Document Detail


Progesterone and estrogen are potential mediators of gastric slow-wave dysrhythmias in nausea of pregnancy.
MedLine Citation:
PMID:  8638718     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Women in pregnancy experience nausea, which correlates with gastric slow-wave rhythm disruption. Mediators of these dysrhythmias were explored. To quantitate slow-wave disruption, eight pregnant women with first-trimester nausea underwent electrogastrography after a 250-kcal meal. Results were compared with nonpregnant women with nausea during a prior pregnancy who received estradiol and/or progesterone to levels of the first trimester of pregnancy. Five pregnant women exhibited dysrhythmias, with increases in combined recording time in tachygastria plus bradygastria, as well as decreases in the percentage of electrogastrography signal power in the normal 3 cycle/min range (cpm), compared with nonpregnant women (P<0.05). Estradiol did not evoke dysrhythmias in nonpregnant women; however, progesterone induced increases in recording time in bradygastria plus tachygastria and increases in bradygastric signal power with corresponding decreases in signal power in the 3-cpm range (P<0.05). With estradiol and progesterone coadministration, an additive effect was observed at 3.3 +/- 0.8 h, with increased recording time in bradygastria alone and in bradygastria plus tachygastria with corresponding increases in bradygastric signal power and decreases in power in the 3-cpm range (P<0.05). In conclusion, women with nausea of pregnancy exhibit slow-wave rhythm disruption. Similar dysrhythmias are evoked in nonpregnant women by progesterone alone or in combination with estradiol in doses that reproduce levels in pregnancy. Thus gastric dysrhythmias in pregnancy may be due to a combination of elevated progesterone and estrogen levels.
Authors:
J W Walsh; W L Hasler; C E Nugent; C Owyang
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  The American journal of physiology     Volume:  270     ISSN:  0002-9513     ISO Abbreviation:  Am. J. Physiol.     Publication Date:  1996 Mar 
Date Detail:
Created Date:  1996-07-05     Completed Date:  1996-07-05     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  0370511     Medline TA:  Am J Physiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  G506-14     Citation Subset:  IM    
Affiliation:
Department of Internal Medicine, University of Michigan Medical Center, Ann Arbor 48109-0362, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Eating
Electrophysiology
Energy Intake
Estradiol / blood,  pharmacology,  physiology*
Female
Gastrointestinal Motility* / drug effects
Humans
Nausea / physiopathology*
Pregnancy
Pregnancy Complications / physiopathology*
Pregnancy Trimester, First
Progesterone / blood,  pharmacology,  physiology*
Reference Values
Grant Support
ID/Acronym/Agency:
M01-RR-00042/RR/NCRR NIH HHS; P30-DK-34933/DK/NIDDK NIH HHS; R01-DK-35783/DK/NIDDK NIH HHS
Chemical
Reg. No./Substance:
50-28-2/Estradiol; 57-83-0/Progesterone

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


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