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The fetal circulation is composed of the placenta, umbilical blood vessels encapsulated by the umbilical cord, heart and systemic blood vessels. A major difference between the fetal circulation and postnatal circulation is that the lungs are not used during the fetal stage resulting in the presence of shunts to move oxygenated blood and ...
Oxygenated blood from the placenta travels through the umbilical cord to the right atrium of the fetal heart. As the fetal lungs are non-functional at this time, the blood bypasses them through two cardiac shunts. The first is the foramen ovale (the valve present between them called eustachian valve) which shunts blood from the right atrium to ...
The heart derives from embryonic mesodermal germ layer cells that differentiate after gastrulation into mesothelium, endothelium, and myocardium.Heart induction occurs in the anterior mesoderm during gastrulation through interactions with adjacent endoderm (both extra-embryonic and definitive) mediated primarily by endogenous inhibitors of WNT signaling such as DKK1.
Doppler techniques can be used to visualize blood flow through the heart, great vessels, and umbilical vessels. Assessment of fetal arrhythmias is best accomplished by using a combination of M-mode and Doppler recordings. When these arrhythmias are present, a careful search for structural heart disease is mandatory.
Once the heart begins to beat, mechanical forces start acting upon the early vascular system, which rapidly expands and reorganizes to serve tissue metabolism. [9] In embryos devoid of blood flow, endothelial cells retain an undifferentiated morphology similar to angioblasts (compared to flattened epithelial cells found in mature vasculature). [2]
The ductus arteriosus, also called the ductus Botalli, named after the Italian physiologist Leonardo Botallo, is a blood vessel in the developing fetus connecting the trunk of the pulmonary artery to the proximal descending aorta. It allows most of the blood from the right ventricle to bypass the fetus's fluid-filled non-functioning lungs.
Blood is conveyed to the wall of the sac by the vitelline arteries (a branch of the dorsal aorta), and after circulating through a wide-meshed capillary plexus, is returned by the vitelline veins to the tubular heart of the embryo. This constitutes the vitelline circulation, and by means of it nutritive material is absorbed from the yolk-sac ...
A method of external (noninvasive) fetal monitoring (EFM) during childbirth is cardiotocography (CTG), using a cardiotocograph that consists of two sensors: The heart (cardio) sensor is an ultrasonic sensor, similar to a Doppler fetal monitor, that continuously emits ultrasound and detects motion of the fetal heart by the characteristic of the ...