Researchers at Oregon Health & Science University (OHSU) and the Oregon National Primate Research Center (ONPRC) have uncovered new protective properties of amniotic fluid, opening the door to potential advances in prenatal care and therapies for pregnancy-related complications.
Amniotic fluid, the vital substance that cushions and protects a developing fetus, has long been known to support organ development and regulate temperature in the womb. However, its full range of functions has remained a mystery, partly because it is difficult to study throughout pregnancy. Now, a multidisciplinary team led by Dr. Jamie Lo at ONPRC has taken a closer look at how amniotic fluid changes over time and how these changes may benefit both mother and baby.
The study, published in Research and Practice in Thrombosis and Haemostasis, found that adding amniotic fluid to plasma, the liquid part of blood, improves the blood’s ability to clot. This discovery points to a critical protective function during pregnancy and delivery, helping to reduce the risk of dangerous bleeding for both the birthing parent and the baby.
By analyzing amniotic fluid samples from both humans and nonhuman primates at different stages of pregnancy, the team identified key fatty acids and proteins that shift each trimester, enhancing the blood’s ability to coagulate. These findings suggest that the composition of amniotic fluid is tailored to meet the growing needs of the developing fetus and to support the health of the parent.
The research also highlights the potential for amniotic fluid components to be used in future therapies. The ONPRC team is now collaborating with other OHSU scientists to explore how these protective factors might help treat pregnancy disorders, especially those affecting blood and blood-forming organs. They are also working with OHSU’s Fetal Care Program to collect unique samples from pregnancies involving in-utero surgeries, hoping to identify elements that could improve outcomes for babies with conditions like spina bifida.
Dr. Brian Scottoline, co-senior author of the study, points out that babies born prematurely miss out on critical weeks of exposure to amniotic fluid. Understanding how amniotic fluid supports development could lead to new formulas or therapies for preterm infants, potentially mimicking the fluid’s benefits outside the womb.
The study was supported by the National Institutes of Health and other partners, and all animal research was conducted under strict ethical oversight by OHSU’s Institutional Animal Care and Use Committee.
