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SUJATHA.A
MSC NURSING
TOPIC ON FERTILIZATION
Anatomy of Sperm
AnatomyofOva
Corona radiata
Zona pellucida
(ZP-1, -2, and -3)
Cortical granules
The egg (and corona radiata) at ovulation
Follicle Maturation and Ovulation
Oocytes
~2 million at birth
~40,000 at puberty
~400 ovulated over lifetime
Leutinizing Hormone surge
(from pituitary gland)
causes changes in tissues
and within follicle:
• Swelling within follicle due to
increased hyaluronan
• Matrix metalloproteinases
degrade surrounding tissue
causing rupture of follicle
Egg and surrounding cells
(corona radiata) ejected into
peritoneum
Corona radiata provides bulk to
facilitate capture of egg.
FERTILIZATION
 Fertilization is the process of fusion of the
spermatazoon with the mature ovum.It begins
with sperm and egg collision and ends with the
production of mononucleated single cell called
ZYGOTE.
 Almost always fertilization occurs in
AMPULLARY portion of fallopian tubes.
APPROXIMATION OF GAMETES
 The ovum immediately following ovulation is
picked up by the tubal fimbriae which partly
envelope the ovary, specially at the time of
ovulation .
 The pick up action might be muscular or by a kind
of suction by ciliary action or by a postivie
chemotaxis exerted by the tubal secretion.
Transport through the oviduct
At around the midpoint of the
menstrual cycle (~day 14), a
single egg is ovulated and swept
into the oviduct.
Fertilization usually occurs in the
ampulla of the oviduct within 24
hrs. of ovulation.
Series of cleavage and
differentiation events results in
the formation of a blastocyst by
the 4th embryonic day.
Inner cell mass generates
embryonic tissues
Outer trophectoderm generates
placental tissues
Implantation into the uterine wall
occurs ~6th embryonic day (day 20
of the menstrual cycle)
 The ovum is rapidly transported to the
ampullary part.
 Fertilisable life span of oocyte ranges from 12
to 24 hours where as that of sperm is 48 to 72
hours.
 Out of hundred of millions of sperms
deposited in the vagina at single ejaculation.
Only thousands capacitated spermataozoa
enter the uterine tube while only 300-500
reach the ovum.
 The tubal transport is facilitated by muscular
contraction and aspiration action of the
uterine tube.
CONTACT AND FUSION OF THE
GAMETES
 Complete dissolution of the cells of the corona
radiata occurs by the chemical action of the
HYALURONIDASE liberated from theAcrosomal
cap of the hundreds of sperm present at the site.
 Penetration of Zona pellucida is facilitated by
Hyaluronidase from the acrosomal cap.
 Soon after the Sperm fusion ,penetration ofother
sperm is prevented by ZONA REACTION and
OLEMA BLOCK.
Embryologists
Fertilization age: moment of fertilization is dO
Division of pregnancy corresponding to development:
0-3 weeks –early development
3-8 weeks –embryonic period (organogenesis)
8 wks-term –fetal period
Total gestation time = 38 weeks
Clinicians
Menstrual age: last menses is dO
Division of pregnancy into trimesters
Total gestation time = 40 weeks
Timing of
pregnancy
1. Acrosome Rx
sperm bind to ZP proteins in the
zona pellucida; this initiates the
release of enzymes from the sperm
allowing it to burrow through the
zona pellucida.
2. Zona Rx
binding of the sperm and egg
plasma membranes initiates Ca+
influx into the egg and release of
cortical granules from the egg that
block other sperm from fertilizing
the egg.
Fertilization is a multi-step process whereby multiple sperm bind to the
corona radiata, but only a single sperm usually fertilizes the egg
This so-called cortical reaction prevents other
sperm from fertilizing the egg (aka
“polyspermy”)
Cortical granule
enzymes digest ZP
proteins so other sperm
can no longer bind.
Hyaluronic acid and
other proteoglycans are
also released that
become hydrated and
swell, thus pushing the
other sperm away.
Meiosis II complete
Formation of male and
female pronuclei
Decondensation of male
chromosomes
Fusion of pronuclei
Zygote
Fertilization
Week 1:
days 1-6
1
Cleavage, day 2-3
Compaction, day 3
Formation of blastocyst, day 4
Ends with implantation, day 6Fertilization,
day
Fertilized egg
2 polar bodies
2 pronuclei
Day 1
0.1 mm
Fertilized egg (zygote)
Cleavage
Cleavage = cell division
Goals: grow unicellular
zygote to multicellular embryo.
Divisions are slow: 12 - 24h ea
No growth of the embryo-
stays at ~100 um in diameter
Divisions are not synchronous
Cleavage begins about 24h after
pronuclear fusion
2 Cell Stage
Individual cells = blastomeres
Mitotic divisions maintain
2N (diploid) complement
Cells become smaller
Blastomeres are equivalent (aka totipotent).
4 cell; second cleavage
4 equivalent blastomeres
Still in zona pellucida
8 Cell; third
cleavage
Blastomeres still
equivalent
Embryo undergoes compaction after 8-cell stage:
first differentiation of embryonic lineages
CCells aused by increased cell-cell adhesion
that are forced to the outside of the morula are destined to
become trophoblast--cells that will form placenta
The inner cells will form the embryo proper and are called
the inner cell mass (ICM).
Formation of the blastocyst
Sodium channels appear on the surface of the outer trophoblast cells;
sodium and water are pumped into the forming blastocoele. Note that
the embryo is still contained in the zona pellucida.
Early blastocyst
Day 3
Later blastocyst
Day 5
blastocoele
inner cell mass
Monozygotic twinning typically occurs
during cleavage/blastocyst stages
“Hatching” of the blastocyst:
preparation for implantation
Hatching of the embryo from the zona pellucida occurs just
prior to implantation. Occasionally, the inability to hatch
results in infertility, and premature hatching can result in abnormal implantation in the
uterine tube.
IMPLANTATION/NIDATION/NESTING
 Implantation occurs in the endometrium of the
anterior or posterior wall of the body near the
fundus on the 6th day which corresponds,to the 20th
day of regular menstural cycle.
 IMPLANTATION occurs through four stages.
 Apposition
 Adhesion
 Penetration
 Invasion
 The implantation process is completed by 10th
or 11th day.
 This type of deeper penetration of human
blastocyst is called as IMPLANTATION.
 Now the blastocyst is covered all sides by the
endometrium (DECIDUA).
Implantation and placentation (day 8)
Trophoblast further differentiates and invades maternal tissues
– Cytotrophoblast: stem cell population
– Syncytiotrophoblast: invasive fused cells (syncytium) derived from cytotrophoblast
– Breaks maternal capillaries, trophoblastic lacunae fill with maternal blood
Inner cell mass divides into epiblast and hypoblast:
– Epiblast contributes to forming the overlying amniotic membrane and amniotic cavity
– Hypoblast contributes to forming the underlying yolk sac.
Implantation and placentation (day 9)
Trophoblast further differentiates and invades maternal tissues
– Cytotrophoblast: stem cell population
– Syncytiotrophoblast: invasive fused cells (syncytium) derived from cytotrophoblast
– Breaks maternal capillaries, trophoblastic lacunae fill with maternal blood
Inner cell mass divides into epiblast and hypoblast:
– Epiblast contributes to forming the overlying amniotic membrane and amniotic cavity
– Hypoblast contributes to forming the underlying yolk sac.
Implantation and placentation (day 12)
Trophoblast further differentiates and invades maternal tissues
– Cytotrophoblast: stem cell population
– Syncytiotrophoblast: invasive fused cells (syncytium) derived from cytotrophoblast
– Breaks maternal capillaries, trophoblastic lacunae fill with maternal blood
Inner cell mass divides into epiblast and hypoblast:
– Epiblast contributes to forming the overlying amniotic membrane and amniotic cavity
– Hypoblast contributes to forming the underlying yolk sac.
Implantation and placentation (day 13)
Trophoblast further
differentiates and invades
maternal tissues
– Cytotrophoblast: stem cell
population
– Syncytiotrophoblast: invasive
fused cells (syncytium) derived
from cytotrophoblast
– Breaks maternal capillaries,
trophoblastic lacunae fill with
maternal blood
Inner cell mass divides into
epiblast and hypoblast:
– Epiblast contributes to forming
the overlying amniotic
membrane and amniotic cavity
– Hypoblast contributes to
forming the underlying yolk sac.
Week 3:
Days 14-
21
Two layer germ disc
Primitive streak forms
Gastrulation forms tri-laminar embryo
Neural induction
Left-right asymmetry
0.4mm - 2.0mm
Day 15
The
primitive
streak can
be seen on
the left side
Day 17
The primitive streak can still
be seen, and the opposite end
of the embryo is starting to
fold up.
The Blastocyst begins to
collapse
Day 19
The neural tube is seen along with somites
on either side of it.
Somites - zipper-like motion of the neural tube closing together,
three pairs of small bumps form on either side of the closure.
they will form the skeleton and the major muscles of the body.
Thirty-eight pairs of somites will line the neural tube within 2
weeks.
Day 22
Day 24
Day 26
Day 28
5 Week Embryo
5 Week, 4 day Embryo
Four Weeks Embryo
After the cluster of cells attaches to
the womb it is called an embryo.
The embryo is between 1/100 and
4/100 inch long at this time.
The embryo continues rapid
growth.
* 8 Weeks
•The embryo is about ½ inch
long.
•The heart now has four
chambers.
•Fingers and toes begin to
form.
•Reflex activities begin as the
brain and nervous system
develop.
•Cells begin to form the eyes,
ears, jaws, lungs, stomach,
intestines and liver.
10 Weeks
The embryo, is about 1 to 1¼
inches long (the head is about
half the length) and weighs less
than ½ ounce.
The beginnings of all key body
parts are present, but they are
not completed.
Structures that will form eyes,
ears, arms and legs can be seen.
Muscles and skeleton are
developing and the nervous
system becomes more
responsive.
12 Weeks
The fetus is about 2½ inches
long and weighs about ½ ounce.
Fingers and toes are distinct
and have nails.
Hair begins to develop, but
won't be seen until later in the
pregnancy.
The fetus begins small, random
movements, too slight to be felt.
The fetal heartbeat can be detected with a heart monitor.
All major external body features have appeared.
Muscles continue to develop.
14 Weeks
The fetus is about 3½ inches long
and weighs about 1½ ounces.
The fetus begins to swallow, the
kidneys make urine, and blood
begins to form in the bone marrow.
Joints and muscles allow full body
movement.
There are eyelids and the nose is
developing a bridge.
External genitals are developing.
18 Weeks
The fetus is about 5½ inches long
and weighs about 7 ounces.
The skin is pink and transparent
and the ears are clearly visible.
All the body and facial features are
now recognizable.
The fetus can grasp and move its
mouth.
Nails begin to grow.
The fetus has begun to kick. Some
women feel this movement.
20 Weeks
The fetus is about 6¼
inches long and weighs
about 11½ ounces.
All organs and structures
are formed
Skin is wrinkled and pink to reddish in
color - thin and close to the blood vessels.
Protective skin coating, (vernix) begins to develop.
Respiratory movements occur - lungs have not developed enough to
permit survival outside the uterus.
By this time, mothers usually feel the fetus moving.
At this time an ultrasound can often identify the sex of the fetus.
22 Weeks
The fetus is about 7½ inches
long weighs about one pound.
.
It has fingerprints and some
head and body hair.
It may suck its thumb and is more active.
The brain is growing very rapidly.
The fetal heartbeat can be easily heard.
The kidneys start to work.
At 23 weeks, approximately 31% of babies born survive.
Babies born at this age require intensive care and usually
have lifelong disabilities and chronic health conditions.
24 Weeks
The fetus is about 8¼ inches long and
weighs about 1¼ pounds.
Bones of the ears harden making sound
conduction possible. The fetus hears
mother’s sounds such as breathing,
heartbeat and voice.
The first layers of fat are beginning to
form.
This is the beginning of substantial
weight gain for the fetus.
Lungs continue developing
At 25 weeks, approximately 68% of
babies born survive. Babies born at this
age require intensive care and usually
have life-long disabilities and chronic
health conditions.
26 Weeks
The fetus is about 9 inches long and
weighs about 2 pounds.
The fetus can respond to sound from
both inside and outside the womb.
Reflex movements continue to
develop and body movements are
stronger.
Lungs continue to develop.
The fetus now wakes and sleeps.
The skin is slightly wrinkled.
At 27 weeks, approximately 87% of
babies born survive. Babies born at
this age require intensive care and
have an increased risk of
developmental delays and chronic
health conditions.
28 Weeks
The fetus is about 10 inches
long and weighs about 2
pounds, 3 ounces.
Mouth and lips show more
sensitivity.
The eyes are partially open
and can perceive light.
More than 90% of babies born
at this age will survive. Some
survivors have developmental
delays and chronic health
conditions.
30 Weeks
The fetus is about 10½ inches long
and weighs about 3 pounds.
The lungs that are capable of
breathing air, although medical
help may be needed.
The fetus can open and close its
eyes, suck its thumb, cry and
respond to sound.
The skin is smooth.
Rhythmic breathing and body
temperature are now controlled by
the brain.
Most babies born at this age will
survive.
32 Weeks
The fetus is about 11
inches long and weighs
about 3 pounds, 12
ounces.
The connections between
the nerve cells in the brain
increase.
Fetal development now
centers on growth.
Almost all babies born at
this age will survive.
34 Weeks
The fetus is about
12 inches long and
weighs about 4½
pounds.
Ears begin to hold
shape.
Eyes open during
alert times and
close during sleep.
Almost all babies
born at this age
will survive.
36 Weeks
The fetus is about 12 to 13
inches long and weighs
about 5½ to 6 pounds.
Scalp hair is silky and lies
against the head.
Muscle tone has developed
and the fetus can turn and
lift its head.
Almost all babies born at
this age will survive.
38 Weeks
The fetus is about 13½
to 14 inches long and
weighs about 6½
pounds.
Lungs are usually
mature.
The fetus can grasp
firmly.
The fetus turns toward
light sources.
Almost all babies born
at this age will survive.
40 Weeks
The fetus is about 18
to 20 inches long
and may weigh
about 7½ pounds.
At the time of birth,
a baby has more
than 70 reflex
behaviors, which are
automatic behaviors
necessary for
survival.
The baby is full-term
and ready to be born.
Photo andText
Courtesy of
Georgia Department of Human Resources,
Division of Public Health
Fetal Development
 Objectives:
 Understand the growth of a
human fetus.
 Follow the development
from conception to birth
 Introduction to the birth
process
Photo andText
Courtesy of
Georgia Department of Human Resources,
Division of Public Health

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fertilization.pptx

  • 2.
  • 5. Corona radiata Zona pellucida (ZP-1, -2, and -3) Cortical granules The egg (and corona radiata) at ovulation
  • 6. Follicle Maturation and Ovulation Oocytes ~2 million at birth ~40,000 at puberty ~400 ovulated over lifetime Leutinizing Hormone surge (from pituitary gland) causes changes in tissues and within follicle: • Swelling within follicle due to increased hyaluronan • Matrix metalloproteinases degrade surrounding tissue causing rupture of follicle Egg and surrounding cells (corona radiata) ejected into peritoneum Corona radiata provides bulk to facilitate capture of egg.
  • 7. FERTILIZATION  Fertilization is the process of fusion of the spermatazoon with the mature ovum.It begins with sperm and egg collision and ends with the production of mononucleated single cell called ZYGOTE.  Almost always fertilization occurs in AMPULLARY portion of fallopian tubes.
  • 8.
  • 9.
  • 10. APPROXIMATION OF GAMETES  The ovum immediately following ovulation is picked up by the tubal fimbriae which partly envelope the ovary, specially at the time of ovulation .  The pick up action might be muscular or by a kind of suction by ciliary action or by a postivie chemotaxis exerted by the tubal secretion.
  • 11. Transport through the oviduct At around the midpoint of the menstrual cycle (~day 14), a single egg is ovulated and swept into the oviduct. Fertilization usually occurs in the ampulla of the oviduct within 24 hrs. of ovulation. Series of cleavage and differentiation events results in the formation of a blastocyst by the 4th embryonic day. Inner cell mass generates embryonic tissues Outer trophectoderm generates placental tissues Implantation into the uterine wall occurs ~6th embryonic day (day 20 of the menstrual cycle)
  • 12.
  • 13.  The ovum is rapidly transported to the ampullary part.  Fertilisable life span of oocyte ranges from 12 to 24 hours where as that of sperm is 48 to 72 hours.  Out of hundred of millions of sperms deposited in the vagina at single ejaculation. Only thousands capacitated spermataozoa enter the uterine tube while only 300-500 reach the ovum.  The tubal transport is facilitated by muscular contraction and aspiration action of the uterine tube.
  • 14. CONTACT AND FUSION OF THE GAMETES  Complete dissolution of the cells of the corona radiata occurs by the chemical action of the HYALURONIDASE liberated from theAcrosomal cap of the hundreds of sperm present at the site.  Penetration of Zona pellucida is facilitated by Hyaluronidase from the acrosomal cap.  Soon after the Sperm fusion ,penetration ofother sperm is prevented by ZONA REACTION and OLEMA BLOCK.
  • 15. Embryologists Fertilization age: moment of fertilization is dO Division of pregnancy corresponding to development: 0-3 weeks –early development 3-8 weeks –embryonic period (organogenesis) 8 wks-term –fetal period Total gestation time = 38 weeks Clinicians Menstrual age: last menses is dO Division of pregnancy into trimesters Total gestation time = 40 weeks Timing of pregnancy
  • 16. 1. Acrosome Rx sperm bind to ZP proteins in the zona pellucida; this initiates the release of enzymes from the sperm allowing it to burrow through the zona pellucida. 2. Zona Rx binding of the sperm and egg plasma membranes initiates Ca+ influx into the egg and release of cortical granules from the egg that block other sperm from fertilizing the egg. Fertilization is a multi-step process whereby multiple sperm bind to the corona radiata, but only a single sperm usually fertilizes the egg
  • 17. This so-called cortical reaction prevents other sperm from fertilizing the egg (aka “polyspermy”) Cortical granule enzymes digest ZP proteins so other sperm can no longer bind. Hyaluronic acid and other proteoglycans are also released that become hydrated and swell, thus pushing the other sperm away.
  • 18. Meiosis II complete Formation of male and female pronuclei Decondensation of male chromosomes Fusion of pronuclei Zygote Fertilization
  • 19. Week 1: days 1-6 1 Cleavage, day 2-3 Compaction, day 3 Formation of blastocyst, day 4 Ends with implantation, day 6Fertilization, day
  • 20. Fertilized egg 2 polar bodies 2 pronuclei Day 1 0.1 mm Fertilized egg (zygote)
  • 21. Cleavage Cleavage = cell division Goals: grow unicellular zygote to multicellular embryo. Divisions are slow: 12 - 24h ea No growth of the embryo- stays at ~100 um in diameter Divisions are not synchronous Cleavage begins about 24h after pronuclear fusion
  • 22. 2 Cell Stage Individual cells = blastomeres Mitotic divisions maintain 2N (diploid) complement Cells become smaller Blastomeres are equivalent (aka totipotent).
  • 23. 4 cell; second cleavage 4 equivalent blastomeres Still in zona pellucida
  • 25. Embryo undergoes compaction after 8-cell stage: first differentiation of embryonic lineages CCells aused by increased cell-cell adhesion that are forced to the outside of the morula are destined to become trophoblast--cells that will form placenta The inner cells will form the embryo proper and are called the inner cell mass (ICM).
  • 26. Formation of the blastocyst Sodium channels appear on the surface of the outer trophoblast cells; sodium and water are pumped into the forming blastocoele. Note that the embryo is still contained in the zona pellucida.
  • 27.
  • 28. Early blastocyst Day 3 Later blastocyst Day 5 blastocoele inner cell mass
  • 29. Monozygotic twinning typically occurs during cleavage/blastocyst stages
  • 30. “Hatching” of the blastocyst: preparation for implantation Hatching of the embryo from the zona pellucida occurs just prior to implantation. Occasionally, the inability to hatch results in infertility, and premature hatching can result in abnormal implantation in the uterine tube.
  • 31. IMPLANTATION/NIDATION/NESTING  Implantation occurs in the endometrium of the anterior or posterior wall of the body near the fundus on the 6th day which corresponds,to the 20th day of regular menstural cycle.  IMPLANTATION occurs through four stages.  Apposition  Adhesion  Penetration  Invasion
  • 32.  The implantation process is completed by 10th or 11th day.  This type of deeper penetration of human blastocyst is called as IMPLANTATION.  Now the blastocyst is covered all sides by the endometrium (DECIDUA).
  • 33. Implantation and placentation (day 8) Trophoblast further differentiates and invades maternal tissues – Cytotrophoblast: stem cell population – Syncytiotrophoblast: invasive fused cells (syncytium) derived from cytotrophoblast – Breaks maternal capillaries, trophoblastic lacunae fill with maternal blood Inner cell mass divides into epiblast and hypoblast: – Epiblast contributes to forming the overlying amniotic membrane and amniotic cavity – Hypoblast contributes to forming the underlying yolk sac.
  • 34. Implantation and placentation (day 9) Trophoblast further differentiates and invades maternal tissues – Cytotrophoblast: stem cell population – Syncytiotrophoblast: invasive fused cells (syncytium) derived from cytotrophoblast – Breaks maternal capillaries, trophoblastic lacunae fill with maternal blood Inner cell mass divides into epiblast and hypoblast: – Epiblast contributes to forming the overlying amniotic membrane and amniotic cavity – Hypoblast contributes to forming the underlying yolk sac.
  • 35. Implantation and placentation (day 12) Trophoblast further differentiates and invades maternal tissues – Cytotrophoblast: stem cell population – Syncytiotrophoblast: invasive fused cells (syncytium) derived from cytotrophoblast – Breaks maternal capillaries, trophoblastic lacunae fill with maternal blood Inner cell mass divides into epiblast and hypoblast: – Epiblast contributes to forming the overlying amniotic membrane and amniotic cavity – Hypoblast contributes to forming the underlying yolk sac.
  • 36. Implantation and placentation (day 13) Trophoblast further differentiates and invades maternal tissues – Cytotrophoblast: stem cell population – Syncytiotrophoblast: invasive fused cells (syncytium) derived from cytotrophoblast – Breaks maternal capillaries, trophoblastic lacunae fill with maternal blood Inner cell mass divides into epiblast and hypoblast: – Epiblast contributes to forming the overlying amniotic membrane and amniotic cavity – Hypoblast contributes to forming the underlying yolk sac.
  • 37. Week 3: Days 14- 21 Two layer germ disc Primitive streak forms Gastrulation forms tri-laminar embryo Neural induction Left-right asymmetry 0.4mm - 2.0mm
  • 38.
  • 39. Day 15 The primitive streak can be seen on the left side Day 17 The primitive streak can still be seen, and the opposite end of the embryo is starting to fold up. The Blastocyst begins to collapse
  • 40. Day 19 The neural tube is seen along with somites on either side of it. Somites - zipper-like motion of the neural tube closing together, three pairs of small bumps form on either side of the closure. they will form the skeleton and the major muscles of the body. Thirty-eight pairs of somites will line the neural tube within 2 weeks.
  • 43. 5 Week Embryo 5 Week, 4 day Embryo
  • 44. Four Weeks Embryo After the cluster of cells attaches to the womb it is called an embryo. The embryo is between 1/100 and 4/100 inch long at this time. The embryo continues rapid growth.
  • 45. * 8 Weeks •The embryo is about ½ inch long. •The heart now has four chambers. •Fingers and toes begin to form. •Reflex activities begin as the brain and nervous system develop. •Cells begin to form the eyes, ears, jaws, lungs, stomach, intestines and liver.
  • 46. 10 Weeks The embryo, is about 1 to 1¼ inches long (the head is about half the length) and weighs less than ½ ounce. The beginnings of all key body parts are present, but they are not completed. Structures that will form eyes, ears, arms and legs can be seen. Muscles and skeleton are developing and the nervous system becomes more responsive.
  • 47. 12 Weeks The fetus is about 2½ inches long and weighs about ½ ounce. Fingers and toes are distinct and have nails. Hair begins to develop, but won't be seen until later in the pregnancy. The fetus begins small, random movements, too slight to be felt. The fetal heartbeat can be detected with a heart monitor. All major external body features have appeared. Muscles continue to develop.
  • 48. 14 Weeks The fetus is about 3½ inches long and weighs about 1½ ounces. The fetus begins to swallow, the kidneys make urine, and blood begins to form in the bone marrow. Joints and muscles allow full body movement. There are eyelids and the nose is developing a bridge. External genitals are developing.
  • 49. 18 Weeks The fetus is about 5½ inches long and weighs about 7 ounces. The skin is pink and transparent and the ears are clearly visible. All the body and facial features are now recognizable. The fetus can grasp and move its mouth. Nails begin to grow. The fetus has begun to kick. Some women feel this movement.
  • 50. 20 Weeks The fetus is about 6¼ inches long and weighs about 11½ ounces. All organs and structures are formed Skin is wrinkled and pink to reddish in color - thin and close to the blood vessels. Protective skin coating, (vernix) begins to develop. Respiratory movements occur - lungs have not developed enough to permit survival outside the uterus. By this time, mothers usually feel the fetus moving. At this time an ultrasound can often identify the sex of the fetus.
  • 51. 22 Weeks The fetus is about 7½ inches long weighs about one pound. . It has fingerprints and some head and body hair. It may suck its thumb and is more active. The brain is growing very rapidly. The fetal heartbeat can be easily heard. The kidneys start to work. At 23 weeks, approximately 31% of babies born survive. Babies born at this age require intensive care and usually have lifelong disabilities and chronic health conditions.
  • 52. 24 Weeks The fetus is about 8¼ inches long and weighs about 1¼ pounds. Bones of the ears harden making sound conduction possible. The fetus hears mother’s sounds such as breathing, heartbeat and voice. The first layers of fat are beginning to form. This is the beginning of substantial weight gain for the fetus. Lungs continue developing At 25 weeks, approximately 68% of babies born survive. Babies born at this age require intensive care and usually have life-long disabilities and chronic health conditions.
  • 53. 26 Weeks The fetus is about 9 inches long and weighs about 2 pounds. The fetus can respond to sound from both inside and outside the womb. Reflex movements continue to develop and body movements are stronger. Lungs continue to develop. The fetus now wakes and sleeps. The skin is slightly wrinkled. At 27 weeks, approximately 87% of babies born survive. Babies born at this age require intensive care and have an increased risk of developmental delays and chronic health conditions.
  • 54. 28 Weeks The fetus is about 10 inches long and weighs about 2 pounds, 3 ounces. Mouth and lips show more sensitivity. The eyes are partially open and can perceive light. More than 90% of babies born at this age will survive. Some survivors have developmental delays and chronic health conditions.
  • 55. 30 Weeks The fetus is about 10½ inches long and weighs about 3 pounds. The lungs that are capable of breathing air, although medical help may be needed. The fetus can open and close its eyes, suck its thumb, cry and respond to sound. The skin is smooth. Rhythmic breathing and body temperature are now controlled by the brain. Most babies born at this age will survive.
  • 56. 32 Weeks The fetus is about 11 inches long and weighs about 3 pounds, 12 ounces. The connections between the nerve cells in the brain increase. Fetal development now centers on growth. Almost all babies born at this age will survive.
  • 57. 34 Weeks The fetus is about 12 inches long and weighs about 4½ pounds. Ears begin to hold shape. Eyes open during alert times and close during sleep. Almost all babies born at this age will survive.
  • 58. 36 Weeks The fetus is about 12 to 13 inches long and weighs about 5½ to 6 pounds. Scalp hair is silky and lies against the head. Muscle tone has developed and the fetus can turn and lift its head. Almost all babies born at this age will survive.
  • 59. 38 Weeks The fetus is about 13½ to 14 inches long and weighs about 6½ pounds. Lungs are usually mature. The fetus can grasp firmly. The fetus turns toward light sources. Almost all babies born at this age will survive.
  • 60. 40 Weeks The fetus is about 18 to 20 inches long and may weigh about 7½ pounds. At the time of birth, a baby has more than 70 reflex behaviors, which are automatic behaviors necessary for survival. The baby is full-term and ready to be born. Photo andText Courtesy of Georgia Department of Human Resources, Division of Public Health
  • 61.
  • 62. Fetal Development  Objectives:  Understand the growth of a human fetus.  Follow the development from conception to birth  Introduction to the birth process Photo andText Courtesy of Georgia Department of Human Resources, Division of Public Health