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Development of the Placenta
The placenta is the lifeline between the mother and baby - it delivers oxygen and nutrients to the fetus and removes waste. Here is the full development explained stage by stage, with textbook diagrams.
🔵 Stage 1: Implantation (Day 6-7 after fertilization)
When the fertilized egg (blastocyst) arrives in the uterus, it burrows into the uterine lining (endometrium). The outer layer of the blastocyst - called the trophoblast - starts this process.
The trophoblast splits into two layers:
- Cytotrophoblast - inner layer of individual cells
- Syncytiotrophoblast - outer layer where cells fuse together to invade the uterine wall
Think of it like a seed planting itself into the soil - the trophoblast is the "roots" that anchor the embryo.
🔵 Stage 2: Formation of Chorionic Villi (Weeks 2-3)
The trophoblast grows finger-like projections called chorionic villi into the uterine wall. These go through three stages:
| Stage | What it contains |
|---|
| Primary villi | Just trophoblast cells |
| Secondary villi | Trophoblast + mesoderm (connective tissue) grows in |
| Tertiary villi | Trophoblast + mesoderm + blood vessels form inside |
By Week 3, the villi have their own fetal blood vessels, and the placenta can now exchange gases and nutrients with the mother's blood.
🔵 Stage 3: Formation of Two Chorion Types (Weeks 5-8)
This is a key step. Look at the diagram below - at 5 weeks, villi cover the entire surface of the chorionic sac. By 8 weeks, two distinct regions form:
THIEME Atlas - Development stages: (a) 5 weeks, (c) 8 weeks, (d) 20 weeks
| Region | Name | What happens |
|---|
| Villi facing the uterine wall (decidua basalis) | Chorion frondosum ("bushy chorion") | Villi grow and branch rapidly - becomes the fetal part of placenta |
| Villi facing away from the wall (decidua capsularis) | Chorion laeve ("smooth chorion") | Blood supply reduces, villi shrink and disappear |
Simple analogy: Imagine ivy growing on a wall. The side touching the wall grows thick and lush (chorion frondosum); the side facing away from the wall withers (chorion laeve).
🔵 Stage 4: Fetal Membranes at 16 Weeks
By 16 weeks, the fetus is clearly inside an organized system:
The Developing Human - FIG. 7.4: Sagittal section at 16 weeks
The uterine lining (decidua) is divided into 3 parts:
- Decidua basalis - under the placenta (becomes the maternal part of the placenta)
- Decidua capsularis - over the embryo (degenerates by 22 weeks)
- Decidua parietalis - lines the rest of the uterus
🔵 Stage 5: The Fully Formed Placenta (From ~20 Weeks)
The mature placenta has two parts:
1. Fetal Part = Villous Chorion (Chorion Frondosum)
- The fetal blood vessels run through branching villi
- The umbilical cord connects the fetus to this plate
2. Maternal Part = Decidua Basalis
- The uterine wall that the villi dig into
- Mother's spiral arteries open into spaces between the villi
Here is the cross-section of the mature placenta showing blood flow:
The Developing Human - FIG. 7.5: Full-term placenta cross-section
And the schematic overview of the mature placenta's structure:
THIEME Atlas - Schematic cross-section of the mature human placenta
🔵 How Exchange Happens (The Placental Barrier)
The mother's blood and the baby's blood never actually mix. Instead:
Mother's spiral arteries
↓
Intervillous space (pool of maternal blood)
↓
Nutrients + O₂ diffuse ACROSS the villus wall
↓
Fetal capillaries inside villi → umbilical vein → baby
The wall of the villus acts like a selective filter - letting through what the baby needs and blocking most harmful substances (though not everything - alcohol, some drugs, and certain viruses can cross).
🔵 Summary Timeline
| Week | Event |
|---|
| Week 1 | Blastocyst implants; trophoblast invades endometrium |
| Week 2 | Primary villi form; lacunae (spaces) fill with maternal blood |
| Week 3 | Secondary → Tertiary villi; fetal blood vessels form; exchange begins |
| Week 5 | Villi cover entire chorionic sac |
| Week 8 | Chorion frondosum and chorion laeve distinct |
| Week 10 | Placenta fully functional |
| Week 20 | Placenta fully formed; covers 15-30% of uterine wall |
| Term (40 wks) | Placenta weighs ~500g (1/6 of fetal weight) |
🔵 Key Facts to Remember
- The placenta has a fetal side (villous chorion) and a maternal side (decidua basalis)
- The umbilical cord has 2 arteries (carry deoxygenated blood from fetus) and 1 vein (carries oxygenated blood to fetus)
- The placenta is divided into cotyledons (about 15-30) by decidual septa
- The placenta uses 40-60% of oxygen reaching the uterus just for its own metabolism
- Homeobox genes (HLX, MSX2, DLX3) control trophoblast invasion and regulate all of this development
Sources: The Developing Human: Clinically Oriented Embryology (Moore & Persaud); THIEME Atlas of Anatomy - General Anatomy and Musculoskeletal System