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Department of Physiology and Pharmacology, School of Medicine, Oregon Health Sciences University, Portland, Oregon 97201
Six fetal
sheep were operated on at 118 to 121 days of gestation. The pulmonary
end of the trachea was connected to the gastric end of the esophagus
with a section of tubing. This left urine as the only source of
amniotic fluid and intramembranous absorption as sole exit. Multiple
indwelling fetal vascular, intra-amniotic, allantoic, and a fetal
bladder catheter were placed. Beginning 5 days after surgery, all urine
was drained from the bladder and immediately reinfused into the
amniotic sac to monitor urine production rate. After 4 days of urine
infusion alone, the urine infusion was augmented for 6 days with an
intra-amniotic infusion of Ringer solution. Amniotic and allantoic
fluid volumes were measured at autopsy. During the period of Ringer
infusion, intramembranous absorption of amniotic fluid increased by
more than 1,191 ± 186 (SE) ml/day
(P < 0.002) and the rates of
Na+ and
Cl
absorption increased to
more than five times (P < 0.005) and eight times (P < 0.005) their
initial values. Only one of six fetuses had polyhydramnios. It is
concluded that intramembranous absorption of amniotic fluid makes a
strong regulatory adjustment in response to an abnormal increase in
inflow of exogenous fluid.
fetus; conceptus; extrafetal water; homeostasis; polyhydramnios; oligohydramnios; urine; lung fluid
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