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足月自然阴道分娩前及促肾上腺皮质激素诱导早产时胎儿和母体羊血浆绒毛膜生长催乳素浓度变化的比较。

Comparison of changes in ovine plasma chorionic somatomammotropin concentrations in the fetus and mother before spontaneous vaginal delivery at term and adrenocorticotropin-induced premature delivery.

作者信息

Lowe K C, Jansen C A, Gluckman P D, Nathanielsz P W

出版信息

Am J Obstet Gynecol. 1984 Nov 1;150(5 Pt 1):524-7. doi: 10.1016/s0002-9378(84)90432-0.

Abstract

Fetal and maternal plasma ovine chorionic somatomammotropin concentrations have been measured in eight pregnant ewes immediately prior to spontaneous vaginal delivery at 146 +/- 2 gestational days. In seven additional ewes, fetal and maternal plasma ovine chorionic somatomammotropin concentrations were measured immediately before and during induction of premature delivery by infusion of 1 microgram X hr-1 synthetic adrenocorticotropin (ACTH1-24) to the fetus commencing at either 120 to 122 gestational days (n = 3) or 130 to 132 gestational days (n = 4). Both fetal and maternal plasma ovine chorionic somatomammotropin concentrations fell significantly (p less than 0.05) in the 5 days before spontaneous term delivery; no change in the fetal to maternal ratio for plasma ovine chorionic somatomammotropin concentrations was observed. In contrast, the maternal plasma ovine chorionic somatomammotropin concentration rose (p less than 0.05) during infusion of ACTH1-24 to the fetus while the fetal concentration declined. During infusion of ACTH1-24 to the fetus the fetal to maternal ratio for plasma ovine chorionic somatomammotropin concentrations also fell. The finding that the parallel fall in ovine plasma ovine chorionic somatomammotropin concentrations in the fetus and mother in spontaneous term deliveries is not seen following ACTH-induced premature delivery suggests that mechanisms other than activation of the fetal adrenal axis induce the prepartum fall in ovine chorionic somatomammotropin secretion. These findings militate against a role for the fall in ovine chorionic somatomammotropin in the initiation of parturition.

摘要

在妊娠146±2天即将自然经阴道分娩前,对8只怀孕母羊的胎儿和母体血浆中羊绒毛膜生长催乳素浓度进行了测定。另外7只母羊,在妊娠120至122天(n = 3)或130至132天(n = 4)开始向胎儿输注1微克/小时的合成促肾上腺皮质激素(ACTH1-24)诱导早产之前及期间,测定了胎儿和母体血浆中羊绒毛膜生长催乳素浓度。在足月自然分娩前的5天里,胎儿和母体血浆中羊绒毛膜生长催乳素浓度均显著下降(p<0.05);未观察到血浆羊绒毛膜生长催乳素浓度的胎儿与母体比值有变化。相比之下,在向胎儿输注ACTH1-24期间,母体血浆中羊绒毛膜生长催乳素浓度升高(p<0.05),而胎儿浓度下降。在向胎儿输注ACTH1-24期间,血浆羊绒毛膜生长催乳素浓度的胎儿与母体比值也下降。在促肾上腺皮质激素诱导的早产之后,未观察到足月自然分娩时胎儿和母体羊血浆中羊绒毛膜生长催乳素浓度平行下降的现象,这一发现表明,除了胎儿肾上腺轴激活之外的其他机制可诱导产前羊绒毛膜生长催乳素分泌下降。这些发现不利于羊绒毛膜生长催乳素下降在分娩启动中的作用。

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