Third Trimester: Difference between revisions

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'''Search Pubmed:''' [http://www.ncbi.nlm.nih.gov/sites/entrez?db=pubmed&cmd=search&term=Third%20Trimester Third Trimester]
'''Search Pubmed:''' [http://www.ncbi.nlm.nih.gov/sites/entrez?db=pubmed&cmd=search&term=Third%20Trimester Third Trimester]

Revision as of 14:15, 19 March 2012

Introduction

The fetus in the 8th month

The third trimester is a period of development when the fetus slows in growth in length and begins to increase substantially in weight. Some fetal systems, such as the respiratory system, only now begin to mature just prior to birth.

Immune system, IgG to specific maternal antigens transferred passively across the placenta during the last trimester of pregnancy.


Fetal Links: fetal | Week 10 | Week 12 | second trimester | third trimester | fetal neural | Fetal Blood Sampling | fetal growth restriction | birth | birth weight | preterm birth | Developmental Origins of Health and Disease | macrosomia | BGD Practical | Medicine Lecture | Science Lecture | Lecture Movie | Category:Human Fetus | Category:Fetal
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| Category:Third Trimester

Neural

Dev anat 01.jpg Comparison of brain growth through the third trimester.


Note the increasing cortex surface area forming visible gyri (folds) and fissures (grooves) on the surface.


Links: Neural System Development

Respiratory

Alveolar-sac-01.jpg

Alveolar sac structure

Saccular stage

  • week 24 to near term.
  • most peripheral airways form widened airspaces, termed saccules.
  • saccules widen and lengthen the airspace (by the addition of new generations).
  • future gas exchange region expands significantly.
  • Fibroblastic cells also undergo differentiation, they produce extracellular matrix, collagen, and elastin. May have a role in epithelial differentiation and control of surfactant secretion
  • The vascular tree also grows in length and diameter during this time.


  • in late fetal development respiratory motions and amniotic fluid are thought to have a role in lung maturation.
  • Development of this system is not completed until late fetal just before birth.
    • Therefore premature babies have difficulties associated with insufficient surfactant (end month 6 alveolar cells type 2 appear and begin to secrete surfactant).


Links: Respiratory System Development

Genital

Testis-descent start.jpg

Testis-descent end.jpg

Testis Descent

Data from a study of male human fetal (between 10 and 35 weeks) gonad position[1]

  • 10 to 23 weeks - (9.45%) had migrated from the abdomen and were situated in the inguinal canal
  • 24 to 26 weeks - (57.9%) had migrated from the abdomen
  • 27 to 29 weeks - (16.7%) had not descended to the scrotum


Links: Testis Development

Third Trimester Timeline

(Clinical Week 28-29)

Week
Stage
Event
Clinical third trimester Fetal weight change.jpg Hearing 3rd Trimester - vibration acoustically of maternal abdominal wall induces startle respone in fetus.
27
 
28
  Respire Month 7 - respiratory bronchioles proliferate and end in alveolar ducts and sacs
29
 
30
   

Genital male gonad (testes) descending

31
 
32
   
33
  Neural brain cortical sulcation - primary sulci present PMID:11158907
34
  Neural brain cortical sulcation - insular, cingular, and occipital secondary sulci present PMID:11158907
35
   
36
 
37
   
38
Birth Galletti1770 birth.jpg Clinical Week 40

Heart pressure difference closes foramen ovale leaving a fossa ovalis

Thyroid TSH levels increase, thyroxine (T3) and T4 levels increase to 24 h, then 5-7 days postnatal decline to normal levels

Adrenal - zona glomerulosa, zona fasiculata present

References

  1. <pubmed>9649288</pubmed>

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Cite this page: Hill, M.A. (2024, April 19) Embryology Third Trimester. Retrieved from https://embryology.med.unsw.edu.au/embryology/index.php/Third_Trimester

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© Dr Mark Hill 2024, UNSW Embryology ISBN: 978 0 7334 2609 4 - UNSW CRICOS Provider Code No. 00098G