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Parturition in the sheep.

Parturition in sheep is initiated by a sharp rise in the rate of secretion of cortisol by the fetal adrenal. Increased secretion is due partly to enhanced responsiveness to corticotropin (ACTH) and partly to increased fetal concentrations of corticotropin. Cortisol acts on placental enzymes active in the biosynthesis of oestrogens from progesterone. Thus placental secretion of oestrogen increases and that of progesterone decreases. This change in the ratio of oestrogen: progesterone, particularly the rise in oestrogen, stimulates release of prostaglandin F2alpha (PGF2alpha) from the maternal placenta and to a lesser extent from the myometrium. PGF2alpha enhances the myometrial response to oxytocin and, after a latent period, stimulates contractions. The onset of parturition is normally associated with softening of the cervix, the mechanism of which is uncertain. Uterine contractions in the presence of a distensible cervix lead to parturition.

Adrenocorticotropic Hormone↗

Proximity patterns of female western lowland gorillas (Gorilla gorilla gorilla) during the six months after parturition.

Studies of wild mountain gorillas have demonstrated strong preferences among new mothers for the silverback. Protection against infanticide has been theorized to be the primary cause for this attraction. We examined social partner preferences in captive western lowland mothers during the 6 mo after parturition and found that juveniles and females were the primary members of the new mothers' social network. Mothers spent significantly more time in close proximity with both of these subgroups than with the silverback. Proximity patterns changed over time: new mothers spent more time near females in the month after parturition than in the month prior to parturition, and spatial proximity increased again in months 2-6 postparturition. These findings differ from those reported for wild mountain gorillas, which may reflect the lack of infanticide risk in captivity. Given current hypotheses that infanticide may be a limited in western lowland gorillas, the social partner preferences observed here may be indicative of patterns in wild populations.

Animals↗

Parturition and pelvic changes.

A detailed analysis of the female bony pelvis in relation to parity status was made. A total of 198 complete pelves were inspected for five features considered to be associated with pregnancy and parturition. During final analysis two features were eliminated. Three remaining features - dorsal pubic pitting, pre-auricular grooves, and grooves located at the site of interosseous ligament insertion were found to be significantly related to partirution. Other findings of interest were: (1) pits and grooves acquired through pregnancy and parturition appear to become obliterated in old age, (2) the preauricular groove is the most sensitive indicator of pregnancy and parturition, (3) moderate-large pitting in the dorsal pubic region rarely occurs in nulliparous females, and (4) it is doubtful that more precise statements than "no children" and "one or more children" can be made on the basis of skeletal remains alone.

Aging↗

Role of the supraoptic nucleus in regulation of parturition and milk ejection revisited.

This review will focus on the activity of oxytocin neurons in the supraoptic nucleus (SON) and some factors that regulate their function during parturition and milk ejection in the rat. The level of oxytocin increases in the blood during parturition following a regression of the corpus luteum. The increase in oxytocin secretion is presumably a consequence of releasing the oxytocin neurons from restraining inhibitory influences of endogenous opioids-, nitric oxide-, and GABA-containing neurons following declining blood levels of progesterone on the one hand and increasing levels of estrogen on the other during late pregnancy. However, the principal stimulus for the increased oxytocin release is believed to originate, at least in part, from mechanical stimulation to the uterine cervix by fetuses near term, the resultant uterine contractile activity, and the fetal expulsion reflex. Hence, the contractile activity of the uterus acts through positive feedback mechanisms during parturition to stimulate oxytocin neurons as well, and this further increases the secretion of oxytocin. During suckling in lactating rats, somatosensory stimuli from the pups induce intermittent synchronized burst firing of oxytocin neurons, resulting in pulsatile increases in blood oxytocin concentrations to cause milk ejection. The oxytocin neurons appear to have an intrinsic capability to fire in a bursting fashion as determined by observation of this phenomenon in brain slice or tissue culture preparations. The release of oxytocin within the microenvironment of the SON and paraventricular nucleus coupled with morphological reorganization in these nuclei play important roles in the bursting activity of each oxytocin neuron and synchronization in vivo. However, the mechanism responsible for the synchronization of electrical activity in oxytocin neurons in the four discrete hypothalamic nuclei remains an interesting unanswered question.

Animals↗

Diapause, pregnancy, and parturition in Australian marsupials.

Marsupial pregnancy is characterised by a long lactation and a relatively short gestation. Marsupials have, in effect, exchanged the umbilical cord for the teat. However, gestation can be extended for up to 11 months by the imposition of a period of developmental arrest known as embryonic diapause. Diapause may be under either lactational or seasonal control, and in the kangaroos and wallabies these effects are mediated by prolactin and melatonin, respectively. At the other end of gestation, namely parturition, it appears that marsupials are fairly typical mammals and require all the same physiological and behavioural cues essential for the delivery of a viable young. Parturition depends on a synchronised cascade of hormonal events triggered by the fetus itself. Prostaglandin and prolactin concentrations pulse around the time of birth and progesterone falls. Successful parturition also depends on the adoption of the appropriate behaviour and birth posture by the mother. Despite the fact that the entire period of gestation is accomplished in such a short time, the neonate has perfectly adapted its growth and development to influence its mother's physiology to induce the change from nurturing the young in its uterus via a placenta, to a precise synchronisation of the birth process resulting in completion of its growth within the pouch sustained by a milk tailor-made for each developmental stage.

Animals↗

Changes in the LHRH-immunoreactivity of hypothalamic structures during late pregnancy and after parturition in the guinea pig.

LHRH-immunohistochemistry and radioimmunoassay of the gonadotropins were used to demonstrate changes in the LHRH content of the hypothalamus during late pregnancy and after parturition in the guinea pig. Immediately after parturition a decrease in the amount of LHRH-associated fluorescence was observed in the medial preoptic area. Only 12 h later similar changes were found in the median eminence. In the precommissural region no obvious changes were noted in the quantity of LHRH-immunoreactive "terminals" and "synapses". The radioimmunoassay of the gonadotropins shows an increase of LH shortly after parturition which reaches the level of a preovulatory rise, whereas the amount of FSH does not vary significantly. The role of the medial preoptic area and the OVLT in the regulation of the estrous cycle through LHRH is discussed.

Animals↗

[Relaxin and cervical dilatation during parturition (author's transl)].

Relaxin concentrations during pregnancy and parturition were measured in tissue specimens of the uterine cervix of 27 women in childbearing age. During pregnancy relaxin levels increase from 0.4 guinea pig unit (GPU) to 0.94 GPU/mg soluble tissue protein. Already during parturition (0.41 GPU) and immediately post partum (0.39 GPU) the hormone concentrations have dropped back to normal. It appears that the biochemical changes which occur in the connective tissue of the uterine cervix during pregnancy and parturition are influenced by relaxin. Experimental animals were taken to show if relaxin acts by activation of collagenolytic enzymes. In the mouse a rise in the activity of collagen-peptidase and of the inhibitor of collagen-peptidase in plasma was found after subcutaneous injections of relaxin. The addition of human cervical tissue extracts resulted in an increase of enzyme-activation (even higher than could be expected of the hormone concentrations of the individual extracts). The highest levels of the enzyme were found after injections of extracts from cervical tissue specimens of parturient women.

Animals↗

Crossbreeding in tropical sheep: incidence of dystocia and parturition losses.

Studies were carried out on the incidence of dystocia and parturition losses during a crossbreeding experiment involving 96 West African Dwarf (WAD) ewes mated with rams of 4 breeds--WAD, Ouda, Permer and Yankassa. Results obtained indicated 8 (5.7%) cases of dystocia and 20 (10.64%) cases of stillbirths or death of lambs at birth. The WAD sires were not associated with dystocia or stillbirths but other sire groups were involved in both. All the difficult parturitions occurred during the rainy season while all stillbirths not associated with dystocia occurred during the dry season. The sires used and the level of feeding the ewes during pregnancy may be associated with the dystocia cases and parturition losses recorded. Eighty per cent of the dystocias involved ram lambs. The mean gestation period of the ewes that lambed during the dry season was significantly (P < 0.01) longer than that of the rainy season group. Application of traction and Caesarean operation were used in the treatment of dystocia cases.

Animals↗

[The influence of umbilical cord structure on the course of pregnancy and parturition (author's transl)].

A series of 549 not selected placentas and umbilical cords were examined to show the influence of the different development of the umbilical cord structure on the umbilical cord perfusion and the course of parturition. For this purpose the quantity of Wharton's jelly, the spiraling of the umbilical vessels as well as the length of the cord are defined. At the same time anatomical pecularities and complications like umbilical cord torsions and true knots are considered. To judge the decisive condition of the newborn and with that the course of parturition, the pH-value of umbilical artery blood is determined. The analysis results that umbilical cords with much Wharton's jelly and with spiraling vessels are converted into an association with extremely better value than those with little jelly and less spiraling vessels. Short and rich jellied umbilical cords show a significantly lower incidence of loops around the fetal body. A similar trend can be demonstrated for umbilical cords with strong spiraling arteries. Rare phenomena like velamentous insertion, haematomas, edemas and true knots of the cords etc. proved to have no influence on the course of parturition in our relatively small examination series.

Female↗

Can magnetic resonance imaging predict the success of parturition in oxytocin-induced pregnant women?

The aim of this study was to assess whether magnetic resonance imaging could predict the outcome of attempted vaginal delivery in a group of pregnant women whose parturition had to be induced by oxytocin. The signal intensity and morphology alterations in the cervix of 21 full-term pregnant women were analyzed before the induction of parturition. T2-weighted gradient echo sequences were utilized and signal intensity in the cervix was measured from the anterior and posterior lips of the cervix. An index indicating the brightness range of the cervix was formulated to overcome the effects of the individual intensity changes. Imaging features including the signal intensity and the evidence of effacement were correlated with the actual type of delivery performed. Images were also assessed visually by two independent radiologists. Statistical analysis of brightness indexes that were considered to have a predictive value as an indicator for possible delivery was not significant. However, visually assessed signal intensity of the cervix correlated strongly with the type of delivery. Effacement itself was the most reliable parameter in predicting the progress of the delivery. In conclusion, MR imaging seems to be useful for predicting normal parturition in full-term pregnant women who need oxytocin induction. However, the presence of effacement seems to be a more reliable and practical parameter that will be preferred in that prediction.

Adult↗

The relationship between hormones and human parturition.

The objective of the present review was to give an overview of some hormonal fluctuations observed in the setting of human term and preterm parturition. Prolactin, cortisol, estrogen, progesterone, and some of their precursors such as dehydroepiandrosterone sulfate (DHEA-S) were reviewed. Statistically significant differences were found when comparing cortisol, 17 beta-estradiol, and DHEA-S concentrations at term parturition between women in labor and those not in labor. In preterm labor, higher concentrations of cortisol, 17 beta-estradiol, and DHEA-S were found at labor than in women who after successful treatment delivered at term. No significant changes were seen in prolactin concentrations between women in labor and those not in labor, but they were higher in patients with preterm labor when compared to term labor. Progesterone concentrations showed no difference in preterm labor and term labor. However, maternal progesterone/17 beta-estradiol ratios were significantly lower in women delivered prematurely than in those delivered at term. The changes in hormonal ratios may play a more important role than changes in their absolute concentrations. Based on these observations, it seems that preterm and term parturition are two different endocrinological processes.

Estrogens↗

Alterations in activity of enzyme catechol-O-methyltransferase in central and peripheral regions of the rat and rabbit during pregnancy, parturition, and the postpartum period.

Natural variations in the activity of the enzyme catechol-O-methyltransferase in central and peripheral regions of the rat and rabbit during pregnancy and parturition were observed. All of the organs of the rat showed a decrease in enzyme activity up to the twenty-first day of pregnancy. Rabbit tissues also demonstrated a decrease in catechol-O-methyltransferase activity during Days 24 to 30 after coitus. Increases in activity of the rat ovary, brain, and hypothalamus took place from during Day 21 after coitus to the onset of parturition. The enzyme activity in the rat hypothalamus reached its maximum level at four hours post partum from the Day 21 value, but the rabbit hypothalamus showed the maximum activity at 0 hour parturition. During post partum hours, rat brain catechol-O-methyltransferase activity was very high but the rabbit brain showed a very low level of activity. Rabbit uterine activity reached its minimum value at Day 31 after coitus, but at the comparable intervals the situation was inversed in the rat. Results show an important modification of monoamine degradation by 3-O-methylation during midgestation in the central and peripheral regions. These modifications may be attributed to the natural variations in endocrine activity taking place during pregnancy.

Adrenal Glands↗

Neutrophil attractant/activating peptide-1/interleukin-8 in term and preterm parturition.

The neutrophil is the leukocyte most frequently recruited into the amniotic fluid in cases of microbial invasion of the amniotic cavity. Neutrophil attractant/activating peptide-1/interleukin-8 is a newly identified cytokine that is capable of inducing selective neutrophil chemotaxis and activation. The purpose of this study was to examine the relationship between amniotic fluid concentrations of neutrophil attractant/activating peptide-1/interleukin-8, microbial invasion of the amniotic cavity, and parturition (term and preterm). Amniotic fluid neutrophil attractant/activating peptide-1/interleukin-8 was measured with an immunoassay validated for human amniotic fluid (sensitivity 0.3 ng/ml). Fluid was obtained from women in the following groups: midtrimester (n = 38), term not in labor (n = 38), term in active labor (n = 67), and preterm labor with intact membranes (n = 62). Fluid was cultured for aerobic and anaerobic bacterial and Mycoplasma. Sterile amniotic fluid from most women in the midtrimester of pregnancy and women at term not in labor did not contain immunoreactive neutrophil attractant/activating peptide-1/interleukin-8. Microbial invasion of the amniotic cavity was associated with increased concentrations of neutrophil attractant/activating peptide-1/interleukin-8. The amniotic fluid of women with preterm labor and sterile amniotic fluid who had preterm delivery contained higher neutrophil attractant/activating peptide-1/interleukin-8 levels than did the amniotic fluid of women who responded to tocolysis and had delivery at term. Term parturition is associated with increased concentrations of neutrophil attractant/activating peptide-1/interleukin-8 in the amniotic fluid. We conclude that neutrophil attractant/activating peptide-1/interleukin-8 is part of the host response to microbial invasion of the amniotic cavity and that increased amniotic fluid availability of this cytokine occurs in term and preterm parturition.

Adult↗

Effect of low-dose aspirin during pregnancy on fibrinolytic variables before and after parturition.

OBJECTIVE: We assessed the effects of a daily oral dose of 60 to 80 mg of aspirin from 12 weeks' gestation until delivery on fibrinolytic variables before and after parturition. STUDY DESIGN: In a prospective controlled study labor was electively induced in 24 patients, eight receiving low-dose aspirin and 16 controls. Levels were determined in maternal and cord plasma of tissue-type plasminogen activator antigen and activity, plasminogen activator inhibitor-1 antigen, plasminogen activator inhibitor activity, and plasminogen activator inhibitor-2 antigen. We also determined metabolites of vascular prostacyclin and platelet thromboxane A2. RESULTS: The only maternal fibrinolytic variable affected by low-dose aspirin was plasminogen activator inhibitor activity, which showed a significant reduction before and after parturition of 40% and 70%, respectively, in low-dose aspirin users compared with controls. Concentrations of thromboxane B2 in women using low-dose aspirin were 7% (maternal serum) and 17% (cord serum) of values in controls, but concentrations of 6-keto-prostaglandin F1 alpha were not affected. CONCLUSIONS: Low-dose aspirin reduces plasminogen activator inhibitor activity and platelet reactivity, but not prostacyclin synthesis, before and after parturition. The reduction in plasminogen activator inhibitor activity may be caused by inhibition of platelet reactivity.

6-Ketoprostaglandin F1 alpha↗

Sequential changes in plasma progesterone, total oestrogens and corticosteroids in the cow throughout pregnancy and around parturition.

Blood samples were taken thrice weekly for 2 weeks from 33 pregnant cows in nine groups, 1 month apart, and twice daily for 8 days commencing 1 week before parturition from eight cows. Plasma progesterone and total oestrogens were quantified by validated radioimmunoassays and total corticosteroids by a competitive protein binding technique. During the first 3 months of pregnancy, no remarkable changes were observed for the three hormones studied. From the fourth month on, concentrations of progesterone and total corticosteroids decreased significantly (P less than 0.05) and remained fairly constant until the ninth month. Values of total oestrogens increased significantly (P less than 0.05) from the fourth to the sixth month and thereafter remained unchanged. In the periparturient cows, progesterone levels decreased linearly (P less than 0.01) during the 3 days preceding delivery. Concentrations of total oestrogens rose sharply from day -5 and peaked at calving. Values of total corticosteroids increased dramatically on the sixth day and also at 24 hours before parturition. These results suggest that, contrary to earlier studies, plasma corticosteroids could have a primary key role for triggering parturition in cows.

Adrenal Cortex Hormones↗

Parturition influences initial pup preferences at later onset of maternal behavior in primiparous rats.

Initial maternal responsiveness as a function of varying pup stimuli was assessed in primiparous Long-Evans rats. Pups were removed during parturition and the dams tested beginning 24 hr later. These dams were most likely to respond maternally towards newborn (0-2-day-old) rat pups (100%) and 6-8-day-old hamsters, which are the size of newborn rats (83.3%). In contrast, dams were significantly less likely to respond maternally towards newborn hamsters (50%) and 8-10-day-old rats (16.7%), pups which are half as large and twice as large, respectively, as newborn rats; indeed, dams were likely to attack these pups (33.3% and 25%, respectively). The maternal response (less than or equal to 1 hr) to dead newborn rats was similar to that towards live newborn rats, except that fewer dams retrieved dead pups rapidly (less than or equal to 1 min). Cesarean-delivered dams did not display higher maternal responsiveness towards 0-2 than towards 8-10-day-old rats. Further, whereas no parturition-experienced dam displayed infanticide towards newborn rats, 21.9% of primiparous Cesarean-delivered dams did. Thus, the exogenous and/or endogenous stimuli associated with parturition enhance selective maternal responsiveness and diminish infanticide towards pups the size of newborn rats.

Aggression↗

Release of prostaglandin F, regression of corpora lutea and induction of premature parturition in goats treated with estradiol-17beta.

Premature parturition was induced in five pregnant goats infused intravenously with 4.65-8.4 mg estradiol-17beta but not in one treated with 5.85 mg estradiol-17alpha. A single intramuscular injection of 12 mg estradiol benzoate (8.8 mg estradiol-17beta equivalents) was also effective. These doses were estimated to provide plasma concentrations of estradiol-17beta in the physiological range for animals at sponteneous parturition. Circulating plasma concentrations of progesterone decreased and lactogenesis occurred before all instances of induced parturition but no such changes resulted from infusion of estradiol-17alpha. Placental delivery was normal in all animals but neonates of more than 10 days prematurity were non-viable.

Animals↗

The effects of a number of non-steroidal anti-inflammatory compounds on parturition in the rat.

A method was developed for assessing non-steroidal anti-inflammatory compounds for their potency in blocking parturition, and prolonging gestation, in the rat. This consisted of injecting compounds into groups of 10 to 13 rat dams twice daily from Day 18 through Day 22 of pregnancy, and comparing the treated dams with appropriate controls on Day 23. The rate of blocked parturition appeared to be positively related to dose of non-steroidal anti-inflammatory agent and, therefore, this model and end-point appeared to be useful for assessing different non-steroidal anti-inflammatory compounds for potency. Among the twenty-seven non-steroidal anti-inflammatory agents evaluated by this method were: ibuprofen, phenylbutazone, tolmetin, flufenamic acid, 2(p-biphenyl) acetic acid, mefenamic acid, aspirin, fenoprofen calcium, flumazole, ketoprofen, naproxen, isoxicam, indomethacin, 2(p-biphenyl) propionic acid, 2(2'-fluoro-4-biphenyl) propionic acid, flurbiprofen, sudoxicam and piroxicam. Piroxicam, sudoxicam, flurbiprofen, 2(p-biphenyl) propionic acid and 2(2'-fluoro-4-biphenyl) propionic acid showed the greatest potency. The relationship between structure and activity and between the blocking of parturition and the inhibition of prostaglandin synthesis are discussed.

Animals↗