Fetal circulation is the circulatory system of a developing fetus in the womb. It is different from postnatal circulation because the fetus receives oxygen and nutrients from the mother through the placenta, rather than through its own lungs and digestive system.
In fetal circulation, the blood flow is directed away from the lungs, which are not yet functioning, and towards the placenta to receive oxygen and nutrients. The blood is then returned to the fetus through the umbilical vein. From there, the blood flows through the ductus venosus, which bypasses the liver, and into the inferior vena cava.
The blood then enters the right atrium of the heart, where it is directed through the foramen ovale, a hole in the septum between the two atria, to the left atrium. This allows oxygen-rich blood to bypass the non-functioning lungs and be pumped out to the body through the aorta.
Some of the blood that does enter the right ventricle is pumped into the pulmonary artery, but most of it is shunted through the ductus arteriosus, a connection between the pulmonary artery and the aorta, to bypass the lungs and go directly to the body.
After birth, when the baby takes its first breath and the lungs begin to function, the foramen ovale and ductus arteriosus close, redirecting blood flow to the lungs for oxygenation. This transition from fetal to postnatal circulation is a critical process that must occur shortly after birth for the baby to survive and thrive.
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Google Gemini AI
Jun 4
Fetal Circulation
The circulation system of a fetus differs significantly from that of a newborn or adult human. It is designed to support fetal development and growth while receiving oxygen and nutrients from the mother.
Key Features:
- Closed System: The fetal circulatory system is closed, meaning blood stays within blood vessels. - Dual Circulation: There are two separate circulatory systems: the pulmonary circulation and the systemic circulation. - Foramen Ovale and Ductus Arteriosus: These two structures bypass the lungs and allow blood to flow directly from the heart to the body.
Pulmonary Circulation:
- Origin: Right ventricle - Path: Through the pulmonary artery to the lungs - Return: Through the pulmonary vein to the left atrium
However, in the fetus, most blood bypasses the lungs through the ductus arteriosus.
Systemic Circulation:
- Origin: Left ventricle - Path: Through the aorta to the body (including the placenta) - Return: Through the vena cava to the right atrium
Foramen Ovale and Ductus Arteriosus:
- Foramen Ovale: An opening between the right and left atria that allows blood to bypass the lungs. - Ductus Arteriosus: A connection between the pulmonary artery and the aorta that allows blood to bypass the lungs.
These structures divert most blood away from the lungs and towards the placenta, where it receives oxygen and nutrients from the mother.
Oxygenation:
- The fetus receives oxygen through the placenta, where it crosses from maternal blood to fetal blood. - Hemoglobin F, a special fetal hemoglobin, has a higher affinity for oxygen, ensuring efficient oxygen transfer.
Changes after Birth:
- Crying: When the baby cries, the lungs expand and blood flow to the lungs increases. - Closure of Foramen Ovale and Ductus Arteriosus: As the lungs function more efficiently, these structures close, redirecting blood flow through the lungs. - Establishment of Adult Circulation: The fetal circulatory system transitions to the adult pattern of circulation, with the lungs serving as the primary site of oxygenation.