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Summary Obstetrics & Gynaecology Notes for Medical Students

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I have here condensed and simple ob gy notes which will help you get through medical school rotation. :)









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Uploaded on
March 22, 2019
Number of pages
194
Written in
2018/2019
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Summary

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1. FERTILISATION, IMPLANTING AND DEVELOPMENT OF FERTILISED OVUM. PLACENTA (shorter)


Fertilisation

 Refers to the fusion of a spermatozoon with a mature ovum in the ampulla of the uterine tube
 An ovum is released during ovulation & transported by the tubal fimbriae to the ampulla of the uterine tube
 A few hundred sperms (out of the 200-300 million are deposited in the vagina during intercourse) travel rapidly
and reach the ovum within a few mins
 The sperm consists of three parts 1. Head 2. Neck 3.Tail
o The head consists of a nucleus and the
foremost part is called the acrosome
 The acrosome is a lysosome
containing acids such as
hyaluronidase which are
liberated in the fallopian tube
and allow the sperm to penetrate
the layers of the ovum e.g.
corona radiata and zona
pellucida
o The neck contains mitochondria and the
tail allows movement
 A sperm reaches the oolemma (cell membrane of
an oocyte) after penetrating the zona pellucida
and radiata of the oocyte
o Once the sperm penetrates the oolemma, the cortical reaction occurs causing the membrane to harden
and the oolemma block also occurs which prevents other sperms from entering
o Inside the oocyte, the sperm sheds its outer coating+ tail forming the male pronucleus
o The ovum simultaneously undergoes the second meiotic division producing the female pronucleus and
releases a polar body
 The male and female pronuclei then fuse in the centre producing diploid number of chromosomes
o This entity is known as the zygote

DEVELOPMENT OF A FERTILISED OVUM

 The zygote divides via mitosis producing two blastomeres ( 30 hours after fertilisation ) known as the 2-cell stage
 The blastomeres keep on dividing by binary division until a cluster of cells is formed known as morula
o The morula stays in the uterine tube for 3 days before entering the uterine cavity on the 4th day as a 16-
64 stage cell
o 5th day  the cells of the morula start to separate forming an inner cell mass embryoblasts and an outer
layer known as trophoblast (or trophoectoderm)  the cell is now known as a blastocyst
 The zona pellucida is lost during this event known as zona hatching
 The inner cell mass will form the embryo proper while the outer will form the placenta and
amniotic membranes
o Just before implantation the trophoblasts divide into an inner cytotrophoblasts/Langhans’ layer and an
outer layer of multinucleated syncytium called syncytiotrophoblast
 Cytotrophoblasts are further divide into
 Villous cytotrophoblasts  line the villous stems
 Interstitial extravillous cytotrophoblasts  invade the decidua

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