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Physiology of Gestation & Parturition. Physiology of Gestation. Gestation periode beginning with fertilisation to end with parturition of foetus Gestation consist 3 class : ovum periode embryo periode foetus periode. Ovum periode is periode from fertilisation to implantation
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Physiology of Gestation & Parturition
Physiology of Gestation
Gestation periode beginning with fertilisation to end with parturition of foetus • Gestation consist 3 class : • ovum periode • embryo periode • foetus periode
Ovum periode is periode from fertilisation to implantation • Embryo periode is periode from implantation to early visceral organ formed. • Foetus periode is periode from visceral organ formed, ekstremitas to partus (Robert,1956).
Hafez (1974) statements : • Ovum periode : from ovulation to fertilisation, Periode embrio dimulai sejak terjadi fertilisasi, • Embryo periode : from fertilisation, implantation to visceral organ formed • periode fetus : ekstremitas organ formed to parturition
Placentation • Placenta (Foetus membrane) is tissue connection between embryo & mom • Placenta Function : • Food pathway from mom to embryo • Rubbish substance pathway from embryo to mom
Early gestation Change of trophoblast morphology as : • 1. Khorion (outer membrane) • 2. Allantois (between khorion & amnion) • 3. Amnion (inner membrane)
Placentation consists of : 1. Placenta materna ; endometrium (Corunculae) 2.Placenta foetalis ; trophoblast (Cotyledone)
MACROS & MICROS of PLACENTA • After implantation of embryo at endometrium, next trophoblast & endometrium fused, is called PLACENTA. • Firs nutrition of embryo from uterine milk (histotroph/ susu uterus).
Placenta devided 3 part: • Amnion : direct contact with foetus • Alantois: between amnion & chorion • Chorion : outer part membrane
PLACENTA TYPE • Cotyledonaria : Cow, ewe, goat have coruncula • Difusa : Sow & Mare haven’t coruncula • Zonaria : Dog • Discoidalis : Monkey, human, rat, guinea pig, rabit
Histologyst structure of placenta • Epitheliochoriale (placenta difusa) : blood circulation between mom & foetus separated by 2 epithel layer, 2 endothel layer & 2 connective tissue from mom & foetus • Syndesmochoriale (plasenta cotiledonaria) : consists of 1 epithel layer, thiner than epiteliochoriale.
3. Endotheliochoriale (placenta zonaria). blood circulation between mom & foetus separated by 3 layer from foetus (endothel, connective tissue & trophoblast epithel) & 1 layer from mom (endothel) 4. Hemochoriale (placenta diskoidale) blood circulation between mom & foetus separated by 3 layer conective cell from trophoblast 5. Hemoendotelial (plasenta diskoidale-kelinci) blood circulation between mom & foetus separated only by 1 layer endothel cell from blood vessel foetus
LONG TIME OF GESTATION • Long time of gestation counted from fertilisation to prturition, but fertilisation didn’t know exactly. So… Long time of gestation counted from last matting to partus • Long time of gestation influences by maternal factors, genetic, foetus & environment
CHANGE OF FEMALE GENITAL ORGAN DURING GESTATION 1. Vulva & Vagina After retilisation, vulva & vagina not yet change. Edema vulva : 6-7 months of gestation in heifer 8,5 – 9 months of gestation in cow. Perubahan vagina terlihat adanya pertambahan vaskularisasi mukosa vagina.
2. Servik * After fertilisation : cerviks crypta produce mucous liquid * Older gestation increase mucouse * Approach of partus contraction of cerviks musculator * Cow : 2-5 days before partus cerviks musculatur relaxation & opened
3. Uterus * After fertilisation : Increase vascularitation of endometrium, glandulas growing prolongation, twisting & produce of uterus milk (histotroph) Condition of uterus quiet because influence of progesteron * After implantation pathway of nutrition & rubbish substance attachment of tropoblast – blood vasel at endometrium.
4. Ovarium * After ovulation korpushaemorrhagicum or korpus rubrum 2-3 days luteinisation proces Corpus luteum (CL). * Cow & Ewe 5 – 6 days after ovulation CL grow up. If didn‘t gestation CL regretion by PGF2 alfa from endometrium * If Gestation CL function constantly CL Graviditatum & constantly to function to last gestation (cow, ewe, goat, sow & buffalo).
ROLE OF HORMON IN GESTATION PROCESS * Main Endokrine gland : Ovarium (CL & Folicle), Plasenta, Hipotalamus, & Hipofisa. * Support endokrine gland : tyroid & adrenal * Hipotalamus & Hipofisa Regulator gland
* CL produce P4 * Folikel produce E2 * Placenta produce P4 & E2 * In Urine : Mare consist Estron, Estradiol 17 & β Goat & Ewe Estradiol 17 Sow Estron Cow Estron & Estradiol 17 * Placenta of Mare produce steroid & gonadotrophine (PMSG) FSH produce fol not ovulated lutein CL Ascesoris produce P4
EXAMINE OF GESTATION IN FARM ANIMAL • CLINICALY 1. VISUAL INSPECTION 2. REKTAL PALPATION • LABORATORIOSLY 1. HORMONE EXAMINATION 2. USG 3. RADIOGRAFI 4. IMUNOLOGY
Gestation is physiologis process, how about gestacy of uterus to spend of foetus & placenta by ductus reproduction • Strong stimulation from uterus musculatur, stomach & diafragma • Before partus formerly with signs of partus
PLACE OF FOETUS IN PARTUS TIME Normal Place 1. Anterior (letak muka) 2. Posterior (letak sungsang). Eutokia Easy partus process Distokia Difficult partus process need human help
PARTUS STAGES • 1. EARLY STAGE / PREPARATION STAGE • 2. FOETUS & PLASENTA EXPULSION / CONTRACTION / LABOR 2.1. PREPARE OF CONTRACTION 2.2. STRONG CONTRACTION FOR FOETUS EXPULSION 2.3. CONTRACTION FOR PLACENTA EXPULSION • 3. PUERPURIUM
EARLY STAGE / PREPARATION STAGE • Normal Parturition Preparation stage longer incessant than contraction stage. • Preparation stage can incessant several hours or days, whereas contraction stage can incessant in count minute.
TEORY OF EARLY STAGE First : mechanic factor grow up offoetus Second : hormon factor P4, E2 dan Oxsitosyn. Third : intern foetusfactor Fourth : combined of 3th teory above
I. Mechanic Factor (If Normal Gestation) Foetus volume ↑ partus If Abnormal/ Patologik Condition Hydrops (Allantois Liquid ↑) partus Foetus twin in monotocous parturition faster
II. Hormonal Factor Oksitocyne Role for begin contraction of myometrium Progesteron Take care of gestation with preventive contraction from musculator uterus until calm of uterus
Estrogen Placenta grow up E2 ↑ Prostaglandin contraction from musculatur of uterus
III. FOETUS FACTOR • FOETUS GROW UP • UTERUS REPEATEDLY STRECH OUT • CORTISOL STIMULATE FROM FETUS
IV. COMBINED OF TEORY • ↑ P4 inhibiting of myometrium contraction • ↑ Foetus Volume utereus repeatedly stretch out • ACTH from foetus Cortex Adrenal produce Corticosteroid • Corticosteroid stimulate PGF2↑ & E2 ↑ P4 • E2 ↑ Sensitivitas myometrium toward Oxytocine • Myometrium contraction ↑ (several hours to days)
2. CONTRACTION STAGE • Prepare of Contraction stage • Contraction for spend out of foetus • Contraction for spend out of placenta
Prepare of Contraction Intensitas contraction of myometrium ↑ until spend out of allantois from vulva • Spend out of Foetus very quickly • Spend out of placenta
Puerpurium Changes after parturition + spend out of placenta until Estrous again