胎盘及其他胎儿附属组织的形成及功能(英文)课件.pptVIP

* * * * * * * * * * * * * * * * * * * * * * * Protect fetus cushioning against blows to the mothers abdomen fetal movement and promoting muscular/skeletal development ?help in the formation of gastrointestinal tract Help in the lung development The aminiotic fluid--function * Change of Lying-in Woman in Pregnency Section 4 * Maternal Physiologic changes– Genital system capacity: 5ml-5000ml. weight: 50g-1000g Hypertrophy of muscle cells Contraction: Braxton Hicks * ?isthmus uteri Without pregnacy--1cm 10w—soft 12w，long and thin，as part of uterine cavity During natural delivery 7～10cm * Maternal Physiologic changes– Genital system Cervix: colored Ovary: placenta replaces ovary (10th week) Vagina: dilated and soft, pH↓(anti-bacteri bacteria) Ligaments: relaxed * Maternal Physiologic changes– breasts Engorgement and venous prominence Mastodynia (breast ternderness Montgomery’s tubercles: enlargement of circumlacteal sebaceous glands of the areola Colostrum secretion * Cardiovascular system Heart: move upward, hypertrophy of cardiac muscle Cardiac Output increase by 30%, reach to peak at 32nd –34th week Blood pressure early or mid pregnancy Bp↓.late pregnancy Bp↑ .Supine hypotensive syndrome Maternal Physiologic changes– * Stroke volume +30% Heart rate +15% Cardiac output +40% Oxygen consumption +20% SVR (systemic vascular resistance) -5% Systolic BP -10mmHg Diastolic BP -15mmHg Mean BP -15mmHg Cardiovascular system Maternal Physiologic changes– * Venous pressure: unchanged in the upper body Significantly increases in the lower extremities： supine hypotension syndrome Maternal Physiologic changes– Inferior vena cava * Maternal Physiologic changes– Hematologic system Blood volume ↑ 30%-45% at 32nd –34th (peak)， Relatively diluted Composition erythrocyte ：Hb