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In the human placenta, fetal blood circulates in the blood vessels of the villous tree while maternal one circulates in the intervillous space, the surroundings of the villous tree. Previously, the computational model of the villous tree, whose stem villi actively contract because of the contractile cells, has been developed. The result of the computation indicated that the displacement caused by the contraction would be helpful for the fetal and maternal circulations and can be combined with the other measurements for blood circulations in the placenta. Hypoxia in the placenta is classified into the following categories: preplacental hypoxia, uteroplacental hypoxia, and postplacental hypoxia. The number and the form of the terminal villi are altered by hypoxia. Assuming that increase in the terminal villi causes a higher shear elastic modulus of the placenta, this villous tree model is useful to estimate the influence of hypoxia on the blood circulations. In this chapter, how these three types of hypoxia influence the blood circulation in the placenta by the aforementioned computational model are discussed. While preplacental hypoxia and uteroplacental hypoxia would cause similar displacement in large regions, postplacental hypoxia would do vice versa. All the types might make the fetal and maternal blood circulations difficult.

Influence of Branching Patterns and Active Contractions of the Villous Tree on Fetal and Maternal Blood Circulations in the Human Placenta