EFFECTS OF SINGLE UMBILICAL ARTERY LIGATION IN THE LAMB FETUS

1969 ◽  
Vol 24 (8) ◽  
pp. 1068-1070 ◽  
Author(s):  
GEORGE C. EMMANOUILIDES ◽  
DUANE E. TOWNSEND ◽  
ROBERT A. BAUER
PEDIATRICS ◽  
1968 ◽  
Vol 42 (6) ◽  
pp. 919-927
Author(s):  
George C. Emmanouilides ◽  
Duane E. Townsend ◽  
Robert A. Bauer

The effects of single umbilical artery ligation have been studied in 20 lamb fetuses, using chronic indwelling catheters placed in a retrograde fashion via the ligated umbilical artery in the fetal aorta. Fetal arterial blood pressure, heart rate, blood pH, PCO2 and PO2 were monitored at various intervals until the end of the gestation. The results indicate that prolonged fetal survival is possible. Although fetuses near term did not survive this insult, long-term survival (3 to 56 days) was observed in nine animals of earlier gestational age. After an initial period of hypoxia, acidosis, and hypercapnia, stabilization occurred and "normal" values for these parameters were observed. In spite of the apparently normal gas and hydrogen exchange between mother and fetus, profound fetal malnutrition was observed in two animals who survived 26 and 56 days, respectively. The possible mechanisms of fetal adaptation to this acute change in intra-uterine environment and the potential value of this "experimental model" for studying chronic fetal distress due to placental insufficiency are discussed.


2012 ◽  
Vol 24 (5) ◽  
pp. 753 ◽  
Author(s):  
Suzanne L. Miller ◽  
Amy E. Sutherland ◽  
Veena G. Supramaniam ◽  
David W. Walker ◽  
Graham Jenkin ◽  
...  

Antenatal glucocorticoids are administered to mature the fetal lungs before preterm birth. Glucocorticoids also have non-pulmonary effects, including reducing fetal body and brain growth. The present study examined whether glucocorticoid administration has a sex-specific effect on growth in appropriately grown (control) and intrauterine growth-restricted (IUGR) fetal sheep. IUGR was induced at 0.7 gestation in fetal sheep by single umbilical artery ligation. On Days 5 and 6 after surgery, IUGR or control fetuses were exposed to the synthetic glucocorticoid betamethasone (BM; 11.4 mg) or saline via intramuscular maternal administration. On Day 7, a postmortem was conducted to determine fetal sex and weight. Compared with control fetuses, the birthweight of male and female IUGR fetuses was significantly reduced (by 18.5 ± 4.4% (P = 0.002) and 21.7 ± 6.0% (P = 0.001), respectively). Maternal administration of BM significantly reduced bodyweight in both control and IUGR fetuses (by 11.3 ± 2.8% and 20.5 ± 3.6% in control male and female fetuses, respectively; and by 22.9 ± 3.1% and 38.3 ± 3.4% in IUGR male and female fetuses, respectively; P < 0.001 for all, versus control + saline) fetuses. In control and IUGR animals the degree of growth restriction was greater in females than males (P < 0.05) following administration of BM. These data suggest that antenatal glucocorticoids reduce fetal growth in a sex-specific manner, with females more growth restricted than males.


Neonatology ◽  
1975 ◽  
Vol 26 (3-4) ◽  
pp. 291-299 ◽  
Author(s):  
William Oh ◽  
Keiichiro Omori ◽  
Calvin J. Hobel ◽  
Allen Erenberg ◽  
George C. Emmanouilides

2011 ◽  
Vol 23 (2) ◽  
pp. 346 ◽  
Author(s):  
Micka C. Bertucci ◽  
Jan M. Loose ◽  
Euan M. Wallace ◽  
Graham Jenkin ◽  
Suzanne L. Miller

Perinatal morbidity and mortality are significantly higher in pregnancies complicated by chronic hypoxia and intrauterine growth restriction (IUGR). Clinically, placental insufficiency and IUGR are strongly associated with a fetoplacental inflammatory response. To explore this further, hypoxia was induced in one fetus in twin-bearing pregnant sheep (n = 9) by performing single umbilical artery ligation (SUAL) at 110 days gestation. Five ewes were administered the anti-inflammatory drug sulfasalazine (SSZ) daily, beginning 24 h before surgery. Fetal blood gases and inflammatory markers were examined. In both SSZ- and placebo-treated ewes, SUAL fetuses were hypoxic and growth-restricted at 1 week (P < 0.05). A fetoplacental inflammatory response was observed in SUAL pregnancies, with elevated pro-inflammatory cytokines, activin A and prostaglandin E2. SSZ did not mitigate this inflammatory response. It is concluded that SUAL induces fetal hypoxia and a fetoplacental inflammatory response and that SSZ does not improve oxygenation or reduce inflammation. Further studies to explore whether alternative anti-inflammatory treatments may improve IUGR outcomes are warranted.


1992 ◽  
Vol 263 (3) ◽  
pp. E575-E583 ◽  
Author(s):  
K. Oyama ◽  
J. Padbury ◽  
B. Chappell ◽  
A. Martinez ◽  
H. Stein ◽  
...  

To assess whether prolonged intrauterine stress and resultant fetal growth retardation result in depletion of adrenal catecholamines and alter the adrenergic signal transduction system, we studied newborn sheep after single umbilical artery ligation (SUAL)-induced growth retardation. The animals were delivered at term, and postnatal cardiovascular, pulmonary, endocrine, and metabolic responses were measured. We also evaluated the status of myocardial and pulmonary beta-adrenergic receptor number and function. SUAL caused significant growth retardation but relative preservation of brain and adrenal gland weight and adrenal catecholamine content. Blood pressure, plasma free fatty acid, and glucose responses at birth were blunted in SUAL animals. The plasma epinephrine (Epi) and norepinephrine levels were comparable in both groups for the first 2 h of age. By 4 h, both plasma concentration and plasma appearance rate of Epi were reduced to 40% of control in SUAL animals (P less than 0.05). Neither beta-receptor density, affinity, nor adenylate cyclase activity were altered by SUAL in either cardiac or pulmonary membranes. These results suggest that, rather than overt depletion, there is relative sparing of initial adrenal medullary function that later waned. This response and preservation of the beta-adrenergic signal transduction system may represent partial compensation for the physiological stress induced by SUAL.


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