legs.
  • Formation of muscles and bones.
  • Development of face and neck.
  • Detection of brain waves.
  • Formation of skeleton.

10

  • Beginning of kidney functions.
  • Formation of most of the organs.
  • Movement of fetus.
  • Slight enlargement of abdomen.

Second trimester (13 to 27 weeks)

14-16

  • Identification of fetus sex.
  • Vigorous movement of fetus.
  • Fat deposition beneath the skin of fetus.
  • Appearance of hair on skin and head.

20-24

  • Development of fully-formed placenta.
  • Survival chance for fetus outside the uterus.
  • Rapid weight gain in pregnant women.
Third trimester (28 to 40 weeks)

25-40

  • This period is known as full-term pregnancy.
  • The fetus changes positions frequently.
  • The fetus head gets ready for delivery by turning into a head-down position in the pelvis region. The head is towards the cervical end of the uterus.

Effects on the mother during first trimester

During the first trimester, a mother’s body undergoes rapid changes. Some changes include breast tenderness, heightened sense of taste and smell, and morning sickness. Morning sickness is the feeling of nausea and vomiting. Morning sickness is caused by hormonal changes in the mother. Vomiting and nausea due to morning sickness also cause loss of appetite in mothers during early pregnancy. Vomiting also causes loss of nutrients and body is deprived of nutrition and calories. Low motility of digestive tract also affects appetite and food intake, leading to weight loss.

Effects on the mother during second trimester

During second trimester, certain unpleasant effects of first trimester may reduce or even disappear as a pregnant woman’s body gets adapted to the hormonal changes. There will be an increase in energy level and the person may easily feel sleepy. Also, they experience pelvic pressure. Only a low chance of miscarriage occurs during this stage.

Effects on the mother during third trimester

The average weight increase during the three trimesters is 25 to 30 pounds, most of which occurs during the third trimester. The weight gain occurs due to several changes in mother such as the enlarged uterus, increase in uterus contents (the placenta, the amniotic fluid, and growing fetus), breast enlargement, increased blood volume, and increase in stored nutrients or body fat. Women begin their pregnancy at a healthy weight during third trimester. At the end of the third trimester, the approximate weight of a baby is about 7 pounds. During the third trimester, many pregnant women who begin their pregnancy at a healthy weight, should intake 450 calories more each day than they did before pregnancy to gain a pound per week.

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