SummaryTime-corrected measurements of transplacental and transamniotic electrical potentials were made in potassium-deficient rats on the 20th day of gestation. These averaged 6.4 mV and 2.0 mV, respectively, in the deficient group as compared with 14.3 and 18.4, respectively, in the controls. The measured maternal potassium concentrations were 2.8 mEq/liter in the K+-restricted animals and 4.8 mEq/liter in the controls. These figures were substituted into the Nernst equation in order to predict fetal concentrations in plasma. Similar predictions were made for amniotic fluid assuming equilibrium with fetal plasma. Predicted concentrations in fetal plasma were 2.3 mEq/liter in the deficient animals and 2.8 mEq/liter in the controls. By contrast, observed time-corrected potassium concentrations in fetal plasma were 4.0 mEq/liter in deficient animals and 2.9 mEq/liter in controls. Amniotic fluid values were predicted to be 4.7 mEq/liter in deficient and 2.5 mEq/liter in control animals. These values were compared with the observed averages in amniotic fluid of 4.7 and 4.6 mEq/liter in the deficient and control groups, respectively.
SpeculationIn chronic maternal hypokalemia, fetal potassium concentrations are maintained at a high level by active transfer, although diffusion along an electrochemical gradient is adequate to account for fetal levels in controls. Amniotic fluid concentrations are normally maintained by active transfer, probably across the fetal kidney. In maternal hypokalemia, active transfer of potassium across the fetal kidney is unnecessary to maintain values which are essentially unchanged from those found in control amniotic fluid.In a previous report (7) a new method for the analysis of potassium concentrations in the plasma of late fetal rats was hresented. It was shown that potassium concentrations are lower in fetal than in maternal plasma and that these concentrations are in electrochemical equilibrium maintained by passive transfer.In order to predict fetal concentrations, the Nernst equation was rearranged and maternal plasma values (average 4.8 mEq/liter) and time-corrected transplacental potentials (14.3 mV, fetus positive) were substituted. It was found that the predicted value-differed insignificantly from the observed concentrations, making it likely that potassium transfer to the late fetal rat occurs largely by diffusional processes. On the other hand, it was found that amniotic fluid concentrations significantly exceeded predicted levels and it was suggested that potassium was actively transferred into the amniotic fluid, probably across the fetal kidney.The observed fetal concentrations presented were considerably lower than those of any previous study and it was suggested that these inconsistencies could be explained by artifactual elevations in potassium concentration in earlier work. Studies by Battaglia(1) as well as Maniey (9) demonstrated the considerable susceptibility of fetal plasma to hypoxia and anesthesia-induced shifts of intracellular solutes, and efforts were made in...