Gross Anatomy of the
Placenta
It consists of two surfaces:
- Fetal surface
- Maternal surface
- Maternal Surface
- Placenta is attached to the upper side of the fundus
- 15-20cm in diameter
- 30% of uterus covered by the placenta
- Center part is 2.5cm in thickness
- Thickness reduced at the periphery
- Convex polygonal areas called Cotilidons
- 16-20 cotilidons in a placenta
- Grayish areas are calcium deposits
- Greyish tinge is due to placental separation
- Each cotilidon has fissures which contain decidual septum
- Fetal Surface
- Fetal surface is grey and glistening
- Cord is the continuation of the mesoderm
- It is also called funis (50-100cm)
- It consists of two arteries and one vein
- At the cut end of the cord, vein appears collapsed and arteries are protruded and down.
- Cord is 50-100cm in length
- White jelly life substance called Wharton’s jelly present on the cord
- Inner layer is amnion and the outer layer is the chorion
- The fetus obtains amino acids, glucose, vitamins, calcium, phosphorus, iron and other minerals from the maternal blood through the placenta.
- The placenta also stores glucose in the form of glycogen. It also stores iron and fats soluble vitamins.
- The waste products such as carbon dioxide, bilirubin and urea are excreted from the fetus through the placenta.
- The placenta prevents passing of microorganisms from the mother to the fetus to some extent.
- The placenta also produces hormones like the human chorionic gonadotrophic hormone, oestrogen, progesterone and human placental lactogen (HPL).
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