Prostacyclin production increases during human parturition

O Ylikorkala, L Mäkäräinen… - BJOG: An International …, 1981 - Wiley Online Library
O Ylikorkala, L Mäkäräinen, L Viinikka
BJOG: An International Journal of Obstetrics & Gynaecology, 1981Wiley Online Library
The role of prostacyclin (PGI2) in human parturition was studied by measuring the
concentrations of its main metabolite, 6‐keto‐prostaglandin Flα, before, during and after
term labour in the plasma of 9 women and after delivery in umbilical artery and vein plasma.
The mean level of 6‐keto‐PGF1α rose significantly over the course of labour. The mean
level was 266 pg/ml before labour, 341 pg/ml in the presence of regular contraction, 387
pg/ml at a cervical dilatation of 5 cm, 386 pg/ml at delivery, and 397 pg/ml at the expulsion of …
Summary
The role of prostacyclin (PGI2) in human parturition was studied by measuring the concentrations of its main metabolite, 6‐keto‐prostaglandin F, before, during and after term labour in the plasma of 9 women and after delivery in umbilical artery and vein plasma. The mean level of 6‐keto‐PGF rose significantly over the course of labour. The mean level was 266 pg/ml before labour, 341 pg/ml in the presence of regular contraction, 387 pg/ml at a cervical dilatation of 5 cm, 386 pg/ml at delivery, and 397 pg/ml at the expulsion of the placenta. The 6‐keto‐PGF concentration dropped to below pre‐labour levels of 233 pg/ml within 2 hours of delivery, and this level was maintained for the first four postpartum days. The mean levels of 6‐keto‐PGF in the umbilical artery and vein plasma, 1667 and 1193 pg/ml respectively, were significantly higher than the maternal plasma levels, but there was no significant difference between the artery and vein levels. PGI2 is characterized by its antiaggregatory and vasodilating abilities, so that the rise in PGI2 during labour may play a role in the prevention of intrapartum thromboembolic complications in the maternal and the uteroplacental circulation.
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