The role of endogenous nitric oxide synthesis in contractility of term or preterm human myometrium.
OBJECTIVE: To assess in vitro the role of endogenous myometrial nitric oxide synthesis on human myometrial contraction. DESIGN: Strips of myometrium were mounted in a standard organ bath for assessment of isometric contraction and the response to modulators of nitric oxide synthesis determined. SETTING: A teaching hospital research laboratory. SAMPLE: Women undergoing elective nonlabour caesarean section under regional anaesthesia: 54 at term and seven preterm. RESULTS: Neither addition of L-arginine, the substrate for nitric oxide synthase, nor of an inhibitor of nitric oxide synthase led to any specific change in spontaneous myometrial contraction. CONCLUSION: Endogenous nitric oxide production does not play an important role in the control of human term of preterm nonlabouring uterine smooth muscle contractility.