Changes in oxygen diffusive conductances of human placentae during gestation (10–41 weeks) are commensurate with the gain in fetal weight
Abstract
Evidence is adduced that the oxygen diffusive conductance of the human placenta increases during gestation. Results are based on placentae from 10 weeks to term. The diffusion pathway is analysed as six discrete tissue compartments arranged in series. Stereological and physicochemical data are used to determine partial, total and specific diffusive conductances for each organ and for its tissue compartments. During gestation, maternal and fetal vascular spaces became more voluminous and exchange surface areas of villi and capillaries expanded. Both were manifestations of placental growth and development. Maturation of villi was evident as decreases in effective diffusion distances across the trophoblast and villous stroma. These alterations contributed to improvements in partial and total conductances which continued towards term. Changes within the trophoblast and stroma were particularly influential in determining total conductance. Those on maternal and fetal sides of the diffusion pathway were less important. The rise in total conductance was related directly to the rise in fetal weight. Specific diffusive conductance was constant throughout gestation.
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The theoretical diffusing capacity for oxygen expressed per kg of fetal weight remains constant across gestational age.
“It is notable that the theoretical diffusing capacity for oxygen expressed per kg of fetal weight remains constant across gestational age (364, 368), suggesting placental development determines the rate of fetal growth or that the two are closely co-regulated.”
From Placental Origins of Chronic Disease (2016) · cites this paper as [368]
The value expressed per kg of fetus remains constant across gestation, suggesting that development of the placenta and fetus are closely interlinked.
“The fact that the value expressed per kg of fetus remains constant across gestation suggests that development of the placenta and fetus are closely interlinked (368).”
From Placental Origins of Chronic Disease (2016) · cites this paper as [368]
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- Authors
- Mayhew, T. M., Jackson, M. R., & Boyd, P. A.
- Affiliations
- Mount Sinai Hospital (CA)
- John Radcliffe Hospital (GB)
- Corresponding author
- Mayhew, T.M.
- ORCID
- Jackson, M.R.
- Venue
- Placenta
- Publisher
- Elsevier BV
- Published
- 1993-01
- Volume
- 14
- Issue
- 1
- Pages
- 51-61
- ISSN
- 0143-4004 (ISSN-L)
- OpenAlex
- W2007187240
- Cited by
- 80
- References
- 34
- Citations by year
- 2025: 1 · 2024: 1 · 2023: 1 · 2021: 4 · 2020: 5 · 2018: 4 · 2017: 2 · 2016: 2 · 2015: 6 · 2014: 1 · 2013: 1 · 2012: 4
- FWCI
- 2.83
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Placenta (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Obstetrics and Gynecology › Pregnancy and preeclampsia studies
- Life Sciences › Immunology and Microbiology › Immunology › Reproductive System and Pregnancy
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Birth, Development, and Health
- Keywords
- human placenta, gestational age, fetal weight gain, placental development, villous maturation, trophoblast, villous stroma, diffusion paths, stereology
- MeSH terms
- Diffusion, Female, Embryonic and Fetal Development, Humans, Male, Oxygen, Placenta, Pregnancy, Pregnancy Trimester, First, Pregnancy Trimester, Second, Pregnancy Trimester, Third, Weight Gain
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