Abstract
The structure of the fetal membranes has been elucidated by the numerous comparative studies of Bautzmann and his colleagues. A complete summary of the literature of normal and pathologic findings in amnion and chorion is found in the monograph of Bourne who, in several studies, has contributed greatly to the understanding of the pathology of the membranes. He distinguishes five distinct layers of the amnion and four of the heavier chorion, considers their embryologic derivation and possible function. Of particular interest in this context is the behavior of the epithelium. Among others, Lange had previously pointed out the presence of intercellular bridges between the epithelial cells of the amnion, observations borne out by electronmicroscopic studies of Bourne & Lacy who also demonstrated the presence of a microvillous surface toward the embryo (Bautzmann, Schmidt & Lemsurg). Bautzmann & Hertenstein found no bridges in the amnion of the first trimester of pregnancy (10 cm fetus) but demonstrated their presence at term. At the base of the epithelial cells, these authors were able to demonstrate “feet”; these basal processes were again demonstrated electronmicroscopically by Bourne & Lacy and the complex nature of cell surfaces presumably aids in fluid exchange. In an excellent fine structure study of amnion, Thomas has provided evidence for a secretory function of this epithelium.
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References
ANDERSON, H. C., P. C. MERKER and J. FOGH: Formation of tumors containing bone after intramuscular injection of transformed human amnion cells (FL) into cortisone-treated mice. Amer. J. Path. 44. 507, 1964.
BAR, P.: Sur quelques conséquences de la rupture des membranes pendant la grossesse Bull. Soc. Obstet. Gynéc. 1, 99, 1898.
BAUTZMANN, H.: Fruchthüllenmotorik und Embryokinese. Ihre Natur und ihre Bedeutung für eine physiologische Embryonalentwicklung bei Tier und Mensch. Arch. Gynäk. 187, 519, 1956.
BAUTZMANN, H. and C. HERTENSTEIN: Zur Histogenese und Histologie des menschlichen fetalen und Neugeborenen-Amnion. Z. Zellf. 45, 589, 1957.
BAUTZMANN, H. and C. HERTENSTEIN: Vergleichende Studien über Bau und Funktion des Amnions. Neuere Befunde bei Vögeln und Säugern (Gallus, Insettivora, Rodentia, Primates). Z. Zellf. 45, 676, 1957.
BAUTZMANN, H., W. SCHMIDT and P. LEMBURG: Experimental electron-and light-microscopical studies on the function of the amnion-apparatus of the chick, the cat and man. Anat. Anz. 108, 305, 1960.
BAUTZMANN, H. and R. SCHRÖDER: Studien zur funktionellen Histologie und Histogenese des Amnions beim Hühnchen und beim Menschen. Z. Anat. Entwicklungsgesch. 117, 166, 1953.
BELLER, F. K., G. W. DOUGLAS, C. H. DEBROVNER, and R. ROBINSON: The fibrinolytic system in amniotic fluid embolism. Amer. J. Obstet. Gynec. 87, 48, 1963.
BLANC, W. A.: Vernix granulomas of the amnion in oligohydramnios; morphogenesis and clinical implications. (Abstract). Amer. J. Path. 35, 695, 1959.
BLANC, W. A. Vernix granulomatosis of amnion (“amnion nodosum”) in oligohydramnios. Lesion associated with urinary anomalies, retention of dead fetuses, and prolonged leakage of amniotic fluid. New York J. Med. 61, 1492, 1961.
BLANC, W. A., J. W. APPERSON and J. MCNALLY: Pathology of the newborn and of the placenta in oligohydramnios. Bull. Sloane Hosp. Wom. 8, 51, 1962.
BOURNE, G. L.: The microscopic anatomy of the human amnion and chorion. Amer. J. Obstet. Gynec. 79, 1070, 1960.
BOURNE, G. L.: The human amnion and chorion. London, Lloyd-Luke, 1962.
BOURNE, G. L.: The foetal membranes. A review of the anatomy of normal amnion and chorion and some aspects of their function. Postgrad. Med. J. 38, 193, 1962.
BOURNE, G. L. and D. LACY: Ultra-structure of human amnion and its possible relation to the circulation of amniotic fluid. Nature 186, 952, 1960.
BRET, A. J., R. LEGROS and S. TOYODA: Les kystes placentaires. Presse Méd. 68, 1552, 1960.
BROWN, J. J., D. L. DAVIES, P. B. DOAK, A. F. LEVER, J. I. S. ROBERTSON and M. TREE: The presence of renin in human amniotic fluid. Lancet ii 64, 1964. CODY, M. L. and I. F. UETZMANN: Amniotic bands as a cause of intrauterine fetal death.
A case report. Amer. J. Obstet. Gynec. 74, 1102, 1957.
COSTON, H. R.: Report of a case of ichthyosis fetalis; placenta and membranes involved. Amer. J. Obstet. Dis. Women and Childr. 58, 650, 1908.
DONSKIKH, N. V.: New views on vascularity of the human amnion. Akus. i. Ginek. (Russ.) 33, 93, 1957.
ELLIOTT, P. M. and W. H. W. INMAN: Volume of liquor amnii in normal and abnormal pregnancy. Lancet ii, 835, 1961.
FINK, A.: Ein tierexperimenteller Beitrag zur Entstehung des Hydramnios. Z. Geburtsh. 140, 18, 1954.
HONG, C. Y. and M. A. SIMON: Amniotic bands knotted about umbilical cord. A rare cause of fetal death. Obstet. Gynec. 22, 667, 1963.
HUBER, R. and D. KÖHNE: Zur Herkunft des Fruchtwassers. Gynaecologia 155 160, 1963.
HUTCHINSON, D. L., M. J. GRAY, A. A. PLENTL, H. ALVAREZ, R. CALDEYRO-BARCIA, B. KAPLAN and J. LIND: The role of the fetus in the water exchange of the amniotic fluid of normal and hydramniotic patients. J. Clin. Invest. 38, 971, 1959.
JEFECOATE, T. N. A. and J. S. SCOTT: Polyhydramnios and oligohydramnios. Canad. Med. Assoc. J. 80, 77, 1959.
KIRCHMAIR, H.: Beitrag zur Frage der fötalen Nierenfunktion (Harnbereitung). Geburtsh. Frauenh. 13 1041, 1953.
KLINGER, H. P.: The sex chromatin in fetal and maternal portions of the human placenta. Acta Anat. 30, 371, 1957.
KLINGER, H. P. and H. G. SCHWARZACHER: XY/XXY and sex chromatin positive cell distribution in a 60 mm human fetus. Cytogenetics 1, 266, 1962.
LANDING, B. H.: Amnion nodosum: A lesion of the placenta apparently associated with deficient secretion of fetal urine. Amer. J. Obstet. Gynec. 60, 1339, 1950
LANDING, B. H., A. LANDING, B. H.: The pathogenesis of amniotic-fluid embolism. II. Uterine factors. New Eng. J. Med. 243 590, 1950 B.
LANGE, M.: Beitrag zur Histologie des menschlichen Amnion und des Nabelstranges. Z. Geburtsh. Gynäk. 28, 94, 1894.
LEARY, O. C. JR. and A. T. HERTIG: Pathogenesis of amniotic fluid embolism. I. Possible placental factors—aberrant squamous cells in placentas. New Eng. J. Med. 243, 588, 1950.
LENNON, G. G.: Some aspects of foetal pathology-with special reference to the role of amniotic bands. J. Obstet. Gynaec. Brit. Emp. 54, 830, 1947.
LILEY, A. W.: Amniotic fluid. Chapter 15 in modern trends in human reproductive physiology 1, 227. H. M. Carey, ed. London, Butterworth, 1963.
MACAFEE, C. H. G.: Hydramnios. J. Obstet. Gynaec. Brit. Emp. 57, 171, 1950.
MACLACILAN, T. B.: A method for the investigation of the strength of the fetal membranes. Amer. J. Obstet. Gynec. 91, 309, 1965.
MCKAY, D. G., A T HERTIG, E. C. ADAMS and M. V. RICHARDSON: Histochemical observations on the human placenta. Obstet. Gynec. 12, 1, 1958.
MOYA, F., V. APGAR, L. S. JAMES and C. BERRIEN: Hydramnios and congenital anomalies. Study of series of seventyfour patients. J. A. M. A.: 173, 1552, 1960.
NESBITT, R. E. L. JR.: Perinatal loss in modern obstetrics. Philadelphia, Davis Co. 1957.
OPITZ, H. and E. BERNOTH: Strukturuntersuchungen der menschlichen Eihaut nach vor-und rechtzeitigem Blasensprung. Arch. Gynäk. 196, 435, 1962.
PATTERSON, T. J. S.: Amniotic bands. Chapter XX in bourne, G. L.: The human amnion and chorion. London, Lloyd-Luke, 1962.
PETRY, G.: Studien über die morphologischen Grundlagen des Blasensprungs. Zbl. Gynäk. 76, 655, 1954.
PLENTL, A. A.: The origin of amniotic fluid. p. 71–114. In gestation, transactions of the fourth conference. New York, Josiah Macy Jr. Foundation, 1958.
PLENTL, A. A. and D. L. HUTCHINSON: Determination of deuterium exchange rates between maternal circulation and amniotic fluid. Proc. Soc. Exp. Biol. Med. 82, 681, 1953.
PoLlsxux, W. Z., S. KOHANE and A. HADAR: Fetal weight and membrane tensile strength. Amer. J. Obstet. Gynec. 88, 247, 1964.
POLISHUK, W. Z., S. KOHANE and A. PERANIO: The physical properties of fetal membranes. Obstet. Gynec. 20, 204, 1962.
POTTER, E. L.: Pathology of the fetus and the infant. 2nd ed. Chicago, Year book medical publishers, 1961.
REISFIELD, D. R.: Congenital defect in the fetal membranes: A condition simulating spontaneous rupture. Bull. Sloane Hosp. Women 4, 16, 1958.
RUBOVITS, W. H., E. TAFT and F. NEUWELT: The pathologic properties of meconium. Amer. J. Obstet. Gynec. 36, 501, 1938.
SCHATZ, F.: Eine besondere Art von einseitiger Polyhydramnie mit anderseitiger Oligohydramnie bei eineiigen Zwillingen. Arch. Gynäk. 19, 329, 1882.
SCHREINER, W. E.: Fruchtwasser und Fetus. Untersuchungen über die intrauterine Sauerstoffversorgung des Fetus bei der normalen und pathologischen Schwangerschaft. Bibliotheca Gynaecologica, Fasc. 31. Fortschr. Geburtsh. Gynäk. Vol. 20 Basel, S. Karger, 1964.
SCHWARZACHER, H. G. and H. P. KLINGER: Die Entstehung mehrkerniger Zellen durch Amitose in Amnionepithel des Menschen und die Aufteilung des chromosomalen Materials auf deren einzelne Zellkerne. Z. Zellf. 60, 741, 1963.
SCOTT, M. M.: Cardiopulmonary considerations in nonfatal amniotic fluid embolism. Comments on: J.A.M.A. 183, 989, 1963 and 185, 732, 1963.
SCOTT, J. S. and J. H. WILSON: Hydramnios as an early sign of oesophageal atresia. Lancet ii, 569, 1957.
SELBY, G. W. and A. H. PARMELEE: Bilateral renal agenesis and oligohydramnios. J. Pediat. 48, 70, 1956.
SHOTTON, D. M. and C. W. TAYLOR: Pulmonary embolism by amniotic fluid. (A report of a fatal case, together with a review of the literature.) J. Obstet. Gynaec. Brit. Emp. 56, 46, 1949.
STEINER, P. E. and C. C. LUSHBAUGH: Maternal pulmonary embolism by amniotic fluid as cause of obstetric shock and unexpected deaths in obstetrics. J.A.M.A. 117, 1245 and 1340, 1941.
STREET, D. M. and CUNNINGHAM, F., Congenital anomalies caused by intra-uterine bands. Clin. Orthoped. No. 37 82 1964, Lippincott Co.
TAPFER, S.: Untersuchungen über die Nierentätigkeit des Ungeborenen. Arch. Gynäk. 160, 131, 1935.
TERVILA, L:. Transfer of water from maternal blood to amniotic fluid of live and dead fetuses in health and in some pathological conditions of the mother. A study with tritium-labelled water. Ann. Chir. Gynaec. Fenn. 53, Suppl. 131, 1964.
THIERSTEIN, S. T., F. D. COLEMAN, and F. H. TANNER: Kidney function in the fetus. Amer. J. Obstet. Gynec. 56, 1178, 1948.
THOMAS, C. R., E. K. LANG and F. P. LLOYD: Fetal pyelography-a method for detecting fetal life. A preliminary report. Obstet. Gynec. 22, 335, 1963.
THOMAS, C. E.: The ultrastructure of human amnion epithelium. J. Ultrastr. Res. 13, 65, 1965.
THOMPSON, V. M.: Amnion nodosum. J. Obstet. Gynaec. Brit. Emp. 67, 611, 1960. TORPIN, R.: Amniochorionic mesoblastic fibrous strings and amnionic bands. Associated, constricting fetal malformations or fetal death. Amer. J. Obstet. Gynec. 91, 65, 1965.
TORPIN, R., GOODMAN, L. and Z.W.GRAMLING: Amnion string swallowed by the fetus. Amer. J. Obstet. Gyne. 90, 829, 1964.
TORPIN, R., GOODMAN, L. and Z.W.GRAMLING, G. T. MILLER and B. W. CULPEPPER: Amniogenic fetal digital amputations associated with clubfoot. Obstet. Gynec. 24, 379, 1964.
VOSBURGH, G. J., L. B. FLEXNER, D. B. COWIE, L. M. HELLMAN, N. K. PROCTOR, and W. S. WILDE: The rate of renewal in woman of the water and sodium of the amniotic fluid as determined by tracer techniques. Amer. J. Obstet. Gynec. 56, 1156, 1948.
WAGNER, G. and I. TYGSTRUP: Oligohydramnios and urinary malformations in early human pregnancy. Acta Path. Microbiol. Scand. 59, 273, 1963.
WEBER, L. L. and S. L. ISRAEL: Renal agenesis and oligohydramnios. Obstet. Gynec. 12, 575, 1958.
WOYTON, J.: Encephalocele attached to the placenta. Amer. J. Obstet. Gynec. 81, 1028, 1961.
WERTHEMANN, A.: Allgemeine Einführung und Mißbildungen aus placentarer Beeinträchtigung inbesonderheit sog. amniogene Schnürungen und Schädigungen durch die Nabelschnur. Bull. Schweiz. Akad. Med. Wiss. 20, 313, 13, 1964.
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Strauss, F., Benirschke, K., Driscoll, S.G. (1967). Amnion and Chorion. In: Strauss, F., Benirschke, K., Driscoll, S.G. (eds) Placenta. Handbuch der Speziellen Pathologischen Anatomie und Histologie, vol 7/5. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-25615-2_4
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