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    Fetal Circulation

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    Harish Kumar Kumawat
    The fetal circulation allows oxygenated blood from the placenta to bypass the lungs and circulate throughout the fetus's body. There are three main shunts in the fetal circulation - the ductus venosus, ductus arteriosus, and foramen ovale - that redirect blood flow. At birth, clamping of the umbilical cord and inflation of the lungs cause closure of the shunts and transition to the infant circulation with blood flowing from the lungs to the body.

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    Fetal Circulation

    Uploaded by

    Harish Kumar Kumawat
    691 views13 pages
    The fetal circulation allows oxygenated blood from the placenta to bypass the lungs and circulate throughout the fetus's body. There are three main shunts in the fetal circulation - the ductus venosus, ductus arteriosus, and foramen ovale - that redirect blood flow. At birth, clamping of the umbilical cord and inflation of the lungs cause closure of the shunts and transition to the infant circulation with blood flowing from the lungs to the body.

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    The fetal circulation allows oxygenated blood from the placenta to bypass the lungs and circulate throughout the fetus's body. There are three main shunts in the fetal circulation - the ductus venosus, ductus arteriosus, and foramen ovale - that redirect blood flow. At birth, clamping of the umbilical cord and inflation of the lungs cause closure of the shunts and transition to the infant circulation with blood flowing from the lungs to the body.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    691 views13 pages

    Fetal Circulation

    Uploaded by

    Harish Kumar Kumawat
    The fetal circulation allows oxygenated blood from the placenta to bypass the lungs and circulate throughout the fetus's body. There are three main shunts in the fetal circulation - the ductus venosus, ductus arteriosus, and foramen ovale - that redirect blood flow. At birth, clamping of the umbilical cord and inflation of the lungs cause closure of the shunts and transition to the infant circulation with blood flowing from the lungs to the body.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 13

    FETAL

    CIRCULATION
    DEFINITION
    Thefetal circulationis thecirculatory system
    of a human fetus, often encompassing the
    entire fetoplacental circulation which includes
    theumbilical cordand the blood vessels
    within theplacentathat carry fetal blood.
    PATHWAY
    Ductus
    Arch of Aoarta Arteriosus
    Right Lung

    Left Atrium
    Foramen Ovale
    Right Left
    Inferior
    Atrium Ventricle
    Ductus
    Venacava Venosus
    Right Ventricle
    Liver

    Umbilical Vein
    Portal Vein

    Placenta

    Umbilical
    Arteries
    Umbilical Cord
    2 umbilical arteries:
    return non-oxygenated blood, fecal waste,
    CO2 to placenta

    1 umbilical vein:
    brings oxygenated blood and nutrients
    to the fetus
    Three shunts are present in fetal life:
    1. Ductus venosus: connects the umbilical
    vein to the inferior vena cava
    2. Ductus arteriosus: connects the main
    pulmonary artery to the aorta
    3. Foramen ovale: anatomic opening
    between the right and left atrium.
    PATHWAY
    Oxygenated blood from the placenta
    through umbilical vein
    fetus

    liver

    Receives deoxygenated blood from the portal vein

    through ductus venosus


    Inferior vena cava

    Right atrium of heart


    through foramen ovale
    Left atrium of the heart

    Left ventricle of the heart


    During ventricular systole

    Left ventricular blood Right ventricular blood


    pumped with < o2
    content
    Ascending aorta and distributed is discharged
    by their branches to the heart, Pulmonary arteries
    head,neck,brain,arms. Ductus
    arteriosus
    Descending aorta

    Hypogastric arteries

    Umbilical arteries

    Placenta
    During fetal life
    350ml per kg per min
    Cardiac Output
    Following birth
    500ml per min
    Heart Rate 120-140per min
    At birth
    Clamping the cord shuts down low-
    pressure system
    Increased atmospheric
    pressure(increased systemic vascular
    resistance) causes lungs to inflate with
    oxygen
    Lungs now become a low-pressure
    system
    Neonatal
    circulation
    Changes in the Fetal Circulation
    after birth
    Shunt Functional Anatomical Remnant
    closure closure

    Ductus 10 96 hrs 2 3 wks Ligamentum


    arteriosus after birth after birth arteriosum
    Formamen Within several One year Fossa ovalis
    ovale mins after birth after birth
    Ductus Within several 3 7 days Ligamentum
    venosus mins after birth after birth venosum

    Umbilical arteries Umbilical ligaments


    Umbilical vein Ligamentum teres
    Fetal Vs Infant Circulation
    Fetal Infant

    Low pressure High pressure system


    system Left to right blood flow
    Right to left Lungs functional
    shunting Decreased pulmonary
    Lungs non- resistance
    functional Increased systemic
    Increased resistance
    pulmonary
    resistance
    Decreased systemic
    resistance

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