Fetus
lengthe
ns
rapidly
1:1
neck :
body
proportio
n)
Weigh
t
(gram
s)
2.7
CRL
(cm)
2.8 - 3
10 - 45 60 200
Lean
body
(1 : 3)
250 450
500 820
Body
filling
out
Promine
Body
usually nt chest;
plump Breast
s
protru
de
900 1300
1400 2100
2200
2900
(aterm
: 3200)
5-8
9 - 14
15 - 19 20 - 23 24 - 27 28 - 30 31
34
(aterm
: 35
36)
12)
16)
Fetal
face
Face is
distinctl
y
human
in
appear
ance
Face
become
s more
human
looking,
head
erect
Skull
has
the
largest
circum
ferenc
e of
the
body
Upper
limbs
Limbs
long,
bent at
elbows
(upper
limbs)
and
knees
(lower
limbs)
Reach
relative
length
in
compari
son w/
the
body
(lower
limbs
are a
little
shorter)
,
primary
ossificat
Flexed
limbs,
firm
grasps
Lower
limbs
20)
24)
28)
32)
36)
aterm)
2 mth
(w9
12)
Eyes
Eyelids Eyes
close
(initiall
y
direct
laterall
y)
move
to
ventral
aspect
of the
face
Ears
Ears
Ears
are
come
low set to lie
close
to the
definiti
ve
porsiti
on
Eyelids
partiall
y
open;
Eyelas
hes
presen
t
Basic
ear
structu
res;
Extern
al ears
stand
out
from
Some
sounds
can be
heard
Eyelids
widely
open;
Eyes
are
sensiti
ve to
light
2 mth
(w9
12)
Body
hair,
Lanug
o
Head
and
body
hair,
lanugo
are
visible
Lanug
o
covers
entire
body
Good
hair of
head
often
presen
t
Body
skin
Skin
wrinkle
d,
transluc
ent,
pink to
red in
color
Skin
wrinkle
d,
reddis
h in
color
Skin
Smoot
slightly h skin
wrinkle
d
Vernix
caseo
sa
Vernix
caseos
a
covers
skin
Vernix
caseos
a
covers
body
in
thick
layer
Lanug
o
vanish
es
from
face
Vernix
caseos
a only
on
back,
scalp,
crease
s
Lanug
o is
almost
absent
No
vernix
caseos
a
2 mth
(w9
12)
Genit
ourina
ty
chang
es
Physiol
ogic
chang
es of
fetus
Degene
ration
of
embryo
nic
kidneys
(meson
ephros)
Swallo
wing
Respir
atory
move
ment,
Quicke
ning
Desce
nt of
testis;
Labia
majora
larger,
Promine nearly
nt
covers
clitoris, clitoris
labia
majora
small,
widely
separat
ed
Suckin
g
move
ment,
Some
sounds
can be
heard
Eyes
are
sensiti
ve to
light
Testes
are in
scrotu
m/
palpab
le in
inguin
al
canals
Assessment of Fetal
Status
Perinatology cabang ilmu yang mempelajari tentang
periode fetus sampai newborn (26 week 4 week post birth)
Ultrasonograf
- Primary for evaluation fetal status
- Mendeteksi kelainan pada very early stage
Transabdominal amniocentesis
- Dilakukan pada 15-18 week gestation
- Mendeteksi gangguan genetik; kromosom
Alfa-fetoprotein assay
- Disintesis : liver, yolk sac, gut
- Deteksi : CNS abnormality, trisomy, defek abdominal wall
Spectrophotometric assay
fungsi: mendeteksi adanya erythroblastosis fetalis
Sex chromatin patterns
ada tidaknya sex chromatin dlm nukleus. Fungsi:
deteksi sex-linked hereditery disease, trisomy
gonosom
Cell cultures
Precutaneous Umbilcal cord Blood Sampling
(cordocentesis). Fungsi: deteksi infeksi, FGR, anemia.
Dilakukan pd week 18 gestasi
Fetoscopy (endoscope)
fiber-optic endoscope secara transcervical atau
transabdominal
Placenta
Plasenta adalah organ fetomaternal yang memiliki
dua komponen :
- Fetal part berasal dari chorionic sac
- maternal part berasal dari gravid endometrium
Gravid endometrium disebut sebagai desidua
(lapisan fungsional yang terpisah dari lapisan uterus
lainnya pada saat partus/proses persalinan)
Desidua memiliki tiga bagian :
- Desidua basalis(terletak profundal dari conceptus)
- Desidua capsularis (Menyelubungi conceptus)
- Desidua parietalis(bagian desidua sisanya)
Amniocentesis
Deteksi : Genetic disorder ( ex : Down
syndrome)
Dilakukan pada 15 18 week gestation
( karena sebelum week 15 cairan amnion masih
sedikit)
Yang di tembus : abdomen Chorion Amnion
Diambil 15-20 ml
Indikasi :
1. Umur ibu 38 tahun atau lebih
2. Pada kelahiran sebelumnya , bayi trisomi
3. Terdeteksi adanya kelainan kromosom parental
(ayah or/and ibu)
4. Ibu adalah carrier x-linked resesif disorder ( ex :
hemofilia)
5. Ada riwayat neural tube defect di keluarga
Karakteristik
lack of subcutaneous fat
skin is wrinkled
white fat nya hilang