It’s difficult to define the physiology of pregnancy, but it is important to note that pregnancy is not a disease but a state of wellness and a physiological event.
It’s important that the pregnancy is wanted and accepted by both members of the couple and that there is adequate information on changes that will occur within 40 weeks of gestation.
In the human species (assuming an average duration of the menstrual cycle of 28 days) the normal duration of pregnancy measured from the first day of last menstrual period is 40 weeks, equal to 280 days.
When in the course of pregnancy there were no notable events (diseases or complications), but everything went smoothly and now is the end of the 40 th week, this is called physiological.
For clarity we describe the main changes that occur during pregnancy, changes in anatomical and physiological.
During gestation, the external and internal genitalia undergoes significant changes. The vagina and perineum are subject to imbibition processes that make fabrics softer and softer, the vagina is hyperemic in cyanotic color has a feature, not rarely notice varicose dilatation of the superficial veins. Even in the perineal area is frequent observation of ectasia, sometimes very voluminous hemorrhoidal plexus.
The most obvious changes occur in pregnancy due to the loading of the uterus: the organ is initially 6-7 cm long, at the end of pregnancy is over 30 cm long and 25 meters wide, which corresponds to an increase in volume of its cavity of 500-1000 times. Even the weight is changed in proportion, rising from 50-60 grams 1000-1500 grams pregravidici the term of pregnancy: this increase is due to water retention in the uterine tissue, hypertrophy of muscle fibers and the formation of new bundles of fiber.
The interior of the uterus, in addition to the product of conception, the placenta also houses and outbuildings ovulari, which are the structures of the egg that are not part of the fetal body.
The annexes are ovulari placenta membranes (amnion and chorion), amniotic fluid and umbilical cord.
Of these, the most important for its functional complexity is certainly the placenta, a highly differentiated organ that serves for respiration and nutrition of the fetus and endocrine activity presents complex.
At the end of pregnancy the placenta is discoid shape with a thickness of about ½ cm at the periphery and in the middle, 2-4 cm in diameter is 16-20 cm, its weight is between 500 and 600 grams , about a sixth of fetal weight. In the placenta are distinguished:
- Fetal face turned to the fetus;
- Face that adheres to the maternal uterine wall.