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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 ...
A study of 32 normal pregnancies showed that fetal heart motion was visible at a mean human chorionic gonadotropin (hCG) level of 10,000 UI/L (range 8650–12,200). [19] Obstetric ultrasonography can also use Doppler technique on key vessels such as the umbilical artery to detect abnormal flow. Doppler fetal monitor
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 ...
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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 umbilical arteries surround the urinary bladder and then carry all the deoxygenated blood out of the fetus through the umbilical cord. Inside the placenta, the umbilical arteries connect with each other at a distance of approximately 5 mm from the cord insertion in what is called the Hyrtl anastomosis. [1]
However, this naming convention reflects the fact that the umbilical vein carries blood towards the fetus' heart, while the umbilical arteries carry blood away. The blood flow through the umbilical cord is approximately 35 ml / min at 20 weeks, and 240 ml / min at 40 weeks of gestation. [7]
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