CPR St. Louis
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Fetal Circulation – outline notes

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The lungs of a fetus are non-functional. There are special structures that allow blood flow to bypass the fetal lungs. Not until birth do the lungs gain their normal function.

Umbilical Cord
Umbilical Vein – high Oxygen and nutrients from mother to fetus
Umbilical Arteries (two) – Carbon dioxide and waste from fetus to mother


Pathway of Blood in Fetus

High Oxygenated blood from mother flows through umbilical vein to fetal heart
 -some perfuses liver
-most goes to inferior vena cava via ductus venosus and then to R. Atrium

Blood can take two paths, ultimately to bypass non-functional fetal lungs

1. Right atrium —- foramen ovale —- Left atrium —- aorta —- systemic circulation —- umbilical
arteries —– placenta

2. Right atrium —- Right ventricle —- pulmonary trunk —- ductus arteriosus —- aorta —- umbilical
arteries —- placenta

*foramen ovale and ductus arteriosus are special structures that allow for specific fetal blood flow.

After Birth
foramen ovale becomes fossa ovalis
ductus arteriosus becomes ligamentum arteriosum

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Yes, we are your local American Heart Association training site. We offer in-person classes, skills checks, and blended online learning.

*IMPORTANT NOTE: 100% of CPR St. Louis instructors have entirely completed (1) the rigorous and official American Heart Association instructor training and certification process, and (2) the “How to Teach a Stress-Free CPR Class™” classroom and testing training protocol that ensures a superior experience for everyone. In addition, students will receive their AHA Cards the day of class!

[WARNING]: Because of the high quality, stress-free classroom student experience, our classes fill very fast – so register now to ensure your spot. See our course calendar for online registration or contact us directly by phone, live chat or email with questions.