Effects of acute maternal hypoxia and hyperoxia on the blood flow to the pregnant uterus

1973 ◽  
Vol 115 (5) ◽  
pp. 624-631 ◽  
Author(s):  
E.L. Makowski ◽  
R.H. Hertz ◽  
G. Meschia
2017 ◽  
Vol 39 (6) ◽  
pp. 1172-1184 ◽  
Author(s):  
Lindsay S Cahill ◽  
Johnathan Hoggarth ◽  
Jason P Lerch ◽  
Mike Seed ◽  
Christopher K Macgowan ◽  
...  

Hypoxic stress is a common occurrence during human pregnancy, yet little is known about its effects on the fetal brain. This study examined the fetal hemodynamic responses to chronic hypoxia in an experimental mouse model of chronic maternal hypoxia (11% O2 from E14.5 to E17.5). Using high-frequency Doppler ultrasound, we found fetal cerebral and ductus venosus blood flow were both elevated by 69% and pulmonary blood flow was decreased by 62% in the fetuses exposed to chronic hypoxia compared to controls. This demonstrates that brain sparing persists during chronic fetal hypoxia and is mediated by “streaming,” where highly oxygenated blood preferentially flows through the ductus venosus towards the cerebral circulation, bypassing the liver and the lungs. Consistent with these changes in blood flow, the fetal brain volume measured by MRI is preserved, while the liver and lung volumes decreased compared to controls. However, hypoxia exposed fetuses were rendered vulnerable to an acute hypoxic challenge (8% O2 for 3 min), demonstrating global blood flow decreases consistent with imminent fetal demise rather than elevated cerebral blood flow. Despite this vulnerability, there were no differences in adult brain morphology in the mice exposed to chronic maternal hypoxia compared to controls.


1985 ◽  
Vol 53 (3) ◽  
pp. 625-635 ◽  
Author(s):  
K. D. Chandler ◽  
B. J Leury ◽  
A. R. Bird ◽  
A. W. Bell

1. Uterine, umbilical and, by difference, uteroplacental net uptakes of oxygen, glucose, lactate and 3-hydroxybutyrate (uterine uptake only) were measured in single-pregnant ewes which were either well-fed throughout, or severely undernourished for 8–20 d during late pregnancy. All animals were studied while standing at rest and then while walking on a treadmill at 0.7 m/s on a 10° slope for 60 min.2. Undernutrition did not significantly affect fetal or placental weights at 143 d gestation but caused a 14% decrease in maternal live weight. Uterine blood flow was decreased by 32% and was associated with a significant decrease in uteroplacental oxygen uptake; neither umbilical blood flow nor fetal O2, uptake were affected by maternal plane of nutrition. Maternal and fetal hypoglycaemia in underfed ewes was accompanied by 46–63 % decreases in uterine, umbilical and uteroplacental net uptakes of glucose, and similar declines in uterine and umbilical glucose/O, quotients. Moderate maternal hyperketonaemia was associated with 2.5-fold and 3-fold increases in uterine net uptake of 3-hydroxybutyrate and 3-hydroxybutyrate/O2 quotient respectively.3. Exercise caused significant decreases in uterine blood flow in fed and underfed ewes but did not affect uterine or umbilical O2 uptakes; uterine net glucose uptake increased in most ewes but umbilical uptake was not significantly affected. Umbilical net uptake of lactate was significantly reduced. In underfed ewes, the extent of hyperketonaemia was significantly reduced by exercise.4. Contrary to earlier proposals, the ovine pregnant uterus is sensitive and adaptable to long- and short-term alterations in maternal energy balance, as achieved by chronic undernutrition and exercise respectively. Thus, the fetus and placenta significantly add to, but do not necessarily have priority over the energy demands of other tissues of the ewe.


2015 ◽  
Vol 112 (31) ◽  
pp. 9763-9768 ◽  
Author(s):  
Mohammed Alotaibi ◽  
Sarah Arrowsmith ◽  
Susan Wray

For successful birth, contractions need to become progressively stronger. The underlying mechanisms are unknown, however. We have found that a novel mechanism, hypoxia-induced force increase (HIFI), is switched on selectively, at term, and is essential to strengthening contractions. HIFI is initiated as contractions cyclically reduce blood flow and produce repeated hypoxic stresses, with associated metabolic and transcriptomic changes. The increases in contractility are a long-lasting, oxytocin-independent, intrinsic mechanism present only in the full-term pregnant uterus. HIFI is inhibited by adenosine receptor antagonism and blockade of cyclooxygenase-2 signaling, and partially reproduced by brief episodes of acidic (but not alkalotic) pH. HIFI explains how labor can progress despite paradoxical metabolic challenge, and provides a new mechanistic target for the 1 in 10 women suffering dysfunctional labor because of poor contractions.


1961 ◽  
Vol 16 (6) ◽  
pp. 1087-1092 ◽  
Author(s):  
N. S. Assali ◽  
L. Holm ◽  
H. Parker

The effects of oxytocin on regional blood flow and regional vascular resistance were investigated in a group of pregnant ewes and bitches not in labor and in another group in early labor. Single injections or intravenous drip infusion did not change significantly arterial pressure, cardiac output, electrocardiogram, and renal, iliac, femoral, and carotid blood flows in any of the animals studied. The effects on the pregnant uterus were negligible before the onset of spontaneous labor. Only when the animal was in labor did oxytocin produce an increase in uterine contractions accompanied by a significant decrease in uterine blood flow. The data indicate that in the pregnant sheep and dog the circulatory action of oxytocin is limited to the pregnant uterus in labor and that the decrease in blood flow is probably due to an increase in intramural vascular resistance caused by the contracting myometrium around the uterine arterioles. Submitted on May 5, 1961


1961 ◽  
Vol 200 (2) ◽  
pp. 274-278 ◽  
Author(s):  
William E. Huckabee ◽  
James Metcalfe ◽  
Harry Prystowsky ◽  
Donald H. Barron

The 4-aminoantipyrine method was employed for measuring rate of blood flow per kilogram of tissue in the pregnant uterus of anesthetized goats. A uterine vein was cannulated, but no other manipulation or disturbance of the uterus occurred. Uterine blood flow was high in the nonpregnant uterus and in early pregnancy but fell to a plateau of 277 ml/kg/min. at midpregnancy. (A-V)O2 was minimal in the first quarter of pregnancy and rose to a plateau also by midpregnancy. Rate of O2 consumption per kilogram was relatively high in the nonpregnant uterus, fell to a minimal value in the first quarter of the gestational period, and rose again to a plateau of 10.1 ml/kg/ min. beginning at midpregnancy. All these values appeared to remain unchanged during the last half of gestation.


1979 ◽  
Vol 237 (1) ◽  
pp. R52-R57
Author(s):  
D. Caton ◽  
C. Crenshaw ◽  
C. J. Wilcox ◽  
D. H. Barron

Normal sheep were studied at intervals of 3-5 days during the last weeks of pregnancy in order to evaluate variability in rate of O2 consumption (QO2) of the uterus in relation to several variables involved in delivery of O2 to the organ. Among-animal differences of uterine QO2 were statistically significant and directly related to birthweight of the lamb. Among-animal differences of uterine blood flow (UBF) and uterine arteriovenous O2 content difference [C(a-v)O2] also were statistically significant, though neither was related to birthweight, presumably since they tended to vary inversely with one another. In a given ewe relative magnitude of UBF and of C(a-v)O2 was related to maternal arterial O2 content (CaO2), day of pregnancy, and whether the animal carried singlets or twins. Variability in QO2 was most closely related to UBF, although its relations to C(a-v)O2 and CaO2 were significant also. These data suggest there are systematic relationships among variables involved in the delivery of O2 to the uterus of pregnant sheep.


1986 ◽  
Vol 60 (5) ◽  
pp. 1759-1764 ◽  
Author(s):  
A. W. Bell ◽  
J. R. Hales ◽  
A. A. Fawcett ◽  
R. B. King

Radioactive microspheres were used to measure cardiac output and blood flow to most major tissues, including those in the pregnant uterus, in late-pregnant ewes at rest and during treadmill exercise (approximately 3-fold increase in metabolic rate for 30 min) in thermoneutral (TN) (dry bulb temperature (Tdb) = 13 degrees C, wet bulb temperature (Twb) = 10 degrees C) and mildly hot (MH) (Tdb = 40 degrees C, Twb = 27 degrees C) environments. Exercise caused major increases in blood flow to respiratory muscles, nonrespiratory limb muscles, and adipose tissue, and flow was decreased to some gastrointestinal tissues, spleen, pancreas, and to placental and nonplacental tissues in the pregnant uterus. Heat exposure had relatively little effect on these exercise-induced changes, except that flow was further increased in the respiratory muscles. Results are compared with those of a similar study on nonpregnant sheep in which changes in muscle, skin, and visceral flows during exercise were attenuated by heat exposure. It is suggested that redistribution of blood flow from the pregnant uterus, which in resting ewes took 22% of cardiac output, is a significant buffer against the potentially deleterious effects of combined exercise and heat stress on blood flow to exercising muscles and thermoregulatory tissues.


1959 ◽  
Vol 197 (4) ◽  
pp. 929-934 ◽  
Author(s):  
James Metcalfe ◽  
Seymour L. Romney ◽  
Joseph R. Swartwout ◽  
Donald M. Pitcairn ◽  
Anton N. Lethin ◽  
...  

This report deals with the volume of maternal blood flow to the pregnant uterus of the sheep and goat. Studies were made in 2 nonpregnant animals and in 20 pregnant animals at known stages of gestation. Measurements of uterine blood flow were made using nitrous oxide according to the Fick principle. The results indicate that in the nonpregnant uterus the blood flow is approximately 25 ml/min. It increases to approximately 200 ml/min. at the 80th day of gestation and exceeds 1000 ml/min. near the end of the 150-day gestation period of these animals. Data are also included for calculation of uterine O2 consumption. The findings with regard to uterine blood flow and O2 consumption are discussed in relation to previous findings in human beings and in rabbits.


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