Mechanical Environment in the Human Umbilical Cord and Its Contribution to the Fetal Circulation

Abstract

The fetal blood flow in two arteries and one vein of the human umbilical cord could be influenced by the conditions of the fetal growth and placenta that the evaluation of the blood flow pattern by ultrasound Doppler velocimetry is important. That is, the mechanical environment in the umbilical cord should be kept to maintain the blood flow suitable for good fetus growth. In this chapter, a human umbilical cord model for finite analysis, based on the mechanical and histological characteristics is proposed. Considering that the active force production by hyaluronan, proteoglycan, smooth muscle cells, and myofibroblasts could influence the mechanical environment in the umbilical cord, the computation with the proposed model was carried out in order to evaluate the influence. The changes in the mechanical environment caused by the active force production and their influences on the fetal blood flow through the pressure rise and drop in the arteries of the umbilical cord are introduced.