Egypt. J. Exp. Biol. (Zool.), 9(1): 75 – 78 (2013) © The Egyptian Society of Experimental Biology
ISSN: 2090 - 0511 On Line ISSN: 2090 - 0503 http://www.egyseb.org
RESEARCH ARTICLE
Rafah H. Lateef
HISTOLOGICAL STUDY OF UMBILICAL CORD AT DIFFERENT STAGES OF
GESTATION
ABSTRACT:
The umbilical cord is the lifeline between the
foetus and placenta. It is formed by the fifth
week of development and it functions throughout
pregnancy to protect the vessels that travel
between the foetus and the placenta. In the
present study, 60 term placenta were studied.
Out of these 28 were of female and 33 of male
babies from healthy looking mothers aged
between 25 - 35 years and the parity from one
to five. All cords obtained were of normal
vaginal deliveries and aborted foetuses. For
light microscopy, two cm. of tissue was taken
from each cord and fixed in 10% formalin for
one week. Grossly the attachments of umbilical
cord to the placenta were observed which
showed that the eccentric site of insertion was
64.99%, the central insertion 28.33% and the
marginal insertion 6.66% from the total
observed placenta. The tunica intimae consist of
a single continuous wavy layer of small oval or
rounded shaped, which bulges into the lumen of
arteries. A thick tunica medium which contains
two areas of smooth muscle fibres arrange into
an inner longitudinal and an outer circular
fibres, both being equal in thickness. Between
the longitudinal smooth muscles, there are
uniformly distributed collagen fibres. In addition
there are two to eight folds called Hoboken
Folds which cause irregular narrowing of the
lumen; some of these folds show bifurcation.
Such features of tunica media was observed at
nine months umbilical cord section. The
Hoboken folds not found at the sections of three
and five months of umbilical cord sections. it is
concluded that the measurement of thickness of
muscular layer (tunica media) increased from
0.6 μ m at the third month of gestation to 9.2 μ m
at ninth month (at delivery) which may be lead
to increase the strength and elasticity of the
cord against torsion and compression as the
foetus became near the delivery time.
KEY WORDS:
Histology, Umbilical Cord, Different Stages of
Gestation
CORRESPONDENCE:
Rafah Hady Lateef
College of Science for Women, Babylon
University, Iraq
E-mail: almolaghanim@yahoo.com
ARTICLE CODE: 07.01.13
INTRODUCTION:
The umbilical cord is the lifeline between
the foetus and placenta. It is formed by the
fifth week of development and it functions
throughout pregnancy to protect the vessels
that travel between the foetus and the
placenta. It attains more growth until 28 weeks
of pregnancy reaching an average length of
55-65 cm. It is composed of three blood
vessels of different structure and function, one
vein, which transports oxygenated and
nutrition-rich blood from placenta to foetus,
and two arteries, which transport
deoxygenated blood and metabolic waste
products from foetus to placenta. All these
vessels are surrounded by Wharton’s jelly
(Kliman, 1998; Cruikshank, 2003), which
constitutes the major part of human umbilical
cord and provides a thick protective mantle
around vessels. Wharton’s jelly plays also an
important role as storage for some compounds,
such as growth factors (Sobolewski et al .,
2005). The extracellular matrix (ECM) in the
vascular wall contains many macromolecules
(collagen, elastin, proteoglycans, and
glycoproteins) necessary for the structural and
functional properties of vessel wall. The
epithelial covering of the umbilical cord is
derived from the amniotic epithelium which
covers the cord during the early development
of the embryo (Lukashev and Werb, 1998).
When umbilical cord reaches the foetal surface
of the placenta, the blood vessels divided into
many branches which enter the chorionic villi.
The oxygenated blood returns to the foetus via
the venules and veins in the chronic villi.
These join to form the umbilical vein in the
umbilical cord (Wigglesworth and Singer,
1998).
Variations in the site of the insertion of
umbilical cord are thought to result from the
process known trophotrophism (Robinson et
al., 1983) in which the chorionic frondosum or
the early placenta "migrates| with advancing
gestation to ensure a better blood supply from
a more vascularised area (Monie,1965). The
insertion of the umbilical cord to the placenta
was central insertion into placenta at
midgestation; insertion may become more
eccentric as gestation proceeds (Morgan and
Ross, 2006).