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Hemodynamic aspects of normal human feto-placental (umbilical) circulation

Acharya, Ganesh ; Sonesson, Sven-Erik ; Flo, Kari ; Räsänen, Juha ; Odibo, Anthony

Acta obstetricia et gynecologica Scandinavica, 2016-06, Vol.95 (6), p.672-682 [Peer Reviewed Journal]

United States: Blackwell Publishing Ltd

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  • Title:
    Hemodynamic aspects of normal human feto-placental (umbilical) circulation
  • Author: Acharya, Ganesh ; Sonesson, Sven-Erik ; Flo, Kari ; Räsänen, Juha ; Odibo, Anthony
  • Subjects: Doppler ; Female ; fetus ; hemodynamics ; Hemodynamics - physiology ; Humans ; Medicin och hälsovetenskap ; placenta ; placental blood flow ; Placental Circulation - physiology ; Pregnancy ; Umbilical Arteries - physiology ; umbilical artery ; Umbilical circulation ; umbilical vein ; Umbilical Veins - physiology
  • Is Part Of: Acta obstetricia et gynecologica Scandinavica, 2016-06, Vol.95 (6), p.672-682
  • Notes: ark:/67375/WNG-CH98B7CF-C
    ArticleID:AOGS12919
    istex:9D2E459DEA95F8F88CBB38BA9F71296ECF9AECDB
    ObjectType-Article-2
    SourceType-Scholarly Journals-1
    ObjectType-Feature-3
    content type line 23
    ObjectType-Review-1
  • Description: Understanding the changes in normal circulatory dynamics that occur during the course of pregnancy is essential for improving our knowledge of pathophysiological mechanisms associated with feto‐placental diseases. The umbilical circulation is the lifeline of the fetus, and it is accessible for noninvasive assessment. However, not all hemodynamic parameters can be reliably measured in utero using currently available technology. Experimental animal studies have been crucial in validating major concepts related to feto‐placental circulatory physiology, but caution is required in directly translating the findings of such studies into humans due to species differences. Furthermore, it is important to establish normal reference ranges and take into account gestational age associated changes while interpreting the results of clinical investigation. Therefore, it is necessary to critically evaluate, synthesize and summarize the knowledge available from the studies performed on human pregnancies to be able to appropriately apply them in clinical practice. This narrative review is an attempt to present contemporary concepts on hemodynamics of feto‐placental circulation based on human studies.
  • Publisher: United States: Blackwell Publishing Ltd
  • Language: English;French;German
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