The fetal brain sparing response to hypoxia: physiological mechanisms

DA Giussani - The Journal of physiology, 2016 - Wiley Online Library
How the fetus withstands an environment of reduced oxygenation during life in the womb
has been a vibrant area of research since this field was introduced by Joseph Barcroft, a …

The physiology of intrapartum fetal compromise at term

JM Turner, MD Mitchell, SS Kumar - American journal of obstetrics and …, 2020 - Elsevier
Uterine contractions in labor result in a 60% reduction in uteroplacental perfusion, causing
transient fetal and placental hypoxia. A healthy term fetus with a normally developed …

Improving pregnancy outcomes in humans through studies in sheep

JL Morrison, MJ Berry, KJ Botting… - American Journal …, 2018 - journals.physiology.org
Experimental studies that are relevant to human pregnancy rely on the selection of
appropriate animal models as an important element in experimental design. Consideration …

Early fetal hypoxia leads to growth restriction and myocardial thinning

M Ream, AM Ray, R Chandra… - American Journal of …, 2008 - journals.physiology.org
Hypoxia is necessary for fetal development; however, excess hypoxia is detrimental.
Hypoxia has been extensively studied in the near-term fetus, but less is known about earlier …

The peripheral chemoreflex: indefatigable guardian of fetal physiological adaptation to labour

CA Lear, G Wassink, JA Westgate… - The Journal of …, 2018 - Wiley Online Library
The fetus is consistently exposed to repeated periods of impaired oxygen (hypoxaemia) and
nutrient supply in labour. This is balanced by the healthy fetus's remarkable anaerobic …

Are we (mis) guided by current guidelines on intrapartum fetal heart rate monitoring? Case for a more physiological approach to interpretation

A Ugwumadu - BJOG: An International Journal of Obstetrics & …, 2014 - Wiley Online Library
Original interpretations of fetal heart rate (FHR) patterns equated FHR decelerations with
'fetal distress', requiring expeditious delivery. This simplistic interpretation is still implied in …

The myths and physiology surrounding intrapartum decelerations: the critical role of the peripheral chemoreflex

CA Lear, R Galinsky, G Wassink… - The Journal of …, 2016 - Wiley Online Library
A distinctive pattern of recurrent rapid falls in fetal heart rate, called decelerations, are
commonly associated with uterine contractions during labour. These brief decelerations are …

The intrapartum deceleration in center stage: a physiologic approach to the interpretation of fetal heart rate changes in labor

JA Westgate, B Wibbens, L Bennet, G Wassink… - American journal of …, 2007 - Elsevier
One of the most distinctive features of fetal heart rate recordings in labor is the deceleration.
In clinical practice, there has been much confusion about the types of decelerations and …

Hormones as epigenetic signals in developmental programming

AL Fowden, AJ Forhead - Experimental Physiology, 2009 - Wiley Online Library
In mammals, including man, epidemiological and experimental studies have shown that a
range of environmental factors acting during critical periods of early development can alter …

Understanding cardiotocographic patterns associated with intrapartum fetal hypoxia and neurologic injury

A Ugwumadu - Best practice & research Clinical obstetrics & …, 2013 - Elsevier
Widespread use of fetal heart rate monitoring for intrapartum fetal surveillance preceded our
detailed understanding of the behaviour and regulation of the fetal cardiovascular system …