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Chapter 17

            Amniotic Fluid



                 The amnion grows and begins to fill, mainly with water, around two weeks after fertilization. After
            a further 10 weeks the liquid contains proteins, carbohydrates, lipids and phospholipids, urea and
            electrolytes, all which aid in the growth of the fetus. In the late stages of gestation much of the amniotic
            fluid consists of fetal urine.

                 The forewaters are released when the amnion ruptures, commonly known as when a woman's
            "waters break" or "spontaneous rupture of membranes" (SROM). The majority of the hindwaters
            remain inside the womb until the baby is born.



            Endocrine Function of the Placenta


                 There are pituitary like hormones and steroid hormones secreted from the placenta. The pituitary
            like hormones are hCG and hCS. hCG is similar to LH and helps maintain the mothers corpus luteum.
            hCS is like prolactin and growth hormone and help aid in increasing fat breakdown that spares the use
            of glucose from the mothers tissues. This effect leaves more glucose available to the placenta and the
            fetus for necessary growth. The steroid hormone are progesterone and estrogen. Progesterone helps
            maintain the endrometrium and supports the growth of mammary glands. Estrogen also helps maintain
            the endrometrium and growth of mammary glands. It also inhibits prolactin secretion.




            Developing Baby


                 The womb is expanding, the baby is growing and taking all the nourishment from the mother.
            What once started as a microscopic two-celled egg, will be formed into a baby in just 12 weeks. The
            baby develops from conception to term, in a month-to-month progress.



            Overview of Developmental Milestones


             WEEK          CHANGES IN MOTHER                           DEVELOPMENT OF BABY
                                                            Pre-embryonic Development
                                                            Fertilization occurs, cell division begins and
             1 week   Ovulation Occurs
                                                            continues, chorion appears
                                                            Embryonic Development
                      Symptoms of early pregnancy
                      (nausea, breast swelling and          Implantation occurs; amnion and yolk sac appear;
             2 weeks
                      tenderness, fatigue); blood pregnancy  embryo has tissue; placenta begins to form
                      tests may show positive
                      First period missed; urine pregnancy
             3 weeks test may show positive; early          Nervous system begins to develop; allantois and
                      pregnancy symptoms continue           blood vessels are present and placenta is well formed
                                                            Limb buds form; heart is beating; nervous system
             4 weeks                                        further develops; embryo has tail; other systems are
                                                            forming


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