Mathematical Model of Cardiovascular and Metabolic Responses to Umbilical Cord Occlusions in Fetal Sheep - INRIA - Institut National de Recherche en Informatique et en Automatique Accéder directement au contenu
Article Dans Une Revue Bulletin of Mathematical Biology Année : 2015

Mathematical Model of Cardiovascular and Metabolic Responses to Umbilical Cord Occlusions in Fetal Sheep

Résumé

Fetal acidemia during labor is associated with an increased risk of brain injury and lasting neurological deficits. This is in part due to the repetitive occlusions of the umbilical cord (UCO) induced by uterine contractions. Whereas fetal heart rate (FHR) monitoring is widely used clinically, it fails to detect fetal acidemia. Hence, new approaches are needed for early detection of fetal acidemia during labor. We built a mathematical model of the UCO effects on FHR, mean arterial blood pressure (MABP), oxygenation and metabolism. Mimicking fetal experiments, our in silico model reproduces salient features of experimentally observed fetal cardiovascular and metabolic behavior including FHR overshoot, gradual MABP decrease and mixed metabolic and respiratory acidemia during UCO. Combined with statistical analysis, our model provides valuable insight into the labor-like fetal distress and guidance for refining FHR monitoring algorithms to improve detection of fetal acidemia and cardiovascular decompensation.
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Dates et versions

hal-01384265 , version 1 (20-10-2016)

Identifiants

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Qiming Wang, Nathan G Gold, Martin G Frasch, Huaxiong Huang, Marc Thiriet, et al.. Mathematical Model of Cardiovascular and Metabolic Responses to Umbilical Cord Occlusions in Fetal Sheep. Bulletin of Mathematical Biology, 2015, 77 (12), pp.2264-2293. ⟨10.1007/s11538-015-0122-4⟩. ⟨hal-01384265⟩
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