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Reproductive Sciences
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Responses of Amniotic Fluid Volume and Its Four Major Flows to Lung Liquid Diversion and Amniotic Infusion in the Ovine Fetus

Patricia Robertson, MD

Department of Obstetrics and Gynecology Oregon Health and Science University, Portland, Oregon, anderdeb{at}ohsu.edu

J. Job Faber, MD, PhD

Heart Research Center Oregon Health and Science University, Portland, Oregon

Robert A. Brace, PhD

Department of Obstetrics and Gynecology Oregon Health and Science University, Portland, Oregon

Samantha Louey, PhD

Heart Research Center Oregon Health and Science University, Portland, Oregon

A. Roger Hohimer, PhD

Department of Obstetrics and Gynecology Oregon Health and Science University, Portland, Oregon

Lowell E. Davis, MD

Department of Obstetrics and Gynecology Oregon Health and Science University, Portland, Oregon

Debra F. Anderson, PhD

Heart Research Center Oregon Health and Science University, Portland, Oregon

We designed experiments to allow direct measurement of amniotic fluid volume and continuous measurement of lung liquid production, swallowing, and urine production in fetal sheep. From these values, the rate of intramembranous absorption was calculated. Using this experimental design, the contribution of lung liquid to the control of amniotic fluid volume was examined. Fetuses were assigned to 1 of 4 protocols, each protocol lasting 3 days: control, isovolemic replacement of lung liquid, supplementation of amniotic fluid inflow by 4 L/day, and supplementation of amniotic inflow during isovolemic replacement of lung liquid. We found no effect of lung liquid replacement on any of the known flows into and out of the amniotic fluid. Although intramembranous absorption increased greatly during supplementation, the amniochorionic function curves were not altered by isovolemic lung liquid replacement. We conclude that lung liquid does not appear to contain a significant regulatory substance for amniotic fluid volume control.

Key Words: Fetal lung liquid • swallowing • intramembranous absorption.

Reproductive Sciences, Vol. 16, No. 1, 88-93 (2009)
DOI: 10.1177/1933719108324888
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