Cyclic 3',5'-adenosine monophosphate in umbilical cord blood of the newborn infant: relation to fetal stress and plasma catecholamines.

Cyclic 3',5'-adenosine monophosphate (cyclic AMP) was analyzed in the venous blood of the mothers and in the umbilical vein and artery of the infant at birth. In general, higher cyclic AMP levels were found in the umbilical vein than in the artery which were similar to the maternal values. Asphyxia and vacuum extraction were associated with significantly higher cyclic AMP levels, while the concentration was lower after elective cesarean sections than after uncomplicated vertex deliveries. The cyclic AMP concentrations were inversely correlated to pH and directly related to the catecholamine concentrations. The origin and possible significance of cyclic AMP in umbilical cord plasma is discussed.