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By the end of this section, you will be able to:
  • Discuss the importance of an infant’s first breath
  • Explain the closing of the cardiac shunts
  • Describe thermoregulation in the newborn
  • Summarize the importance of intestinal flora in the newborn

From a fetal perspective, the process of birth is a crisis. In the womb, the fetus was snuggled in a soft, warm, dark, and quiet world. The placenta provided nutrition and oxygen continuously. Suddenly, the contractions of labor and vaginal childbirth forcibly squeeze the fetus through the birth canal, limiting oxygenated blood flow during contractions and shifting the skull bones to accommodate the small space. After birth, the newborn’s system must make drastic adjustments to a world that is colder, brighter, and louder, and where he or she will experience hunger and thirst. The neonatal period (neo- = “new”; -natal = “birth”) spans the first to the thirtieth day of life outside of the uterus.

Respiratory adjustments

Although the fetus “practices” breathing by inhaling amniotic fluid in utero, there is no air in the uterus and thus no true opportunity to breathe. (There is also no need to breathe because the placenta supplies the fetus with all the oxygenated blood it needs.) During gestation, the partially collapsed lungs are filled with amniotic fluid and exhibit very little metabolic activity. Several factors stimulate newborns to take their first breath at birth. First, labor contractions temporarily constrict umbilical blood vessels, reducing oxygenated blood flow to the fetus and elevating carbon dioxide levels in the blood. High carbon dioxide levels cause acidosis and stimulate the respiratory center in the brain, triggering the newborn to take a breath.

The first breath typically is taken within 10 seconds of birth, after mucus is aspirated from the infant’s mouth and nose. The first breaths inflate the lungs to nearly full capacity and dramatically decrease lung pressure and resistance to blood flow, causing a major circulatory reconfiguration. Pulmonary alveoli open, and alveolar capillaries fill with blood. Amniotic fluid in the lungs drains or is absorbed, and the lungs immediately take over the task of the placenta, exchanging carbon dioxide for oxygen by the process of respiration.

Circulatory adjustments

The process of clamping and cutting the umbilical cord collapses the umbilical blood vessels. In the absence of medical assistance, this occlusion would occur naturally within 20 minutes of birth because the Wharton’s jelly within the umbilical cord would swell in response to the lower temperature outside of the mother’s body, and the blood vessels would constrict. Natural occlusion has occurred when the umbilical cord is no longer pulsating. For the most part, the collapsed vessels atrophy and become fibrotic remnants, existing in the mature circulatory system as ligaments of the abdominal wall and liver. The ductus venosus degenerates to become the ligamentum venosum beneath the liver. Only the proximal sections of the two umbilical arteries remain functional, taking on the role of supplying blood to the upper part of the bladder ( [link] ).

Questions & Answers

how does it work?
Uriah Reply
I want to know the fertilization process in human
Nana Reply
Which plane divides the body into right and left parts
Kaeze
sagittal plane
Irvin
Thank you
Kaeze
Homestatic regulations usually involves a (n) _ that detects a particular stimulus, and a(n) _that respond to the stimulus by communicating with a (n) _whose activity has an effect on the same stimulus.
Kaeze
A cell is producing proteins to be transported out of that cell. They will be processed on ribosomes that are
Kaeze
what are diseases in the bood
Azoyenime Reply
Haemophilia
Aliyu
right hypochondriac rision how meain word
Ganesh Reply
Diabetes insipidus or diabetes mellitus would most likely be indicated by ________.
Ganesh
oral cavity how miean
Ganesh Reply
oral cavity how mean what
Suresh
seems to me every one is here a doctor and worse part is that even they donot know what to ask.
Muhammad
they know what to ask the problem is how to ask it.too much broken english.
George
dear George ongeche I think if they ask these kind questions and telling themselves as HCPs or medical student's .these are the basic ones go ask something more interesting .
Muhammad
what is blood red
Ahmad Reply
what is human anatomy?
Arpita Reply
tell me what is human anatomy?
Arpita
what is Openstax?
Arpita
arpita jana I think it's not the forum to ask such basic question...
Muhammad
study of structure of an object in this case human body.
Suresh
what are deferent between trasemicacid and vitamin k
Ubah Reply
This medication is used to treat heavy bleeding during your menstrual period. Tranexamic acid works by slowing the breakdown of blood clots, which helps to prevent prolonged bleeding. It belongs to a class of drugs known as antifibrinolytics
Muhammad
jj
John
In the body, vitamin K plays a major role in blood clotting. So it is used to reverse the effects of “blood thinning” medications when too much is given; to prevent clotting problems in newborns who don’t have enough vitamin K; and to treat bleeding caused by medications including salicylates, sulfo
Muhammad
Vitamin K plays a key role in helping the blood clot, preventing excessive bleeding. Unlike many other vitamins, vitamin K is not typically used as a dietary supplement. Vitamin K is actually a group of compounds. The most important of these compounds appears to be vitamin K1 and vitamin K2. Vitami
Muhammad
how much tha total vertebrea bone
Muhammad
26 vertebrea bone
Bhumi
wathe is blood function
dhena Reply
Blood, fluid that transports oxygen and nutrients to the cells and carries away carbon dioxide and other waste products. ... It is a tissue because it is a collection of similar specialized cells that serve particular functions. These cells are suspended in a liquid matrix (plasma), which makes the 
Ashiish
how tissue carries waste matrial
Nadeem
how many bone in human body?
Islam Reply
what is endocrin? plese help many people.
Islam
206
Nadeem
heart layers
Suresh
endoceime is the inner layer of heart
pandit
What is buffer?
Peer Reply
a buffer is a solution that resists a chemical change.
George
Yup it also balances the solutions
Peer
most common side effect reported by users emergency contraceptive pill
Shivvir Reply
spotting .breakbrough bleeding .weightgain.breast tenderness.mood alteration. headache
Ubah
How many systems are in the body?
Irvin Reply
11
AJ
names the systems pls
Joyce
name the systems pls
Joyce
integumentary system, lymphatic system, skeletal system, digestive system, cardiovascular system, reproductive system, respiratory system, urinary system, endocrine system
Irvin
approximately 11 system
Nadeem
what's the meaning of Acidphosphacidic
Tiwa Reply
most common source of phosphoric acid is an 85% aqueous solution; such solutions are colourless, odourless, and non-volatile. The 85% solution is a syrupy liquid, but still pourable. Although phosphoric aciddoes not meet the strict definition of a strongacid, the 85% solution is acidic 
Rose
What is osteoblast and what is osteoclast?
Irvin
osteoblast is the bone forming cells osteoclast is the bone dissolving cells
Juliet
Which of the following is most likely to be found evenly distributed in water in a homogeneous solution? a. sodium ions and chloride ions b. NaCl molecules c. salt crystals d. red blood cells
Ashley Reply
NaCl
Muhammad
b
Shivvir

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Source:  OpenStax, Anatomy & Physiology. OpenStax CNX. Feb 04, 2016 Download for free at http://legacy.cnx.org/content/col11496/1.8
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