Studies on maternal and fetal microcirculation and methods for improvement in relation to their erythrocyte deformability.
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Deformability of maternal and neonatal erythrocyte was measured by means of a microfiltration technique with the use of polycarbonate sieves of 3 and 5 μm in diameter.During course of pregnancy, deformability of maternal erythrocyte showed a gradual but significant decrease toward term, while neonatal erythrocyte showed gradual increase as pregnancy progresses. Such pregnant women as complicated with DM or toxemia showed a significantly decreased deformability reflecting severity of the disease.Maternal vascular resistance (R) measured by a plethysmography showed also a same tendency as was seen during course of pregnancy.A ratio of erythrocyte deformability (F) to R revealed a good correlation to birth weight, which suggests that F/R ratio manifests an index for placental blood flow, i. e., microcirculation.On the other hand, neonatal vascular resistance proved to be markedly low and elasticity of the vessel was very high. The result indicates that it is a reason for maintaining fetal microcirculation fairly well inspite of presence of less deformable cells in the blood due to immaturity of the spleen function.Isoxsuprine, 7% sodium bicarbonate and 50% glucose administrated via mother brought to neonatal erythrocyte deformability and consequently the tissue blood flow significant increase.On the basis of the results, it is concluded that regulation of fetal acid-base balance or glucose level before delivery is very important to maintain fetal or neonatal microcirculation well.
- 近畿産科婦人科学会の論文
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