Document Detail


Mechanism of parturition and preterm labor.
MedLine Citation:
PMID:  11023206     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Preterm birth occurs in 5 to 10 percent of all pregnancies and accounts for 75 percent of neonatal mortality and morbidity, including long-term handicap. Thirty percent of preterm birth may be associated with an underlying infective process, and approximately 50 percent are idiopathic. Preterm birth corresponds to a syndrome with a variety of causes. The factors contributing to preterm birth may vary at different "windows" of gestation. Glucocorticoids seem to have a central role in processes of birth at term and preterm, and alter synthesis and/or activity of key enzymes in prostaglandin synthesis and metabolism as well as increasing corticotropin-releasing hormone output by intrauterine tissues. This new information should facilitate development of improved methods of diagnosis and therapy for patients at risk of preterm labor. TARGET AUDIENCE: Gynecologists and Family Physicians LEARNING OBJECTIVES: After completion of this article, the reader will be able to describe potential mechanisms of partition and preterm labor and to list the various substances that can inhibit and promote myometrial contractions.
Authors:
Challis JRG
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Obstetrical & gynecological survey     Volume:  55     ISSN:  0029-7828     ISO Abbreviation:  Obstet Gynecol Surv     Publication Date:  2000 Oct 
Date Detail:
Created Date:  2001-01-08     Completed Date:  2001-01-25     Revised Date:  2005-11-17    
Medline Journal Info:
Nlm Unique ID:  0401007     Medline TA:  Obstet Gynecol Surv     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  650-60     Citation Subset:  IM    
Affiliation:
Department of Physiology, University of Toronto, Samuel Lunenfeld Research Institute, Mount Sinai Hospital, Ontario, Canada. j.challis@utoronto.ca
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MeSH Terms
Descriptor/Qualifier:
Adult
Female
Glucocorticoids / adverse effects
Humans
Labor, Obstetric / physiology*
Myometrium / physiology
Obstetric Labor, Premature / etiology*,  physiopathology,  therapy
Pregnancy
Prostaglandins / pharmacology*
Risk Factors
Uterine Contraction / physiology*
Uterus / physiology*
Chemical
Reg. No./Substance:
0/Glucocorticoids; 0/Prostaglandins

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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