The effect of alterations in placental blood flow on the growth of and nutrient supply to the fetal guinea-pig. 1983

C T Jones, and J T Parer

The distribution of the cardiac output and the maternal placental blood flow has been measured in guinea-pigs at days 49-51 of pregnancy using radioactively labelled microspheres. In some instances uterine blood flow was reduced chronically by ligating one uterine artery at day 30 of pregnancy. Between 3 and 4% of the cardiac output passed normally to placenta, and this could be reduced to less than 2% after uterine artery ligation. The result of the ligation was to reduce fetal and placental weight by up to 70%. Fetal and placental weight showed a close linear correlation in controls and in pregnancies with uterine artery ligation. However, when placental size was reduced below 60% of control, fetal weight was less affected by a reduction in placental weights than normal. Placental blood flow and placental size exhibited a close linear relationship over the whole range of values, but there was limiting placental weight which approached 1.3 g as placental blood flow approached zero. Thus a reduced placental size, particularly below about 50%, was associated with a proportionately greater reduction in maternal placental blood flow. Maternal placental blood flow or the percentage of maternal cardiac output to the placenta and fetal weight also showed a well-correlated linear relationship. However, when placental blood flow was below about 50% of control values further reduction had a less than normal effect upon fetal growth. Small fetuses were hypoglycaemic and hypoinsulinaemic and the degree of each was dependent upon the extent of the reduction in fetal weight and in maternal placental blood flow. In fetuses that were below about 40% of normal size, and in which placental blood was below about 30% of control, fetal weight was less sensitive to falls in blood glucose, which in turn was more sensitive than normal to a fall in maternal placental blood flow. The results indicate that over the range of 50-100% of normal fetal growth, maternal placental blood flow and probably nutrient supply to the fetus vary in parallel. Hence over this range fetal and placental growth rates are determined in part by placental blood flow. At placental blood flow rates and fetal growth rates below 40% of normal fetal growth is less dependent upon placental blood flow than usual, presumably because of a reduced dependence upon glucose metabolism for growth. This would appear to be essential, since as maternal placental blood flow is reduced to low values the placenta has to utilize an increasing proportion of the available glucose.

UI MeSH Term Description Entries
D007328 Insulin A 51-amino acid pancreatic hormone that plays a major role in the regulation of glucose metabolism, directly by suppressing endogenous glucose production (GLYCOGENOLYSIS; GLUCONEOGENESIS) and indirectly by suppressing GLUCAGON secretion and LIPOLYSIS. Native insulin is a globular protein comprised of a zinc-coordinated hexamer. Each insulin monomer containing two chains, A (21 residues) and B (30 residues), linked by two disulfide bonds. Insulin is used as a drug to control insulin-dependent diabetes mellitus (DIABETES MELLITUS, TYPE 1). Iletin,Insulin A Chain,Insulin B Chain,Insulin, Regular,Novolin,Sodium Insulin,Soluble Insulin,Chain, Insulin B,Insulin, Sodium,Insulin, Soluble,Regular Insulin
D008026 Ligation Application of a ligature to tie a vessel or strangulate a part. Ligature,Ligations,Ligatures
D009929 Organ Size The measurement of an organ in volume, mass, or heaviness. Organ Volume,Organ Weight,Size, Organ,Weight, Organ
D010920 Placenta A highly vascularized mammalian fetal-maternal organ and major site of transport of oxygen, nutrients, and fetal waste products. It includes a fetal portion (CHORIONIC VILLI) derived from TROPHOBLASTS and a maternal portion (DECIDUA) derived from the uterine ENDOMETRIUM. The placenta produces an array of steroid, protein and peptide hormones (PLACENTAL HORMONES). Placentoma, Normal,Placentome,Placentas,Placentomes
D011247 Pregnancy The status during which female mammals carry their developing young (EMBRYOS or FETUSES) in utero before birth, beginning from FERTILIZATION to BIRTH. Gestation,Pregnancies
D012039 Regional Blood Flow The flow of BLOOD through or around an organ or region of the body. Blood Flow, Regional,Blood Flows, Regional,Flow, Regional Blood,Flows, Regional Blood,Regional Blood Flows
D001786 Blood Glucose Glucose in blood. Blood Sugar,Glucose, Blood,Sugar, Blood
D002302 Cardiac Output The volume of BLOOD passing through the HEART per unit of time. It is usually expressed as liters (volume) per minute so as not to be confused with STROKE VOLUME (volume per beat). Cardiac Outputs,Output, Cardiac,Outputs, Cardiac
D005260 Female Females
D005333 Fetus The unborn young of a viviparous mammal, in the postembryonic period, after the major structures have been outlined. In humans, the unborn young from the end of the eighth week after CONCEPTION until BIRTH, as distinguished from the earlier EMBRYO, MAMMALIAN. Fetal Structures,Fetal Tissue,Fetuses,Mummified Fetus,Retained Fetus,Fetal Structure,Fetal Tissues,Fetus, Mummified,Fetus, Retained,Structure, Fetal,Structures, Fetal,Tissue, Fetal,Tissues, Fetal

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