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• Fetal shunts
– Ductus arteriosus
– Foramen ovale
– Ductus venosus
SIRKULASI DEWASA Pulmonary
Vena cavae veins
Right
ATRIUM Lef t LUNGS
ATRIUM
Right
VENTRICLE
SYSTEMIC Left Pulmonary arteries
VENTRICLE
CAPILLARIES
VENTRIKEL VENTRIKEL
KAPILER kanan kiri
Pulmonary
SISTEMIK arteries
ARTERI
UTERINA
Aorta
PLASENTA
ARTERI UTERINA
VENA
UTERINA
PLACENTA
Pembuluh darah janin
UTERUS
PLASENTA Pembuluh darah
TALI PUSAT
UTERINE WALL
FETAL CIRCULATION
PLACENTA
Menggunakan ductus venosus utk masuk ke
vena cava inferior jantung
UMBILICAL VEIN
HEART Pulmonary
veins
Vena cava Right
ATRIUM
OLef t LUNGS
ATRIUM
IVC
DUCTUS VENOSUS to Right
VENTRICLE
get past the liver SYSTEMIC Left Pulmonary
VENTRICLE arteries
CAPILLARIES
Aorta
FETAL CIRCULATION
PLACENTA
UMBILICAL VEIN
HEART Pulmonary
veins
Vena cava Right
ATRIUM
OLef t LUNGS
ATRIUM
IVC
DUCTUS Right
VENOSUS VENTRICLE
Left Pulmonary
SYSTEMIC VENTRICLE arteries
CAPILLARIES
Umbilical
arteries
Aorta
FETAL CIRCULATION IV
Since oxygenated blood is coming in where
PLACENTA normally systemic venous blood arrives, &
the lungs have no access to air, the flow
through the heart is special & the lungs are
bypassed
Umbilical
arteries
Aorta
FETAL CIRCULATION V
Karena darah kaya O2 datang dari tempat
PLACENTA yg normalnya merupakan muara vena
sistemik, dan karena paru-paru tidak punya
akses thd udara, maka aliran menuju paru-
paru dilewatkan (bypasseed)
O
UMBILICAL VEIN
HEART Pulmonary
veins
Vena cava Right
ATRIUM
OLef t LUNGS
ATRIUM
DUCTUS VENOSUS to IVC
Right
get past the liver VENTRICLE
Left Pulmonary
SYSTEMIC
VENTRICLE arteries
CAPILLARIES
Aorta
FETAL CIRCULATION VI Lungs are bypassed 1
Foramen ovale
HEART Pulmonary
veins
Vena cava Right
ATRIUM
OLef t LUNGS
ATRIUM
DUCTUS IVC
Right
VENOSUS VENTRICLE
SYSTEMIC Left Pulmonary
VENTRICLE arteries
CAPILLARIES
Umbilical
arteries
Umbilical
arteries
Aorta Closure of
Ductus arteriosus
FETAL CIRCULATION Foramen ovale
Pulmonary FETAL CIRCULATION X:
HEART
Vena cava Right OLef t veins Conversion to post-natal
ATRIUM LUNGS
ATRIUM
DUCTUS IVC The foramen ovale can just seal
Right
VENOSUS VENTRICLE
Left
shut, but the ductus venosus &
SYSTEMIC Pulmonary
CAPILLARIES
VENTRICLE arteries d. arteriosus (&umbilical arteries)
Umbilical have to shrivel to become just
arteries
connective tissue ligaments
Aorta Ductus arteriosus
Pulmonary
Vena cava HEART veins
Right
Ligamentum venosum ATRIUM Lef t LUNGS
ATRIUM
Note distinction between Right VENTRICLE
venous deoxygenated blood Left
SYSTEMIC Pulmonary
in Right chambers & VENTRICLE
arteries
CAPILLARIES
oxygenated blood from
lungs in Left chambers of
postnatal baby
Aorta POST-NATAL
Medial umbilical ligaments Ligamentum arteriosum CIRCULATION
The Uterine Cycle
• Series of cyclic phases of the endometrium
• Phases coordinate with the ovarian cycle
• Endometrial phases directed by FSH and LH
• Phases of uterine cycle
– Menstrual phase – days 1-5
• Stratum functionalis is shed
– Proliferative phase – days 6-14
– Secretory phase – days 15-28
hypothalamus
GnRH
anterior pituitary
FSH LH
• GnRH secretion
FSH LH LH
affects LH and FSH ovulation
secretion by pituitary
• LH and FSH affect estrogens