Abstract

Neonatal rickets has been associated with IUGR secondary to conditions of reduced utero-placental blood flow during pregnancy, e.g., toxemia. There are no studies of calcium transport in IUGR. To test the hypothesis that chronic reduction in utero-placental blood flow impairs materno-fetal calcium transfer, placental calcium transfer was studied using an in situ placental perfusion technique (Mughal et al, 1986, J Physiol 377, 5 P) in rats where IUGR was induced by bilateral uterine artery ligation on day 17 of gestation, & in control animals. On day 20 of gestation (term=22 days), animals were anesthetised with intraperitoneal sodium thiobutabarbitol & fetal circulation of one of the placentas (PI) was perfused via an umbilical artery cannula with Kreb's Ringer solution. 45Ca & 51Cr-EDTA (diffusional marker) were injected into the mother, & their steady state clearance (C1) from maternal circulation to perfusate was calculated from samples collected from a cannula in the umbilical vein. (mean ± SEM) Thus, the total fetal calcium is reduced in IUGR fetuses; the reduction was proportionate to body weight reduction. The steady state materno-perfusate transfer of calcium, but not the diffusional marker, is markedly reduced across placenta of growth retarded fetuses, presumably due to diminished active placental transfer of calcium.

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