In mature newborn lambs the pulmonary arterial blood pressure falls, and the direction of blood flow through the ductus arteriosus is reversed soon after ventilation of the lungs. This is caused by the large increase in pulmonary vascular conductance which results from expansion of the lungs; indeed this increase in pulmonary vascular conductance is one of the principal factors on which the metamorphosis of the foetal into the adult circulation depends (Born, Dawes, Mott & Widdicombe, 1955). In a previous paper (Dawes, Mott, Widdicombe & Wyatt, 1953), it was noticed that when the lungs of two young lambs (111 and 121 days gestation; full term 147 days) were ventilated with oxygen, the arterial oxygen saturation fell to very low levels on tying the umbilical cord. It was suggested that this might be related to the failure of pulmonary blood flow to increase substantially on ventilation in premature lambs. The present paper describes the effect on the arterial oxygen saturation and on the lungs of ventilating lambs delivered by caesarian section, ranging in gestation age from 89 days upwards. Many of these lambs had twin siblings; the change in the pulmonary vascular bed on ventilation was also examined by perfusion of the isolated lungs of the twins.
METHODSClun-Hampshire or Suffolk ewes were delivered under Dial-urethane (5:5-diallylbarbituric acid 0-g, urethane 0-4 g/ml.) or sodium pentobarbitone anaesthesia as described previously (Dawes, Mott, Widdicombe & Wyatt, 1953). The systemic arterial blood pressure of the foetuses, of from 89 to 139 days gestation age, was measured by a condenser manometer (frequency response >150 c/s, including gauge-head and catheter) from the femoral artery. Heart rate was calculated from records of the pulse wave, displayed on an oscilloscope and photographed at intervals of 1-2 min throughout the experiment. Carotid arterial blood samples (0-5-1.0 ml.) were withdrawn into syringes for analysis of their oxygen content; they were mixed with a trace of heparin (20%) and sodium fluoride (4%), and placed in an ice-water mixture in a vacuum flask until estimated. In a few lambs the chest was opened up the midline in order to measure blood flow through the left pulmonary artery with a density flowmeter (Dawes, Mott & Vane, 1953) as described previously (Dawes, Mott, Widdicombe & Wyatt, 1953). In some other lambs the chest was opened to the left of the midline, with removal of one or more ribs in order to give access to the ductus arteriosus, whose external diameter was measured directly with a pair of calipers. Pulmonary arterial