Fetal plasma and renal responses to ruminal fluid

Abstract

Amniotic fluid homeostasis is dependent on a balance of fetal fluid production and absorption. The fetal gastrointestinal tract is believed to resorb 500 to 1000 ml of amniotic fluid per day during 7 to 10 bouts of swallowing activity. However, the impact of ruminal fluid on fetal plasma composition and fluid homeostasis is largely unknown. Seven ovine fetuses (120 ± 1 day) received intraruminal infusions of 0.9% or 3% saline solution on alternate days. In response to successive 40-minute intraruminal infusions of 0.9% saline solution (0.5 and 1.0 ml/kg/min), there was no change from basal levels of fetal plasma osmolality (295.7 ± 2.9 mosm), plasma arginine vasopressin (1.45 ± 0.29 pg/ml), urine osmolality (150 ± 8 mosm), or urine volume (0.49 ± 0.10 ml/min). In response to the 3% saline solution infusion, significant increases were noted in fetal plasma osmolality (295.4 ± 3.1 to 302.6 ± 2.6 mosm), plasma arginine vasopressin (1.77 ± 0.31 to 4.84 ± 0.79 pg/ml), and urine osmolality (157 ± 13 to 342 ± 25 mosm), whereas fetal urine volume significantly decreased (0.35 ± 0.05 to 0.15 ± 0.06 ml/min). These results indicate that hypertonic, but not isotonic, saline solution infusion into the fetal gastrointestinal tract may affect fetal plasma composition and urine production. Under conditions of significant plasma to luminal osmotic gradients, fetal gastrointestinal water and electrolyte transfer may be more rapid than can be compensated by either fetal renal function or placental equilibration.