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Chapter 20

The Reproductive System

Human Physiology by Lauralee Sherwood 2010 Brooks/Cole, Cengage Learning

The reproductive system does not contribute to


homeostasis but exerts other important effects
Hypothalamus
Reproductive
organs

Reproductive
C
Capability
bilit
Sex
hormones

Anterior
pituitary
Target
cells

Homeostasis effects on
reproductive capability

Reproductive
p
System
y
Includes gonads, reproductive tract, and
accessory sex glands
Reproduction
Depends on union of male and female gametes
to form new individual
Male and female reproductive systems designed
t enable
to
bl union
i off genetic
ti material
t i l

Chapter 20 The Reproductive System


Human Physiology by Lauralee Sherwood 2010 Brooks/Cole, Cengage Learning

Reproductive
p
System
y
Primary reproductive organs (gonads)
Consist of
Pair of testes in male
Pair of ovaries in female

Functions of mature gonads


Producing gametes (gametogenesis)
Spermatozoa (sperm) in male
Ova (eggs) in female

Secreting sex hormones


Testosterone in males
Estrogen and progesterone in
females
Chapter 20 The Reproductive System
Human Physiology by Lauralee Sherwood 2010 Brooks/Cole, Cengage Learning

Reproductive
p
System
y
Reproductive tract
System of specialized ducts that transport or
house gametes after they are produced
Accessory sex glands
Empty supportive secretions into reproductive tract
External genitalia
Externally visible portions of reproductive system
Secondary
S
d
sexuall characteristics
h
t i ti
External characteristics not directly involved in
reproduction
d ti th
thatt distinguish
di ti
i h males
l and
d ffemales
l
Body configuration and hair distribution
Control
C t lb
by ttestosterone
t t
in
i male
l and
d estrogen
t
in female.

Male Reproductive Functions and Organs

Functions
Production of sperm (spermatogenesis)
Delivery of sperm to female

Organs
Testes
Sperm-producing organs
Suspended outside abdominal tract
in skin
skin-covered
covered sac (scrotum

Accessory sex glands


Seminal vesicles, prostate gland,
bulbourethral glands
Secretions provide bulk of semen (liquid
substance that is conducive to sperm viability)

Penis

Organ used to deposit semen in female

Male reproductive tract


Epididymis,
ejaculatory
E idid i ductus
d t (vas)
(
) deferens,
d f
j
l t
duct empty into urethra (canal running length
of penis that empties into exterior)

Male Reproductive
p
System
y

Chapter 20 The Reproductive System


Human Physiology by Lauralee Sherwood 2010 Brooks/Cole, Cengage Learning

Female Reproductive
p
Functions and Organs
g

Functions
Production of ova (oogenesis)
Reception of sperm
Transport of sperm and ovum to common site for
union (fertilization or conception)

Product of fertilization is known as an embryo.


After first two months of development,
development embryo is known
as a fetus.
Maintenance of the developing fetus until it can survive in outside
world (gestation or pregnancy)
Giving birth to the baby (parturition)
Nourishing infant after birth by milk
production (lactation)

Female Reproductive
p
Functions and Organs
g
Organs
Female reproductive
p
tract
Oviducts (uterine or Fallopian tubes)
In close association with ovaries
Pick up ova on ovulation
Serve as site for fertilization

Uterus
Responsible for maintenance of fetus during
development
Responsible for expelling fetus at end of pregnancy

Vagina
Muscular, expandable tube that
connects uterus to external environment
Lower p
portion is cervix
Cervical canal
Single, small opening that serves as pathway
for sperm
Serves as passageway for delivery of baby
from uterus

Female Reproductive Functions and Organs


Vagina
V
Vaginal
i l opening
i
Located in perineal region between urethral opening and anal opening
Partially covered by thin mucous membrane, hymen (typically disrupted
by first sexual intercourse)
Labia minora and labia majora
Skin folds that surround vaginal
and urethral openings
Clit i
Clitoris
Small erotic structure located at
anterior end of folds of labia minora

Vulva
Collective term for female external
genitalia
Chapter 20 The Reproductive System
Human Physiology by Lauralee Sherwood 2010 Brooks/Cole, Cengage Learning

Female Reproductive System

Reproductive
p
Cells

Human chromosomes: 2n=40

Body (somatic) cells


Contain 46 chromosomes (diploid number)
Can be sorted into 23 homologous pairs

Gametes (sperm and egg)


Have 23 chromosomes (haploid number)
Contains only one member of each homologous pair
of chromosomes
Gametogenesis is accomplished by meiosis

Pig chromosomes:
2n=38

Autosomes
22 pairs which code for general human
characteristics and specific traits such as eye color
Sex chromosomes
Remaining pair of chromosomes
Two genetically different types
Larger X chromosome
Smaller Y chromosome

Mouse chromosomes:
2n=40
2n
40

Cow chromosomes:
2n=60
2n
60

Chromosomal
Distribution in
Sexual Reproduction

Sex Determination
Sex determination
Depends on combination of sex chromosomes
Genetic female

Has two X chromosomes


Genetic male

Has an X and a Y chromosome


Y chromosome
Responsible for all the anatomic
d ffunctional
i
l di
i i
and
distinctions
between males and females
Genetic sex
Determined at time of conception
Depends on which type of sex
chromosome is contained within the
fertilizing sperm

Sexual Differentiation

Chapter 20 The Reproductive System


Human Physiology by Lauralee Sherwood 2010 Brooks/Cole, Cengage Learning

Sexual Differentiation
z Three levels of differences
between males and females
Genetic
Depends on combination of
sex chromosomes at time of
conception

Gonadal
Whether testes or ovaries develop
Presence or absence of Y
chromosome determines gonadal
differentiation

Phenotypic
Apparent
pp
anatomic sex of
individual
Determined by gonadal sex

Male Reproductive
p
Physiology
y
gy
Testes
Descent is usually complete by
seventh month of gestation
Descend into scrotum
Location provides cooler environment
essential for spermatogenesis

Perform dual function


Produce sperm
p
Occurs within seminiferous tubules

Secrete testosterone
Produced by Leydig (interstitial) cells that lie
in connective tissue between seminiferous
tubules
Chapter 20 The Reproductive System
Human Physiology by Lauralee Sherwood 2010 Brooks/Cole, Cengage Learning

Male Reproductive
p
Physiology
y
gy
Testosterone
Steroid hormone derived from
cholesterol precursor molecule
Five categories of testosterone effects

Reproductive system before birth


Sex-specific tissues after birth
Other reproductive
reproductive-related
related effects
Secondary sexual characteristics
o ep oduc e ac
actions
o s
Non-reproductive

Chapter 20 The Reproductive System


Human Physiology by Lauralee Sherwood 2010 Brooks/Cole, Cengage Learning

Effects of Testosterone

Chapter 20 The Reproductive System


Human Physiology by Lauralee Sherwood 2010 Brooks/Cole, Cengage Learning

Spermatogenesis
p
g

Results in many highly specialized, mobile sperm

p
p
process by
y which undifferentiated diploid
p
Complex
primordial germ cells (spermatogonia) are converted into
haploid spermatozoa (sperm)

Three major stages


Mitotic proliferation
Sperm-forming daughter cell divides mitotically twice more to form
four identical primary spermatocytes

Meiosis
Each primary spermatocyte forms two secondary spermatocytes
yielding four spermatids after the second meiotic division
Theoretically, sixteen spermatozoa result from each
spermatogonium that goes through process

Packaging
Spermiogenesis
Chapter 20 The Reproductive System
Human Physiology by Lauralee Sherwood 2010 Brooks/Cole, Cengage Learning

Spermatogenesis
p
g
Spermatozoa
Remains closely associated with Sertoli
cells throughout development
Consists of four parts
Head
Consists primarily of the nucleus
(contains DNA)

Acrosome
Enzyme-filled vesicle that caps tip of
the head
Used to penetrate ovum
Formed by endoplasmic reticulum and
Golgi complex before these organelles
are discarded

Midpiece
Area where mitochondria are concentrated

Tail
Provides mobility for spermatozoan

Spermatogenesis

The relationship between Sertoli cells and the developing sperm.

The modification of a germ cell to form a


mammalian sperm

The modification of a germ cell to form


a mammalian sperm

Acrosome
Nucleus/
Mitochondria/
Mictotubule/

Spermatogenesis

Chapter 20 The Reproductive System


Human Physiology by Lauralee Sherwood 2010 Brooks/Cole, Cengage Learning

Spermatogenesis
p
g
Functions of Sertoli cells located in seminiferous tubules
Form blood-testes barrier
Provide nourishment
Phagocytic function
Secrete seminiferous tubule fluid which flushes released
sperm from tubule into epididymis for storage and
additional processing
Secrete androgen-binding
g
gp
protein
Site of action to control spermatogenesis
Release inhibin
Acts in negative-feedback fashion to regulate FSH secretion

Chapter 20 The Reproductive System


Human Physiology by Lauralee Sherwood 2010 Brooks/Cole, Cengage Learning

Spermatogenesis
p
g
Epididymis and ductus deferens
Store and concentrate sperm
p
Increase sperm motility and fertility prior to ejaculation
During ejaculation
Sperm are mixed with secretions released by accessory
glands
Seminal vesicles
Supply fructose for energy
Supply prostaglandins
Promote smooth muscle motility in both male and female
reproductive tracts (enhances sperm transport)
Provide
P id more than
th h
halflf th
the semen
Secrete fibrinogen

Prostate gland
Contributes alkaline fluid that neutralizes acidic vaginal secretions
Provides clotting enzymes and fibrinolysin

Bulbourethral glands
Release lubricating mucus

Chapter 20 The Reproductive System


Human Physiology by Lauralee Sherwood 2010 Brooks/Cole, Cengage Learning

Hypothalamic
yp
&p
pituitary
y Control on Testicular Function

Chapter 20 The Reproductive System


Human Physiology by Lauralee Sherwood 2010 Brooks/Cole, Cengage Learning

Location and Functions of the Components of the Male


Reproductive System

Chapter 20 The Reproductive System


Human Physiology by Lauralee Sherwood 2010 Brooks/Cole, Cengage Learning

Action of Prostoglandins

Chapter 20 The Reproductive System


Human Physiology by Lauralee Sherwood 2010 Brooks/Cole, Cengage Learning

Sexual Intercourse Between Males and Females


Coitus or copulation
Male sex act involves two components
Erection
Ejaculation
Sexual response cycle
Excitement phase
Includes
I l d erection
ti and
dh
heightened
i ht
d sexuall awareness

Plateau phase
Characterized by steadily increasing heart rate, blood
pressure, respiratory
i t
rate,
t and
d muscle
l ttension
i

Orgasmic phase
Includes ejaculation
j
and other responses
p
that are collectively
y
experienced as intense physical pleasure

Resolution phase
Return of g
genitalia and body
y systems
y
to p
prearousal state
Chapter 20 The Reproductive System
Human Physiology by Lauralee Sherwood 2010 Brooks/Cole, Cengage Learning

Sexual Intercourse Between Males and Females


Female sexual cycle is similar to male cycle
Also experience same four phases of the sexual cycle
Excitement
Initiated byy either p
physical
y
or p
psychological
y
g
stimuli

Plateau
Changes initiated during excitement phase intensify
Systemic
S t i responses similar
i il tto th
those iin male
l occur

Orgasm
Experience in females is similar to that in males except
No female counterpart to ejaculation
Do not become refractory following an orgasm

Resolution
Pelvic vasocongestion and systemic manifestations gradually
subside
Time of great physical relaxation
Chapter 20 The Reproductive System
Human Physiology by Lauralee Sherwood 2010 Brooks/Cole, Cengage Learning

Female Reproductive Physiology

More complex than male reproductive


physiology
Characterized
Ch
t i db
by complex
l cycling
li
Ovaries
Primary female reproductive organs

Corpus
luteum
Ruptured
follicle

Primary
oocyte

Produce ova (oogenesis)


Secrete female sex hormones
Estrogen
Essential for ova maturation and release
Establishment of female secondary sexual
characteristics
Essential for transport of sperm from
Secondary
vagina to fertilization site in oviduct
oocyte
Contributes to breast development in
Ovulation
anticipation of lactation
Progesterone
Important in preparing suitable
g a developing
p g
environment for nourishing
embryo/fetus
Contributes to breasts ability to produce
milk

Oogenesis
g
Identical steps of
chromosome replication
and division during
gamete production in both
sexes
Timing and end result
are very different

Mature
follicle

Ovary

Spermatogenesis

Oogenesis

Accomplished within
t
two
months
th

Take anywhere from


12 tto 50 years tto
complete on cyclic
basis from onset of
puberty until
menopause

Postpubertal male can


produce
d
severall
hundred million sperm
each day

Female born with


li it d llargely
limited,
l
nonrenewable
supply of germ cells

Each primary
spermatocyte yields
four equally viable
spermatozoa

Each primary oocyte


yields only one
cytoplasm-rich
cytoplasm
rich ovum
and three
cytoplasm-poor
polar bodies that
p
disintegrate

Chapter 20 The Reproductive System


Human Physiology by Lauralee Sherwood 2010 Brooks/Cole, Cengage Learning

Oogenesis
g
Oogonia
Undifferentiated primordial germ cells in fetal
ovaries
Divide mitotically to give rise to 6 million to 7
million oogonia by fifth month of gestation
During last part of fetal life begin early steps of
first meiotic division but do not complete it
Now known as primary oocytes
Contain diploid number of 46 replicated chromosomes
Remain
R
i iin meiotic
i ti arrestt ffor years until
til th
they are prepared
d
for ovulation

Chapter 20 The Reproductive System


Human Physiology by Lauralee Sherwood 2010 Brooks/Cole, Cengage Learning

Oogenesis
Primary oocyte
Surrounded
S
d db
by single
i l llayer off granulosa
l
cells
Oocyte
O
+ granulosa cells primary follicle
f
Primary follicle
After development starts there are two
possible fates
Reach maturity and ovulate
Degenerate to form scar tissue (atresia)

Between puberty and menopause


Follicles develop into secondary (antral)
follicles on cyclic basis
Chapter 20 The Reproductive System
Human Physiology by Lauralee Sherwood 2010 Brooks/Cole, Cengage Learning

Oogenesis
Just before ovulation
Primary oocyte completes its first meiotic division
y
yielding
g
First polar body
Secondary oocyte
Ovulated
Sperm entry triggers second meiotic division which
produces
Secondary polar body (haploid)
Mature haploid
p
ovum which unites with haploid
p
sperm cell during fertilization

Chapter 20 The Reproductive System


Human Physiology by Lauralee Sherwood 2010 Brooks/Cole, Cengage Learning

Oogenesis

Chapter 20 The Reproductive System


Human Physiology by Lauralee Sherwood 2010 Brooks/Cole, Cengage Learning

Oogenesis (egg)
Before birth

Follicle development in ovary

2n

Oogonium (Stem cell)

Follicle cells
oocyte

2n

Primary oocyte

Primordial follicle

Mitosis
Growth

Primary oocyte
(arrested in prophase
I present at birth)

2n

Childhood

Primordial follicle

(Ovary inactive)

Puberty

Primaryy oocyte
y
(still arrested in
prophase I)

4n

Growing follicle

Meiosis I
2n (Maturated
oocyte)

2
First polar 2n
body

Vesicular follicle
Ovulation

M i i II
Meiosis

of polar body
(may or may
not occur)

Polar bodies n
(all degenerate)

Primary follicle

Sperm

2n

Sperm

Meiosis II
completed
l d
(only if sperm
penetration occurs)

Ovulated secondary
oocyte (arrested at
in metaphase II)

Ovarian Cycle

Average ovarian cycle lasts 28 days


Normally interrupted only by pregnancy
Finally terminated by menopause
Consists of two alternating phases
Follicular phase
Dominated by presence of maturing follicles

Luteal phase
Characterized by presence of corpus luteum

Chapter 20 The Reproductive System


Human Physiology by Lauralee Sherwood 2010 Brooks/Cole, Cengage Learning

Ovarian Cycle
y
Follicular phase
Operates first half of cycle
Granulosa cells of some primary follicles proliferate
Oocyte
O
t inside
i id each
h ffollicle
lli l enlarges
l
Theca cells in follicle secrete increased amounts of
estrogen
Rapid follicular growth continues during follicular phase
One follicle usuallyy grows
g
more rapidly
p y and matured about 14
days after onset of follicular development
Follicle ruptures to release oocyte from ovary
Event is called ovulation
Released oocyte enters oviduct where it may or may not be
fertilized

Chapter 20 The Reproductive System


Human Physiology by Lauralee Sherwood 2010 Brooks/Cole, Cengage Learning

Ovarian Cycle
y
Luteal phase
Last 14 days of ovarian cycle
Old follicular cells undergo structural
transformation to form corpus luteum
Becomes highly vascularized
Becomes fully functional within four days after
ovulation
Continues to increase in size for another four or
five days
If released ovum is not fertilized and does not
implant, corpus luteum degenerates within about
14 days after its formation
Chapter 20 The Reproductive System
Human Physiology by Lauralee Sherwood 2010 Brooks/Cole, Cengage Learning

Development of the Follicle, Ovulation, and Formation


and Degeneration of the Corpus Luteum

Ovarian Cycle
y
Hormonal interactions
During
g follicular p
phase,, rise in FSH signals
g
ovarian follicle
to secrete more estrogen
Rise in estrogen feeds back to inhibit FHS secretion which
declines as follicular phase proceeds
LH rises in follicular phase
As it peaks in mid-cycle, it triggers ovulation

Estrogen output decreases and mature follicle is converted


to a corpus luteum
Corpus luteum secretes progesterone and estrogen during
luteal phase
Progesterone output inhibits release of FSH and LH
Low LH corpus luteum degenerates
Progesterone levels decline

FSH can start to rise again,


again initiating new cycle
Chapter 20 The Reproductive System
Human Physiology by Lauralee Sherwood 2010 Brooks/Cole, Cengage Learning

Correlation
C
l ti
Between
Hormonal Levels
and Cyclic
Ovarian and
Uterine Changes

Ovarian Cycle

Chapter 20 The Reproductive System


Human Physiology by Lauralee Sherwood 2010 Brooks/Cole, Cengage Learning

Uterine Cycle

Menstrual cycle
Reflects hormonal changes during ovarian cycle
Averages
g 28 days
y
Outward manifestation of cyclic changes in uterus is
menstrual bleeding
g once during
g each cycle
y
Consists of three phases
Menstrual phase
Proliferative phase
Secretory or progestational phase

Chapter 20 The Reproductive System


Human Physiology by Lauralee Sherwood 2010 Brooks/Cole, Cengage Learning

Uterine Cycle
Menstrual phase
Characterized by discharge of blood and endometrial
debris from vagina
First day of menstruation is considered start of new cycle
Coincides with end of ovarian luteal phase and onset of
follicular phase
Release of uterine prostaglandin
Causes vasoconstriction of endometrial vessels
Disrupts blood supply
Causes death of endometrium

Stimulates mild rhythmic contractions of uterine myometrium


Help expel blood and endometrial debris from uterine cavity out
through vagina (menstrual flow)

Chapter 20 The Reproductive System


Human Physiology by Lauralee Sherwood 2010 Brooks/Cole, Cengage Learning

Uterine Cycle
y
Proliferative phase
Begins concurrent with last portion of ovarian
follicular phase
Endometrium starts to repair itself and proliferate under
influence of estrogen from newly growing follicles

Estrogen-dominant proliferative phase lasts from


end of menstruation to ovulation
Peak estrogen levels trigger LH surge
responsible for ovulation

Chapter 20 The Reproductive System


Human Physiology by Lauralee Sherwood 2010 Brooks/Cole, Cengage Learning

Uterine Cycle
y
Secretory or progestational phase
Uterus enters this phase after ovulation when
new corpus luteum is formed
Corpus luteum secretes large amounts of
progesterone and estrogen
Progesterone
g
Converts endometrium to highly vascularized, glycogenfilled tissue

Endometrial glands actively secrete glycogen


If fertilization and implantation do not occur
Corpus luteum degenerates
New follicular phase and menstrual phase begin once
again
Chapter 20 The Reproductive System
Human Physiology by Lauralee Sherwood 2010 Brooks/Cole, Cengage Learning

Menopause
Cessation of womans menstrual cycle
Usually occurs between ages of 45 and 55
Midlife hypothalamic change may trigger onset of
menopause
Preceded by period of progressive ovarian failure
Increasingly irregular cycles
Dwindling
g estrogen
g levels
Loss of estrogen primarily affects skeleton and
cardiovascular system

Period of transition called the climacteric

Chapter 20 The Reproductive System


Human Physiology by Lauralee Sherwood 2010 Brooks/Cole, Cengage Learning

Fertilization
Oviduct is site of fertilization
Normally occurs in upper third of oviduct (ampulla)
Must occur within 24 hours after ovulation
Sperm usually survive about 48 hours but can
survive up to 5 days in female reproductive tract
Sperm deposited in vagina travel through cervical
canal, uterus, and to upper third of oviduct
Female
F
l reproductive
d ti ttractt aids
id iin sperm migration
i ti
Contractions of myometrium
Upward contractions of oviduct smooth muscle
Allurin released by mature eggs

Chapter 20 The Reproductive System


Human Physiology by Lauralee Sherwood 2010 Brooks/Cole, Cengage Learning

Fertilization
First sperm to reach ovum
Fuses
F
with
ith plasma
l
membrane
b
off ovum
Triggers chemical change in ovums surrounding
membrane that makes outer layer impermeable
to entry of any more sperm
Head of fused sperm gradually pulled into ovums
cytoplasm
Within hour, sperm and egg nuclei fuse
Fertilized ovum now called a zygote

Chapter 20 The Reproductive System


Human Physiology by Lauralee Sherwood 2010 Brooks/Cole, Cengage Learning

Embryonic Development
Fertilized
e t ed o
ovum
u d
divides
des mitotically
tot ca y
Within week grows and differentiates into
blastocyst capable of implantation
Blastocyst implants in endometrial lining by means
of enzymes released by trophoblasts
Enzymes digest endometrial tissue
Carve hole in endometrium for implantation of
blastocyst
Release nutrients from endometrial cells for use by
developing embryo

Chapter 20 The Reproductive System


Human Physiology by Lauralee Sherwood 2010 Brooks/Cole, Cengage Learning

Early
y Stages
g of Development
p
from
Fertilization to Implantation

Chapter 20 The Reproductive System


Human Physiology by Lauralee Sherwood 2010 Brooks/Cole, Cengage Learning

Implantation of Blastocyst

Development
p
After implantation
Placenta
Pl
t d
develops
l
Organ of exchange between maternal and
fetal blood
Acts as transient, complex endocrine organ
that secretes essential p
pregnancy
g
y hormones
Human chorionic gonadotropin
Maintains corpus luteum until placenta
t k over function
takes
f
ti in
i last
l t two
t
trimesters
ti
t
Estrogen
Essential for maintaining normal
pregnancy
Progesterone
Essential for maintaining normal
pregnancy

Chapter 20 The Reproductive System


Human Physiology by Lauralee Sherwood 2010 Brooks/Cole, Cengage Learning

Secretion Rates of Placental Hormones

Chapter 20 The Reproductive System


Human Physiology by Lauralee Sherwood 2010 Brooks/Cole, Cengage Learning

Chapter 20 The Reproductive System


Human Physiology by Lauralee Sherwood 2010 Brooks/Cole, Cengage Learning

Gestation
Pregnancy
About
Ab t 38 weeks
k ffrom conception
ti
Physical changes within mother to meet demands
off pregnancy

Uterine enlargement
B
Breasts
enlarge
l
and
dd
develop
l ability
bili to produce
d
milk
ilk
Volume of blood increases 30%
Weight gain
Respiratory activity increases by about 20%
Urinary output increases
Kidneys excrete additional wastes from fetus
Nutritional requirements increase
Chapter 20 The Reproductive System
Human Physiology by Lauralee Sherwood 2010 Brooks/Cole, Cengage Learning

Parturition
Labor, delivery, birth
Requires
Dilation of cervical canal to accommodate
passage of fetus from uterus through vagina and
to the outside
Contraction of uterine myometrium that are
sufficiently
y strong
g to expel
p fetus
Exact factors triggering increase in uterine
contractility
y and initiating
gp
parturition not fully
y
established

Chapter 20 The Reproductive System


Human Physiology by Lauralee Sherwood 2010 Brooks/Cole, Cengage Learning

Parturition
Once contractions begin at labor onset, positivefeedback cycle progressively increases force
Pressure of fetus against
g
cervix reflexlyy increases
oxytocin secretion
Role of oxytocin
y
Causes stronger contractions
Positive
Positive-feedback
feedback cycle progressively increases
until cervical dilation and delivery are complete

Chapter 20 The Reproductive System


Human Physiology by Lauralee Sherwood 2010 Brooks/Cole, Cengage Learning

Parturition
Stages of labor
Cervical dilation
Longest stage
Lasts from several hours to as long as 24 hours in a first
pregnancy

Delivery of baby
Begins when cervical dilation is complete
Usually lasts 30 to 90 minutes

Delivery of placenta
Second series of uterine contractions separates placenta
from placenta
Shortest stage usually completed within 15 to 30 minutes
after baby is born

After delivery,
y uterus shrinks to p
pregestational
g
size ((involution))
Chapter 20 The Reproductive System
Human Physiology by Lauralee Sherwood 2010 Brooks/Cole, Cengage Learning

Stages
g of Labor

Chapter 20 The Reproductive System


Human Physiology by Lauralee Sherwood 2010 Brooks/Cole, Cengage Learning

Lactation
During gestation
Elevated placental estrogen and progesterone promote
development of ducts and alveoli in mammary glands
Prolactin
Stimulates synthesis of enzymes essential for milk
production by alveolar epithelial cells
Withdrawal of placental steroids at parturition initiates
lactation
Sustained by suckling
Triggers
gg
release of oxytocin
y
and p
prolactin
Oxytocin
Causes milk ejection by stimulating cells surrounding alveoli
q
secreted milk out through
g ducts
to squeeze

Prolactin
Stimulates secretion of more milk to replace milk ejected as
baby nurses
Chapter 20 The Reproductive System
Human Physiology by Lauralee Sherwood 2010 Brooks/Cole, Cengage Learning

Mammary Gland Anatomy

Chapter 20 The Reproductive System


Human Physiology by Lauralee Sherwood 2010 Brooks/Cole, Cengage Learning

Sucking Reflexes

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