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25 Cards in this Set

  • Front
  • Back
What is nutrition of the early and late embryo?
Early - histotrophic
Late - haemotrophic
What are 2 limiting factors for substance transfer across the placenta?
Flow-limited - permeability high, blood flow limits
Barrier-limited
What kind of layers do substances need to cross to cross the placenta?
Lipid bilayers and fluid compartments
How does water move across the placenta?
Transcellular, paracellular and aquaporins
What is the way to work out net water transfer?
Difference between maternal and foetal hydrostatic and osmotic pressures
Which proteins can move across?
Protein transport highly restricted except for IgG
How do amino acids move across?
Against concentration gradient as foetal aa conc. is usually higher than maternal
How does glucose move across?
Facilitated diffusion - not insulin sensitive, GLUT1
How do electrolytes move across?
Na/K ATPase, Na-amino acid transporter
Calcium - transepithelial transport regulated by PTH
Which energy substrates does the foetus use?
50% is glucose, rest is amino acid and lactate oxidation
Rather little from fatty acids (opposite of mother)
How much glucose is used by placenta?
Over 50%
What are fatty acids used for by the foetus?
Growth and fat reserves
How are fatty acids and TAGs transported?
Fatty acids - serum albumin
TAGs - maternal lipoproteins
Why do neonate calves have less fat than human babies?
Epitheliochorial placenta has poor diffusion of fatty acids
How are amino acids transported across the placenta?
Na linked active uptake
Urea diffuses out and is highly soluble
IgG - receptor-mediated endocytosis
How is the mother's metabolism changed for uptake of nitrogen?
Amino acids redirected to foetus from liver - urea stays low on maternal side so can diffuse across placenta from foetus
What are the maternal adaptations of oxygen content?
30% increase in blood volume and RBCs
30% increase in CO
40% increase in ventilation
What are foetal adaptations relating to oxygen content?
High CO
Foetal haemoglobin has higher affinity for O2
Double Bohr effect
Haemoglobin conc is 50% higher than maternal haemoglobin
Anatomy limits intermixing of oxygenated blood and venous return from head
What is the maximum achievable oxygen flow for concurrent flow and countercurrent flow?
Concurrent - foetal equilibrates with maternal venous
Countercurrent - foetal equilibrates with maternal arterial
Why is there insufficient equilibrium?
Insufficient time/area
Oxygen use by placenta
What divides the oxygenated blood from the umbilical vein?
Crista dividens -> foramen ovale -> left ventricle -> brain
Where is the poorly oxygenated blood from the brain directed to?
Right ventricle -> ductus arteriosus -> dorsal aorta
In which species is there foetal haemoglobin?
Ruminants - foetal haemoglobin and insensitive BPG
Other species - adult haemoglobin and low BPG in rbcs
What is the double Bohr effect?
Increase in foetal pH -> increase in haemoglobin oxygen binding
CO2 transfer from placenta -> decreases pH -> O2 release from haemoglobin
How is CO2 transfer faciliated?
More maternal ventilation means lower pCO2 (made up for fall in bicarbonate) -> maximises CO2 concentration gradient across placenta
CO2 20x solubility/diffusion that oxygen's