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  • Fetomaternal Blood Circulation

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    1) During the first trimester, endovascular trophoblast migrate along the decidual spiral arteries, invade the vessel walls, and create a path for maternal blood to perfuse the placenta intervillous space. 2) One theory is that trophoblast invade decidual spiral arteries and form trophoblast plugs during the first trimester, obstructing maternal blood flow, and then the plugs loosen in the second trimester to allow blood flow. 3) Maternal blood flows from the uterine arteries into the spiral arteries, then exchanges with fetal blood in the chorionic villi before returning to the uterine veins.

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    1) During the first trimester, endovascular trophoblast migrate along the decidual spiral arteries, invade the vessel walls, and create a path for maternal blood to perfuse the placenta intervillous space. 2) One theory is that trophoblast invade decidual spiral arteries and form trophoblast plugs during the first trimester, obstructing maternal blood flow, and then the plugs loosen in the second trimester to allow blood flow. 3) Maternal blood flows from the uterine arteries into the spiral arteries, then exchanges with fetal blood in the chorionic villi before returning to the uterine veins.

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    16 views5 pages

    Fetomaternal Blood Circulation

    Uploaded by

    nrahma
    1) During the first trimester, endovascular trophoblast migrate along the decidual spiral arteries, invade the vessel walls, and create a path for maternal blood to perfuse the placenta intervillous space. 2) One theory is that trophoblast invade decidual spiral arteries and form trophoblast plugs during the first trimester, obstructing maternal blood flow, and then the plugs loosen in the second trimester to allow blood flow. 3) Maternal blood flows from the uterine arteries into the spiral arteries, then exchanges with fetal blood in the chorionic villi before returning to the uterine veins.

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    FETOMATERNAL BLOOD

    CIRCULATION
    Eggy Raynaldi Rachman Nurhadi
    Fetomaternal Blood Circulation Theory
    • 1st Theory
    • In the first trimester, endovascular trophoblast migrate along the decidual
    spiral arteries, invade the vessel walls, and create a path for maternal blood
    to perfuse the placenta intervillous space
    • Supported by the presence of endovascular trophoblast in the decidual spiral
    arteries
    • 2nd Theory
    • Thropoblast invade decidual spiral arteries and form trophoblast plugs. It
    obstruct maternal blood flow during 1st trimester and the plug loosen and let
    the blood flow
    • Observation of ex vivo histologic analysis of hysterectomy specimen of 1st
    trimester placenta
    Maternal-Placental Circulation
    • Uterine artery
    • Spiral artery
    • Basal plate
    • Chorionic plate
    • External microvillous surface of chorionic villi
    • Blood exchange
    • Venous orifices in the basal plate
    • Uterine vein
    Placental-Fetal Circulation
    • Umbilical arteries
    • Branching beneath the amnion and chorion
    • Chorionic vessels
    • Truncal Vessels
    • Branching within the vessel
    • Capillary Network in the terminal villous branches
    • Blood exchange
    • Umbilical vein

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