Regional blood flow and metabolism in ovine fetuses during severe cord occlusion.

OBJECTIVE

Our purpose was to compare the ovine fetal response to severe, damaging asphyxia resulting from umbilical cord occlusion with that seen in uterine artery occlusion.

STUDY DESIGN

Six ovine fetuses were exposed to severe asphyxia produced by partial umbilical cord occlusion for 90 minutes. Fetal blood pressure and heart rate, blood gases, acid base status, electrocorticogram, and electromyogram were recorded. Regional blood flow (radioactive microspheres) measurements were performed at control and 30, 60, and 90 minutes of occlusion and 30 minutes after release.

RESULTS

During the period of occlusion pH fell from 7.37 +/- 0.01 (mean +/- SEM) to 6.82 +/- 0.03 at 90 minutes, base excess from 5 +/- 1 to -22 +/- 2 mEq.L-1 and oxygen content from 3.3 +/- 0.4 mmol.L-1 to a nadir of 1.6 +/- 0.4 mmol.L-1 (p < 0.05). There was no significant long-term change in fetal heart rate or blood pressures. The fetal electrocorticogram was profoundly suppressed during asphyxia, and seizure activity was documented after release of occlusion in all surviving animals. Umbilical blood flow fell to 21% +/- 5% of control by 60 minutes of occlusion and remained depressed until release. Brain and adrenal blood flows increased during asphyxia. Heart and intestinal blood flows did not change significantly from control values. Combined ventricular output and spleen, kidney, and carcass blood flow fell during the insult. Oxygen uptake by the cerebral cortex remained stable during occlusion. Oxygen uptake by the lower carcass fell to 15% +/- 7% of control.

CONCLUSION

Umbilical cord occlusion produces similar levels of asphyxia and evidence of encephalopathy (seizures), compared with previous experiments with uterine artery occlusion. The fetal response with respect to blood flow redistribution and organ oxygen uptake, however, differs. These differences may signify that with uterine artery occlusion the brain may be more vulnerable, whereas with umbilical cord occlusion the heart may be at greater risk.