New PDF release: Effekte & Dynamics

By Thomas Sandmann

ISBN-10: 3932275098

ISBN-13: 9783932275098

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An extensive absorbing surface is achieved within limited space by a branching system of chorionic villi capped by microvilli. The terminal villi progressively fill with thin-walled capillaries. This remarkable intimacy between the maternal and fetal circulations permits the efficient exchange of materials. By this mechanism, the maternal blood composition, which is maintained within narrow limits by fmely developed homeostatic controls, becomes a major factor in maintaining constancy of fetal blood composition.

One of these mechanisms. CHAPTER 2 • THE PLACENTA: AN OVERVIEW Mother Fetus Placenta Cholesterol Cholestrol DHA-SO", 23 Dehydroepiandrosterone sulfate (DHA-SO",) Estrone (E, ) --+-- DHA-SO", Estradiol (E 2 ) c: o 16 Q-hydroxydehydroepiandrosterone (16 Q OH -DHA-SO",) Sulfate '':- ':::>Cl" 'c o 16 Q OH -DHA-SO", u {E3 Fig. 2. Steroid hormone metabolism in the fetomaternal unit, Reproduced from Dancis. Used by permission of B. , Philadelphia. J. It should be stressed that the immunologic without circulating antibodies if they were not reaction of the mother is not eliminated.

At the same time, the neonate leaves a liquid-phase, constant-temperature environment and enters the gas-phase environment with quickly varying temperatures. In addition, the lung function for breathing air and the digestive processes must be established. These events are topped by the need for a neurohumoral regulatory system that never before was similarly flooded with stimuli of all kinds and never had to direct its regulatory efforts toward a new and different homeostasis. (22) The crucial point is that the newborn has been developmentally prepared for birth and for the existence in the extrauterine environment.

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Effekte & Dynamics by Thomas Sandmann

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