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The amniotic sac, also called the bag of waters [1] [2] or the membranes, [3] is the sac in which the embryo and later fetus develops in amniotes. It is a thin but tough transparent pair of membranes that hold a developing embryo (and later fetus) until shortly before birth .
The gestational sac is spherical in shape, and is usually located in the upper part (fundus) of the uterus.By approximately nine weeks of gestational age, due to folding of the trilaminar germ disc, the amniotic sac expands and occupy the majority of the volume of the gestational sac, eventually reducing the extraembryonic coelom (the gestational sac or the chorionic cavity) to a thin layer ...
Gestational sac size, location, and number; Identification of the embryo and/or yolk sac; Measurement of fetal length (known as the crown-rump length) Fetal number, including number of amnionic sacs and chorionic sacs for multiple gestations; Embryonic/fetal cardiac activity; Assessment of embryonic/fetal anatomy appropriate for the first trimester
The fetal membranes separate maternal tissue from fetal tissue at a basic mechanical level. The fetal membrane is composed of a thick cellular chorion covering a thin amnion composed of dense collagen fibrils. The amnion is in contact with the amniotic fluid and ensures structural integrity of the sac due to its mechanical strength.
The embryo is surrounded by the thin membranes of the amniotic sac, the umbilical cord is seen in the center, attaching the embryo to the placenta. The umbilical cord develops from and contains remnants of the yolk sac and allantois. It forms by the fifth week of development, replacing the yolk sac as the source of nutrients for the embryo. [2]
The inner cell mass will give rise to the pre-embryo, [9] the amnion, yolk sac and allantois, while the fetal part of the placenta will form from the outer trophoblast layer. The embryo plus its membranes is called the conceptus , and by this stage the conceptus has reached the uterus .
The yolk sac is the first element seen within the gestational sac during pregnancy, [1] usually at three days gestation. The yolk sac is situated on the front ( ventral ) part of the embryo ; it is lined by extra-embryonic endoderm , [ 3 ] outside of which is a layer of extra-embryonic mesenchyme , derived from the epiblast.
Presentation of twins in Der Rosengarten ("The Rose Garden"), a German standard medical text for midwives published in 1513. In obstetrics, the presentation of a fetus about to be born specifies which anatomical part of the fetus is leading, that is, is closest to the pelvic inlet of the birth canal.
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