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  • Cardio Vascular Complications - Fetal Circulation

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    itsjamyca najorra
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    The fetal circulation relies on the placenta for oxygenation and contains several shunts, including the ductus venosus, foramen ovale, and ductus arteriosus, to bypass the lungs and liver. At birth, the lungs expand to become the primary oxygenator, the foramen ovale closes, and the ductus arteriosus usually closes within the first few days. The neonatal circulation then develops with the right ventricle pumping to the pulmonary circulation and left ventricle to the systemic circulation, though initially the right ventricle remains at similar pressure due to high pulmonary resistance that decreases over weeks.

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    For BSN students - Health for infant and mother.

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    The fetal circulation relies on the placenta for oxygenation and contains several shunts, including the ductus venosus, foramen ovale, and ductus arteriosus, to bypass the lungs and liver. At birth, the lungs expand to become the primary oxygenator, the foramen ovale closes, and the ductus arteriosus usually closes within the first few days. The neonatal circulation then develops with the right ventricle pumping to the pulmonary circulation and left ventricle to the systemic circulation, though initially the right ventricle remains at similar pressure due to high pulmonary resistance that decreases over weeks.

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    8 views1 page

    Cardio Vascular Complications - Fetal Circulation

    Uploaded by

    itsjamyca najorra
    The fetal circulation relies on the placenta for oxygenation and contains several shunts, including the ductus venosus, foramen ovale, and ductus arteriosus, to bypass the lungs and liver. At birth, the lungs expand to become the primary oxygenator, the foramen ovale closes, and the ductus arteriosus usually closes within the first few days. The neonatal circulation then develops with the right ventricle pumping to the pulmonary circulation and left ventricle to the systemic circulation, though initially the right ventricle remains at similar pressure due to high pulmonary resistance that decreases over weeks.

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    CARDIO VASCULAR COMPLICATIONS - Fetal Circulation

     For the fetus the placenta is the oxygenator so the lungs do little work
     RV & LV contribute equally to the systemic circulation and pump against similar resistance
     Shunts are necessary for survival
    o ductus venosus (bypasses liver)
    o foramen ovale (R→L atrial level shunt) normal opening between the upper two chambers (the right
    atrium and left atrium)- c
    o ductus arteriosus (R→L arterial level shunt)
    Transitional Circulation
     With first few breaths lungs expand and serve as the oxygenator (and the placenta is removed from the
    circuit)
     Foramen ovale functionally closes- 6m-1yr of life
     Ductus arteriosus usually closes within first 1-2 day 
    Neonatal Circulation
     RV pumps to pulmonary circulation and
     LV pumps to systemic circulation
     Pulmonary resistance (PVR) is high; so initially RV pressure ~ LV pressure
     By 6 weeks pulmonary resistance drops and LV becomes dominant

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