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Endocrine ------> Birth
Final test review
101
Anatomy
Undergraduate 3
12/12/2012

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Term
ENDOCRINE SYSTEM
Definition
-Ductless gland through body
-secrete hormones into blood, travel to target cell
Term
ENDOCRINE FUNCTION
Definition
-Regulate homeostasis
-adaptive change 2 help body cope w/ stress
-smooth, sequential growth &development
-control reproduction
-control RBC production
-Integrating circulation and &digestion
Term
HORMONES
Definition
+Hydrophilic- H2O soluable/low lipid soluable
-peptides and proteins

+Lipophilic- poor soluable H2O/high lipid soluable
Term
HYDROPHILIC HORMONE SYNTHESIS
Definition
1.large precursor protein/synth. in ER
2.Processed in Golgi Apparatus->active form
3.packed to secretory vessicles& stored until told to realease
4.secretion of vesicular contents by exocytosis ---> blood stream
Term
LIPOPHILIC HORMONE SYNTHESIS
Definition
1.stored cholesterol undergo enzymatice reactions modify basic cholesterol molecule
2. synthesized steroids diffuse through plasma membrane to blood
Term
TRANSPORTING HORMONES TO BLOOD
Definition
-Hydrophilic hormone dissolves in plasma
-Lipophilic hormone bind by a carrier molecule
Term
HORMONE AFFECT TARGETS
Definition
-Hydrophilic hormone: bindd to specific receptor on cell surface-> trigger transduction pathway

-Lipophilic Hormone: binds specific receptors in cell->activate genes( or turn off)
Term
BASIC cAMMP 2nd MESSENGER
Definition
1.Bind hormone to receptor
2.Receptor activate adenylyl cyclase through through G-protein
3.AC convert ATP---->cAMP
4.cAMP bind ----> activate A(PKA)
5.PKA phosphorylate target proteins
6.target protein undergo conformalation
Term
TERMINATE 2nd MESSENGER
Definition
1. 1st messenger removed
2.a subunit turns off, return to inactivate state
3.downstream effector->return to original state
4.phosphodiesterase_ convert c amp to non activate
Term
DIFFER CELLS HAVE UNIQUE/SIGNAL PATHWAYS
Definition
-differ 1st messenger+ downstream proteins
-cAMP is common 2nd messenger

-different response depend on different downstream protein
Term
Ca2+ MESSENGER SYSTEM
Definition
1.ligand receptor of G-protein
2.G-protein phospholipase C
3.PIP2 into IP3
4.Ca2+ increase and activate calmodulin-> affect downstream target proteins
Term
WHY use CUMBERSOME SIGNALING MECHANISM?
Definition
1.a signal gets amped at each step
2. affect multiple processes at a time w/ 1 signal
Term
HORMONAL RESPONSE IS SLOW BUT LONG DURATION
Definition
- 2nd messenger system, takes minutes/hrs
-2nd messenger & de novo continue even after hormone uncouples from receptor
Term
COMPLEX ENDOCRINE FUNCTION
Definition
-single gland produce multiple hormone
-single hormone secreted by multiple gland
-single hormone have multiple target cell
-rate of secretion varies over time
-chemical messenger a hormone or neurotransmitter
-some organs are endocrine,others non-endocrine
Term
PLASMA CONTRACTIONS INFLUENCED BY TRANSPORT, METABOLISM& EXCRETION
Definition
-metabolism of a hormone can be inactivated or activated
-transport is "how long in blood"
-excretion is removal of hormone by urine
-hormonal inactivation and excretion, not regulated
Term
EFFECT--- HORMONES on HORMONES
Definition
-PERMISSIVENESS: effect that hormone dependent on 2nd hormone

-SYNERGISM:complementary;sum of combined effects of hormones>sum of individual effects

-ANTAGONISM:1 hormone=loss of another hormone's receptor-->reduce 2nd effectiveness
Term
HORMONE ACTIVITY depend on PLASMA CONCENTRATION
Definition
-effect hormones on target tissues w/ amount of free active hormone
+factors affect hormone availability:
-rate of secretion
-rate of metabolic activation
-extent of bound vs. free hormone
-rate of removal
Term
PITUITARY GLAND
Definition
+2 anatomically & functionally distinct lobes
-ANTERIOR -POSTERIOR
+Hormones released are controlled by hypothalamus
-ANTERIOR(vascular link)-POSTERIOR(neural path)
Term
POSTERIOR PITUITARY
Definition
-neuron secretory neuron synthesize vasopressin & oxytocin
-axon from neurons travel to posterior/ hormones stored in axon terminals until stimulated to release
-cell make vasopressin/oxytocin
Term
ANTERIOIR PITUITARY
Definition
-synthesize hormones~tropic hormones(regulate secretion of other hormone)
+HORMONE RELEASE BY 2 FACTORS:
-Hypothalamic hormone
-feedback by target- Gland Hormone
Term
ENDOCRINE CONTROL OF GROWTH
Definition
-GH:needed for growth + other factors
+other factors:
-genetic determination
-adequate diet
-freedom from chronic disease & stress
-normal level of growth influence hormone
Term
GROWTH
Definition
-growth rate not continuous over time
-Fetal Growth:by factors secreted in placenta, genetics, environment
-Post natal growth spurt: GH
-Pubertal Growth Spurt: androgen & nutrition
Term
GH
Definition
-NOT just about growth
-increase fatty acid & blood glucose level for brain
-enhance triglyceride breakdown for fuel to muscle
-decrease glucose uptake by muscle
-grow soft tissue & bone
-increase cell #
-increase size of cell
Term
GH INCREASE SOMATOMEDINS
Definition
-GH action is not direct on target cells
+IGFH-I
-primary source of circulating IGF-I is liver=> GH stimulation
-produced in other tissues
+IGF-II
-production not influenced by GH
-IMPORTANT during fetal development
-unclear in adults
Term
GH DEFICIENCY
Definition
-occur by pituitary defect or hypothalamic dysfunction
+in children- dwarfism
+in adults- decreased muscle mass
Term
GH HYPERSECRETION
Definition
-over active pituitary- result of tumor
+in children - gigantism
+ACROMEGALY: disproportionate growth pattern of soft tissue, thickening of bones
Term
OTHER HORMONES IN GROWTH
Definition
-Thyroid Hormone:permissive role/ essential
-Insulin:resemble somatomedins, interact w/ IGF-IR
-Androgens:in pubertal growth spurt
-Estrogens: terminate linear growth, stimulate EPIPHYSEAL PLATE closure
Term
THYROID GLAND
Definition
-2 lobes overlying trachea/below pharynx
-follicle:hollow sphere surrounded by cells
Term
TH SYNTHESIS
Definition
-Tyrosine- contain Tg, produced by follicular cells, transport by exocytosis
-Iodine is actively transported from blood----->colloid
Term
TH SYNTHESIS II
Definition
-Iodinization of tyrosine
-combination of 2 iodinized tyrosines
Term
T4-------->T3: in LIVER & KIDNEY
Definition
-90% secreted TH is form T4
-T3 is 4x more potent than T4
Term
FUNCTION OF TH
Definition
-main determinant of basal metabolic rate
-increase O2 consumption & energy expenditure
-byproduct of increased metabolism is HEAT
Term
HYPOTHYROIDISM
Definition
+from failure of thyroid gland
-2nd failure of TRH,TSH, or both

+symptoms: reduced basal metabolic rate
-low tolerance of cold
-weak pulse
-slow reflexes
-myxedema(puffy hand and feet)

+Treatment:increased dietary iodine
Term
HYPERTHYROIDISM
Definition
+Graves' Disease- auto immune disease: produce AB not react to negative feedback

+symptom: elevated basal metabolic rate
-excess sweat
-drop in body weight
-increase heart rate
-increase mental alertness
-exopthalamos(bulging eyes)

+treatment:
-surgical removal of thyroid gland
-radioactive iodine
-antithyroid drug
Term
GOITER
Definition
-enlarged thyroid gland
+Hypothyroidism:
-result of elevated TSH activity on cells due to no negative feedback

+Hyperthyroidism:
-elevated TSH in excessive activity
-Graves' Disease
Term
PLASMA Ca2+
Definition
+Ca2+ in body
-99% sequestered in bone and teeth
-.9% not used
.1% in plasma ECF

+Function:
-neuromuscular excitability
-stimulus secretion coupling
-maintenance of tight juctins
-clotting of blood
Term
CALCITONIN
Definition
-C cell produces in thyroid gland
-decrease plasma Ca2+ level & movement from bone fluid to plasma
-Decrease bone resorption by inhibiting osteclast activity

+respond to increase plasma Ca2+ level
Term
PARATHYROID HORMONE (PTH)
Definition
-2 major effects on bone to raise Ca2+ concentrations
-acts on kidneys to increase Ca2+ reabsorption/decrease PO4 reabsorption
Term
REGULATION OF Ca2+/ HOMEOSTASIS & BALANCE
Definition
-not all ingested Ca2+ is absorbed, extent of absorption is hormonally controlled
-Bone is used as Ca2+reservoir
-need: bone, kidney, intestine
Term
VITAMIN D
Definition
-Made in skin on exposure to sunlight
-convert to active form by 2 enzymatic reactins
-increase intestine reabsorption of Ca2+ & PO4
Term
ADRENAL GLAND
Definition
-above kidneys
+CORTEX:
-Mineralacorticoid
-Glucocorticoid
-Sex Hormone
+Medulla
-secrete catecholamines
Term
CORTISOL
Definition
+Metabolic effect:
-stimulate gluconeogenesis:ensure glucose level maintained b/w meals
-inhibits glucose uptake in other tissue BUT BRAIN
-increase free fatty acid concentration
+adapt to stress
-cortisol promote increase metabolism and system respond to sympathetic activity
Term
SEX HORMONES OF ADRENALS
Definition
+Adrenal gland produce androgen and estrogen
-no sex hormone just for male or female
+Dihydroepiandrosterone(DHEA)
-over powered in male by TESTOSTERONE
-responsible for androgen in female(pubes)
activated by ACTH/fedback by GnRH
Term
HYPERADRENALISM
Definition
+Primary hyperaldosteronism
-Conn's syndrome
-hypersecreting adrenal tumor
+secondary Hyperaldosteronism
-Inappropriate high activity of RAAS
+Exaggerated effects
-excessive Na+ retention
-Excessive K+ depletion
-Hypertension
Term
HYPERADRENALISM(CORTISOL)
Definition
-Cushing's syndrome
+cause:
-overstimulation of cortex by excessive CRH/ACTH
+Effects:
-hyperglycemia& glucosuria
-deposition of body fat
-muscle weakness & fatigue
Term
HYPERADRENALISM(SEX HORMONES)
Definition
-Adrenogenital syndrome- androgen hypersecretion
+adult females
-Hirsutism and secondary male character
+newborn female
-Pseudohermaphroditism
+prepubertal males
-precocious pseudopuberty
+adult males
-no affect
+caused by defect in cortisol pathway
Term
HYPOADRENALISM
Definition
-loss 1 adrenal gland, can be compensated by 2nd
+primary adrenalcortical insufficiency,ADDISON'S DISEASE
-autoimmune destruction
-affect aldosterone
+2nd adrenocorticol insufficiency
-exhibit only hyposecretion of cortisol
+Aldosterone insufficiency
-K+retention , Na+ depletion

++CORTISOL Deficiency
-poor response to stress
Term
STRESS
Definition
-Non specific response to any factor that overwhelm ability to maintain homeostasis
-differ stressors, make differ response
-coordinated by the hypothalamus
Term
INTEGRATED STRESS
Definition
-Neural:sympathetic response
+Hormonal:
-Epinephrine:mobilize glucose and fat acid
-CRH-ACTH-CORTISOL
*Cortisol: mobilize energy
*ACTH:facilitate learning & behavior
-Glucagon-mobilize glucose and fat acid
-RAAS:maintain salt and H2O concentration to improve circulatory response
Term
FUEL METABOLISM
Definition
-Digestion: intermediate metabolism, result in production of absorbable unit
-either: +Anabolism/+Catabolism
+Anabolism need ATP
-make material needed by cell
-store excess for later
+Catabolism
-breakdown of materials into smaller material by HYDROLYSIS
-oxidation to create ATP
-mobilize for use elsewhere in body
Term
PANCREATIC ENDOCRINE FUNCTION
Definition
+3 types of cells responsible for producing:
+SOMATOSTATIN:
-inhibit digestion to prevent excessive plasma concentration of nutrients

+INSULIN:
-decrease blood levels of glucose, fat acid,amino acid, promote storage

+GLUCAGON:
-Oppose activity of INSULIN
Term
INSULIN ACTIVITY ON CARBOHYDRATES
Definition
-help glucose move to most cells by promoting inclusion into plasma membrane
-stimulate glyogenesis in skeletal muscle & liver
-INHIBIT glycogenolysis
-INHIBIT GLUCOGENESIS
Term
INSULIN ACTIVITY ON FATS
Definition
-enhance entry of fatty acid from blood to ADIPOSE tissue
-promote chemical reaction for TRIGLYCERIDE SYNTHESIS
-INHIBIT lipolysis
Term
INSULIN ACTIVITY ON AMINO ACID
Definition
-have active transport of amino acids from blood ---->muscles & other tissue
-stimulate cell protein synthesize machine
-stop protein degradation
Term
PINEAL GLAND
Definition
- tiny, in the middle of brain
+secrete melatonin:
-keep body circadian rhythm in time
-secrete more during dark/less in day
-other roles:
*induce natural sleep
*inhibit natural hormone
*effective antioxidant
*enhance immunity
Term
MALE REPRODUCTIVE SYSTEM
Definition
+Function:
-make sperm
+Structure
-Testes
-Epididymis
-Vas deferens
-Seminal vesicles
-Prostate Gland
-Bulb Gland
-Urethra
Term
THE SCROTUM
Definition
-sac holding testes
-testes outside so sperm develop at right temperature/lower temp-->scrotum pull to body/higher--->away
+muscles
-Dartos Muscle: smooth muscle/wrinkle the sac
-Cremaster Muscle:elevate the testes
Term
THE TESTIS
Definition
-covered by tunics
-septa divide testes to 700 parts
-seminiferous tubules(sperm factory)
*site of spermatogenesis
*80% of mass
-Myoid Cells(smooth muscle):surround seminiferous tubule and contract
-Seminiferous tubule converge and meet at RETE TESTIS
Term
THE TESTIS II
Definition
+Sertoli Cells:
-make up the lumen of seminiferous tube
-tight junction is blood testis barrier
provide nutrients for maturing sperm
-Phagocytic
-secrete seminal fluid into tubule
regulate spermatogenesis
Term
THE PENIS
Definition
-copulatory organ:deliver sperm to female
-dorsal(top),ventral(underside)
-"erectile tissue"- spongy and smooth muscle riddled w/ vascular space...space fill w/ blood during arousal
*Corpus Spongiosum-surround urethra
*Corpora Cavernosa- paired bodies
Term
THE PENIS
Definition
-copulatory organ:deliver sperm to female
-dorsal(top),ventral(underside)
-"erectile tissue"- spongy and smooth muscle riddled w/ vascular space...space fill w/ blood during arousal
*Corpus Spongiosum-surround urethra
*Corpora Cavernosa- paired bodies
Term
THE DUCTS
Definition
+Epididymis-sperm move through over 20 days
-sperm capacitance organ(enable sperm to penetrate ova)
-concentraion organ
*absorb fluid from seminiferous tubes
-"swim school"
*sperm gain the ability to swim
Term
THE DUCTS II
Definition
+Duct deferens
-travel spermatic cord->seminal vesicle
-thick layer of smooth muscle propel sperm->urethra
-sperm storage site

+Ejaculatory Duct:
-both seminal vesicle & ductus deferen
-short duct enter to prostate->empty in urethra
Term
ACCESSORY SEX GLANDS
Definition
+Seminal vesicles
-supply fructose as energy for sperm
-secret prostaglandins, stimulate sm.
-secretion make 50-60% of semen dilute
-secrete substance to help movement and fertilizing
Term
ACCESSORY SEX GLANDS II
Definition
+Prostate Gland
-encircle urethra
-secrete alkaline fluid neautralize acid vagina
-secrete clot enzymes
+Bulb Gland:
-secrete mucus that is lube for intercourse and kills some acid
Term
SEMEN
Definition
-milky-white:mix of sperm & gland secretions
-clot factor semen, after ejaculation, ensure sperm remain quiescent
-prostaglandis start reverse peristalsis
-substance help suppress immune response in female tract
Term
MEIOSIS
Definition
-2 nuclear divisions
+Prophase 1
-after chromosome replication, homologous pairs seek and find their like partners

+Metaphase1:
-tetrad align along midline

+Anaphase1:
-seperation of tetrads

Telophase1: division of daughter cell
Term
MEIOSIS II
Definition
-2nd division so 2 daughter cell from meiosis become 4 w/ each cell
Term
SPERMATOGENESIS
Definition
+Mitotic Proliferation
-maintain germ cell & increase cell #(spermatogonia divide to ensure supply)
-SPERMATOGNIA
*undergo 2 mitotic division------>4 spermatocytes
+Meiosis
-increase cell # to produce haploid gamete
+Spermeogenesis
-remodel phase & repacking phase
*DNA repacked, organelle is lost and remodeled
Term
SPERMIOGENESIS
Definition
-transform spermatid to spermatozon
+Process:
-form acrosome
-form flagellum
-reposition & replicate mitochondria
-repack DNA
-remove excess cytoplasm
Term
SPERMATOZOON
Definition
-special haploid cell of spermatogenesis
+4 parts:
-head: repacked nuclear material
-Acrosome: enzyme used to penetrate ovum
-Midpiece:mitochondria power the tail
-Tail: sperm mobility
Term
TESTOSTERONE
Definition
-masculinization of reproductive tract & genetalia
-descent of testes to scrotum
+function after birth
-grow and mature reproductive system at puberty
-essential for spermatogenesis
-reproductive tract at adulthood
+reproduction functions
-develop sex drive at puberty
+nonreproductive function
-exert protein anabolic effect
-promote bone growth
convert to estrogen
Term
FEMALE REPRODUCTIVE SYSTEM
Definition
+Function
-produce ova
-receive sperm
-transport sperm to union
-develop fetus
-partuition
-nourish infant

+Structure:
-ovary
-oviduct
-uterus
-vagina
-mammary gland
-placenta
Term
OVARY
Definition
-vascularized
-ovarian follicle-site of oogenesis
-granulosa:manitanance and maturation of oocyte
-theca cell: support cell, make wall
oocyte: female gamete
Term
STAGES OF OVARIAN FOLLICLE
Definition
-single layer of granulosa cell
-1st follicle:granulosa cells begin to proliferate
-2nd follicle: antrum forms
-Graffian follicle: large antrum+granulosa cell surround oocyte
-corpus luteum: post ovulation
Term
UTERUS
Definition
-in pelvis
-flex anteriorly
-receive, retain, nourish fertile ovum
-structure:body,fundus,isthmus
-cervix projects into vagina & has glands that secrete mucus to stop the flora
Term
UTERINE WALL(3 LAYERS)
Definition
+Perimetrium
-outer serous
+Myometrium:
-inner smooth muscle
+Endometrium:
-inner mucossal layer
Term
MAMMARY GLANDS
Definition
+in both male & female
+modofied sweat glands
+in pregnant & lactate female
-15-25 lobes radiate around open nipple
+nonpregnant women
-structure is undeveloped
-breast size is due to fat
Term
OOGENESIS
Definition
-occur in ovaries
+Mitotic Division:
-oogonia divide mitotically to pool
-oogonia enter meiosis but stop before meiotic division
+oogenesis stop until puberty
Term
OOGENESIS II
Definition
+Meiosis II
- 2nd meiotic division occur as result of fertilization
-polar body is extruded & 23 matenal hormones pair
Term
OVARIAN CYCLE
Definition
+last 28 days
-stopped by pregnancy
+dominated by maturing follicles
-proliferation of granulosa
-formation of antrum
-complete at ovulation
+Ovulation- release mature ovum
+Luteal Phase
-remaining granulosa cells differ into luteal cells
-vascular invasion
produce progesterone by luteal cells
Term
MENSTRUAL CYCLE
Definition
+lasts (5-7) days
-termination of ovarian luteal phase
-phase shown by vaginal discharge
-loss of ovarian hormone & vasoconstriction
+Proliferation phase
-repair & regenerate endometrial layer under estrogen
+Progestational Phase:
-estrogen- primed endometrium is richly vascularized
Term
HORMONAL CONTROL OF OVARIAN CYCLE
Definition
-GnRH:stimulate pituitary from hypothalamus to release LH & FSH
-LH: stimulate theca cells to convert cholesterol-> androgen
-FSH:stimulate granulosa to proliferate
-Estrogen: made by granulosa from androgen
-Progesterone: made by luteal cells; ensure uterine environment remain favorable for implantation
Term
CONTROL OF FSH & LH IN FEMALE
Definition
-rising estrogen-> negative feedback on anterior, stop release of FSH & LH
-Signal to anterior pituitary to synthesize and accumulate LH & FSH
Term
ROLE OF LH SURGE
Definition
-Halt estrogen synthesis by granulosa
-reinitiate meiosis 1 in oocyte of maturing follicle
-trigger prostaglandins to start ovulation
-cause differentiation of granulosa cells->luteal
Term
PROGESTERONE
Definition
-secrete by luteal cells
-inhibit release of pro-ovulatory gonadotropins
-signal estrogen-primed endometrium of uterus, prepare for implantation
-progesterone released from corpora luteum diminish rapidly if implantation dont occur
Term
FERTILIZATION 1
Definition
-UNION OF HAPLOID SPERM & EGG
-create single diploid cell, called ZYGOTE->EMBRYO
Term
FERTILIZATION 2
Definition
+STEPS:
-recognize sperm
-activate sperm
-plasma membrane fuse
-additional sperm NOT ALLOWED
-activate egg
-egg+sperm= fuse nuclei
Term
FERTILIZATION 3
Definition
+Oviduct site of fertilization
+MUST occur w/in 24 hrs. after ovulation
-sperm usually survive 48 hours, but can last days in female tract
+sperm+vagina=travel through canal,uterus, & upper oviduct
-female tract help in migration of sperm
Term
FERTILIZATION 4
Definition
-ovulated egg surrounded by 7 layers of cumulus cells & gelatin matrix (CORONA RADIATA)
-CORONA RADIATA is glycoprotein envelope called ZONA PELLUCIDA
Term
FERTILIZATION 4
Definition
-sperm penetrate corona radiata
-sperm head bind to Zp3 on egg surface> ACROSOMAL REACTION
-sperm head fuse to plasma membrane of ova->chemical triggered->make outter head impenetrable
Term
BLOCKS OF POLYSPERMY
Definition
+FAST block polyspermy:
-2 mechanisms
-change in membrane potential as sodium ions enter plasma membrane of egg
+SLOW block of polyspermy:
-start w/ calcium ion release
-cortical granules fuse w/ plasma & release enzymes
-bonds b/w vitelline envelope & egg
-H2O absorbed & enzymes remove sperm-binding receptors
Term
EARLY DEVELOPMENT
Definition
-zygote undergo cell division->blastocyst
-blastocyst-> move down oviduct & attach to lining of uterus
-implantation-blastocyst burrow into endometrium
Term
EMBRYONIC DEVELOPMENT
Definition
-BLASTOCYST implant in endometrial lining by means of enzymes
-enzymes digest endometrial tissue
Term
HORMONES IN FEMALE TRACT
Definition
-corpeus luteum function as endocrine gland-secrete estrogen & progesterone
-sex steroid exert negative feedback on pituitary
-w/o fertilization, corpus luteum degenerates, steroid decrease
Term
HORMONES OF PREGNANCY
Definition
-cells that cover blastocyte secrete hCG
+EFFECT OF hCG:
-corpus luteum produce estrogen & progesterone
-endometrium is maintained & menstruation DOES NOT occur
Term
THE PLACENTA
Definition
-exchange b/w maternal & fetal blood
+transient complex endocrine organ secrete essential pregnancy
-hCG: maintain corpus luteum
-estrogen: essential for normal pregnancy
-progesterone: essential for normal pregnancy
Term
GESTATION
Definition
+PREGNANCY
-38 weeks from conception
-physical changes w/in mother to meet pregnancy
*uterine enlargement
*breasts enlarge
*blood increase 30%
*weight gain
*breath increase by 20%
*urine output increase
*kidney take out waste from fetus
*nutritional requirement increase
Term
PARTURITION
Definition
+labor,delivery,birth
+require
-dilation of cervical canal to accommodate passage of fetus->uterus
+exact factor trigger uterine contraction
Term
PARTURITION 2
Definition
+STAGE OF LABOR
-cervical dilation(long stage)
-delivery of baby(30-90 mins.)
-delivery of placenta
*2nd series uterine contract
*15-20 minutes
+after delivery uterus shrinks
Term
LACTATION
Definition
+during gestation:
-elevated placental estrogen promote alveoli duct
+prolactin:
-stimulate milk production
+sustained suckling:
-trigger release of oxytocin & prolactin
*oxytocin: cause milk ejection/stimulate alveoli
*prolactin:stimulate secretion of more milk to replace ejected milk
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