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Uterus:
Changes from an almost solid organ to a thinwalled, hollow organ & can hold 15-20 liters. Increased production of estrogen & progesterone initiates the process of uterine growth. (hypothesis) After the 12th week of gestation, growth is attributed to mechanical distention.
Plays a role in development of the alveoli & ductal system to prepare for lactation.
The anatomical physiological and biochemical adaptation to pregnancy that take place in women are profound.
Many of these change begin soon after fertilization and continue throughout gestation and most I these remarkable adaptations occur in response to physiological stimuli provided by the fetus or fetal tissues.
Uterus
Hypertrophy And Dilatation
Before pregnancy: Before weighty about 70 gm Cavity 10 ml
Weighty 1100 gm Total value of contents 15 L - 20 L Early hypertrophy until 12 week effect of estrogen and progesterone. After 12 week due to mechanical distension by the products of concept.
Al term
Early the uterine wall thick Later the uterine wall thick about 1-5 em Uterine enlargement is not symmetrical more in the fundus.
Arrangement of the muscle cell: 1) An external hood like Layer. 2) An internal layer. 3) Lying between. Changes in the uterine size shape (pear shape globule ovoid) position.
Metabolic changes
* Weight gain. * Average weight gain 10- 12.5 kg.
Breasts
IN PREGNANCY
Reproductive organs
I. Uterus: The muscular organ holding the fetus during pregnancy, nourishment of the fetus through the placenta. It is divided into the body (Corpus, and fundus)and the cervix. During pregnancy, the uterus increases in weight from 60 to 1000g. In size, it changes from 6.5 to 32 cm. In a non pregnant state, the uterus is situated in the pelvic cavity. During pregnancy, it expands into the
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b) Ligamentous supports:
1) Round ligaments are fibrous cords attaching to the uterus and libia majora During pregnancy, they become elongated and hypertrophied. They supportthe uterus in its move from the pelvic cavity into the abdominal cavity. 2) Broad ligaments are large folds of peritoneum separating the pelvis into the anterior and posterior divisions. The lower portion of the ligament is known asthe cardinal ligaments, it
c) Cervix: The portion of the uterus connecting the body of the uterus and the vagina. 1) The internal os joins the body of the uterus with the cervix. 2) The external os opens into the vagina. 3) During pregnancy, the cervix is closed. A mucus plug forms over the cervix ,providing a protective barrier between the vagina and the uterine contents.
4) During labour and delivery, the cervix shortens (or effaces) and widens (or dilates), effectively disappearing. A 10 cm opening is left between the uterus and the vagina to allow for passage of the foetus into the birth canal. 5) If the cervix begins dilating prematurely, it is sometimes stitched together during the second trimester, until the foetus in mature. This procedure is known as a
II. Ovaries: The organs storing ova. Through hormonal influence , one ovum is developed per month. It then travels into the fallopian tube and has the potential to be fertilized. One ovary is located on either side of the uterus, encased in the posterior aspect of the broad ligaments.
III. Fallopian tubes: The ducts bringing mature ova from the ovaries to the uterus via peristaltic action. a) The fallopian tubes connect the uterine cavity to the abdominal cavity, near to the ovary. The opening at the abdominal site is lined with cilia to promote the peristalsis necessary to convey the ovum into the tube. b) They are situated in the superior margin
IV. Vagina: The connecting passage between the uterus and the perineum, serving as the birth canal a) The anterior borders include the bladder and the urethra. b) Laterally, the ureters and broad and round ligaments lie. c) Posteriorly, the peritoneum and the rectovaginal fascia.