Division of Neonatology, Department of Pediatrics, Vanderbilt University Medical Center, Nashville, TN, USA.
Adv Anat Embryol Cell Biol. 2021;234:205-221. doi: 10.1007/978-3-030-77360-1_10.
Placenta forms as a momentary organ inside the uterus with a slew of activities only when the woman is pregnant. It is a discoid-shaped hybrid structure consisting of maternal and embryonic components. It develops in the mesometrial side of the uterus following blastocyst implantation to keep the two genetically different entities, the mother and embryo, separated but connected. The beginning and progression of placental formation and development following blastocyst implantation coincides with the chronological developmental stages of the embryo. It gradually acquires the ability to perform the vascular, respiratory, hepatic, renal, endocrine, gastrointestinal, immune, and physical barrier functions synchronously that are vital for fetal development, growth, and safety inside the maternal environment. The uterus ejects the placenta when its embryonic growth and survival supportive roles are finished; that is usually the birth of the baby. Despite its irreplaceable role in fetal development and survival over the post-implantation progression of pregnancy, it still remains unclear how it forms, matures, performs all of its activities, and starts to fail functioning. Thus, a detailed understanding about normal developmental, structural, and functional aspects of the placenta may lead to avoid pregnancy problems that arise with the placenta.
胎盘是一种在子宫内形成的短暂器官,只有在女性怀孕时才会进行一系列活动。它是一种盘状的混合结构,由母体和胚胎两部分组成。在囊胚着床后,胎盘会在子宫系膜侧发育,将两个遗传上不同的实体——母亲和胚胎——分隔开来,但又保持联系。胎盘的形成和发育始于囊胚着床,并与胚胎的发育阶段相吻合。它逐渐获得了执行血管、呼吸、肝、肾、内分泌、胃肠道、免疫和物理屏障等功能的能力,这些功能对于胎儿在母体环境中的发育、生长和安全至关重要。当胚胎的生长和生存支持作用完成后,子宫会排出胎盘;这通常就是婴儿的出生。尽管胎盘在囊胚着床后的妊娠过程中对胎儿的发育和生存起着不可替代的作用,但它的形成、成熟、执行所有活动以及开始功能衰竭的过程仍然不清楚。因此,详细了解胎盘的正常发育、结构和功能方面的知识,可能有助于避免与胎盘相关的妊娠问题。