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Describe the flow of oxygenated blood from the placenta to the fetus\' systemic circulation and deoxygenated blood from the fetus to the placenta. Be sure to include all five structures that allow for fetal circulation to take place effectively. Solution Placenta receives blood from two systems: a uteroplacental system that delivers maternal blood to the placenta; and the fetoplacental system that receives from the fetus. The umbilical vein carries blood from the placenta to the fetus. A majority of it enters liver and 1/3rd is diverted to ductus venosus and carried to inferior vena cava. In liver proper, the blood enters from its inferior border. A branch of the umbilical vein joins the portal vein. The blood is then supplied to the right atrium of the heart. The heart has an opening connecting left and right atrium called foramen ovale. Due to this opening, the blood bypasses the pulmonary circulation and is directly circulated to the body of the fetus, via the aorta. Some of the blood moves to the placenta through iliac and then umbilical arteries into the mother\'s blood circulation for the exchange of gasses and removal of waste products. A part of the blood that enters the atrium of the fetus enters left ventricle and is pumped to the pulmonary artery The pulmonary artery of the fetus is connected to the aorta via ductus atriosus and thus the blood enters aorta and escapes from entering the lungs. The blood in aorta takes the same route as described earlier..
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Describe the normal fetal circulation and mention the changes that occur in it is placental stage and after birth. Fetal circulation is composed of placenta, umbilical cord, heart and systemic blood vessels. A major difference between the fetal circulation and postnatal circulation is that the lungs are not used during the fetal stage resulting in the presence of shunts to move oxygenated blood and nutrients from the placenta to the fetal tissue. At birth, the start of breathing and the severance of the umbilical cord prompt various changes that quickly transform fetal circulation into postnatal circulation. When the embryo develops into the fetus, it creates a functional cardiovascular system that cooperates with the mother's system. During birth, there are functional physiological changes that transform the shared system into an individual one for the fetus. In the fetus main filtration site for plasma nutrients and wastes in the placenta, which is outside of the body cavity. In adults, the circulation occurs entirely inside the body. The blood that flow to through the fetus is actually more complicated than after the baby is born (normal heart). This is because the mother (the placenta) is doing the work that the baby's lungs will do after birth. The placenta accepts the blood without oxygen from the fetus through blood vessels that leave the fetus through the umbilical cord (Umbilical arteries , there are two of them). When blood goes through the placenta it pick up oxygwn. The oxygen rich blood then returns to the fetus via the third vessels in the umbilical cord (Umbilical vein). The oxygen rich blood that enters the fetus passes through the fetal liver and enters the right side of the heart. The oxygen rich blood goes through one of the two extra connections in the fetal heart that will close after the baby is born. The hole between the top two heart chmbers (right and left atrium) is called "Patent Foramen Ovale (PFO). This hole allows the oxygen rich blood to go form the right atrium to left atrium and then to the left ventricle and out the aorta. As a result the blood with the most oxygen gets to the brain. Blood coming back from the fetus's body also enters the right atrium, but the fetus is able to send this oxygen poor blood from the right atrium to the right ventricle (the chamber that normally pumps blood to the lungs). most of the blood that leaves the right ventricle in the fetus bypass the lungs through the second of the extra fetal connections known as the ductus arteriosus. The ductus arteriosus sends the oxygen poor blood to the organs in the lower half of the fetal body. This also allows for the oxygen poor blood to leave the fetus through the umbilical arteries and get back to the placenta to pick up oxygen. Since the patent foramen ovale and ductus arteriosus are normal findings in the fetus, it is impossible to predict whether or not these connections will close normally after birth in a normal fetal heart.
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