The Foetal Circulation: 5Th Edition 2018

By Alan Gilchrist

It is in 3 parts, with generous illustrations throughout. The first part gives a brief account of the authors discovery of a foetal heart in 1965, which is followed by descriptions of his dissections of foetal lambs and the valuable information they give. The second part covers the authors comprehensive account of the human foetal circulation, which he divides into three sections: for the upper body, lower body and placenta. The structure and function of the lung are compared with those of the placenta. Details of the foramen ovale are given, and the importance of the 3rd heart sound made by the valve. In part 3 the author gives his own ideas of the birth changes. He insists that it is the foetus which is delivered, and that the baby is born after delivery when the first deep breath is taken, which changes the hidden foetal features into those of the baby. He has suggestions for the management of delay in the onset of breathing. He shows why there has been discord between the orthodox accounts and his own. He suggests research in the chick embryo, which has a circulation similar to that of the human foetus.

• Language: English
• Publisher: AuthorHouse UK
• Release date: Aug 10, 2018
• ISBN: 9781546296324

Alan Gilchrist

The author’s father was the manager of a biscuit factory in an industrial area of north west London. He had served in the Great War, and after the war his first wife died in the 1919 flu pandemic, leaving him with a young daughter. He remarried and had another four children, Alan being the second. With scant formal education themselves, he and his wife were able to off er all the children a good education, and to Alan a medical one as well. It was during a biology class in his first year in the medical school that the author first heard about two streams of blood in the same chamber of the heart. In 1956, ‘by a set of curious chances’ (The Mikado), the author found himself in the setting he had dreamt about when he was a little boy: practising medicine in rural Africa. This was in Nyasaland, part of the former Central African Federation of Rhodesia and Nyasaland. (Now Zambia, Zimbabwe and Malawi). In 1962 he was posted to Zomba as medical superintendent and met Pauline who had been born in the same hospital 21 years previously. The following year they were married, and immediately after the reception left for Fort Victoria in Rhodesia, where he had been offered the post of medical superintendent. Those were momentous times: bringing up a young family in a rapidly changing African environment and practising medicine in the midst of it. The story would make interesting reading, but the author has put it aside and only shown the details of his investigations of the foetal circulation in his little book.

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