Maternal serum progesterone, estradiol and estriol levels in successful dinoprostone-induced labor
Hormone-mediated quiescence involves the maintenance of a decreased inflammatory responsiveness. However, no study has investigated whether labor induction with prostanoids is associated with changes in the levels of maternal serum hormones. The objective of this study was to determin...
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| Format: | Article |
| Language: | English |
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Associação Brasileira de Divulgação Científica
2013-01-01
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| Series: | Brazilian Journal of Medical and Biological Research |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-879X2013000100091&lng=en&tlng=en |
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| author | C.K. Konopka E.N. Morais D. Naidon A.M. Pereira M.A. Rubin J.F. Oliveira C.F. Mello |
| author_facet | C.K. Konopka E.N. Morais D. Naidon A.M. Pereira M.A. Rubin J.F. Oliveira C.F. Mello |
| author_sort | C.K. Konopka |
| collection | DOAJ |
| description | Hormone-mediated quiescence involves the maintenance of a decreased inflammatory responsiveness. However, no study has investigated whether labor induction with prostanoids is associated with changes in the levels of maternal serum hormones. The objective of this study was to determine whether labor induction with dinoprostone is associated with changes in maternal serum progesterone, estradiol, and estriol levels. Blood samples were obtained from 81 pregnant women at term. Sixteen patients had vaginal birth after spontaneous labor, 12 required cesarean section after spontaneous labor and 16 underwent elective cesarean. Thirty-seven patients had labor induction with dinoprostone. Eligible patients received a vaginal insert of dinoprostone (10 mg) and were followed until delivery. Serum progesterone (P4), estradiol (E2) and estriol (E3) levels and changes in P4/E2, P4/E3 and E3/E2 ratios were monitored from admission to immediately before birth, and the association of these measures with the resulting clinical classification outcome (route of delivery and induction responsiveness) was assessed. Progesterone levels decreased from admission to birth in patients who underwent successful labor induction with dinoprostone [vaginal and cesarean birth after induced labor: 23% (P < 0.001) and 18% (P < 0.025) decrease, respectively], but not in those whose induction failed (6.4% decrease, P > 0.05). Estriol and estradiol levels, P4/E2, P4/E3 and E3/E2 ratios did not differ between groups. Successful dinoprostone-induced labor was associated with reduced maternal progesterone levels from induction to birth. While a causal relationship between progesterone decrease and effective dinoprostone-induced labor cannot be established, it is tempting to propose that dinoprostone may contribute to progesterone withdrawal and favor labor induction in humans. |
| first_indexed | 2024-04-14T05:31:33Z |
| format | Article |
| id | doaj.art-f2ac557fd2284facb497e0fdba275119 |
| institution | Directory Open Access Journal |
| issn | 1414-431X |
| language | English |
| last_indexed | 2024-04-14T05:31:33Z |
| publishDate | 2013-01-01 |
| publisher | Associação Brasileira de Divulgação Científica |
| record_format | Article |
| series | Brazilian Journal of Medical and Biological Research |
| spelling | doaj.art-f2ac557fd2284facb497e0fdba2751192022-12-22T02:09:47ZengAssociação Brasileira de Divulgação CientíficaBrazilian Journal of Medical and Biological Research1414-431X2013-01-01461919710.1590/1414-431X20122453S0100-879X2013000100091Maternal serum progesterone, estradiol and estriol levels in successful dinoprostone-induced laborC.K. KonopkaE.N. MoraisD. NaidonA.M. PereiraM.A. RubinJ.F. OliveiraC.F. MelloHormone-mediated quiescence involves the maintenance of a decreased inflammatory responsiveness. However, no study has investigated whether labor induction with prostanoids is associated with changes in the levels of maternal serum hormones. The objective of this study was to determine whether labor induction with dinoprostone is associated with changes in maternal serum progesterone, estradiol, and estriol levels. Blood samples were obtained from 81 pregnant women at term. Sixteen patients had vaginal birth after spontaneous labor, 12 required cesarean section after spontaneous labor and 16 underwent elective cesarean. Thirty-seven patients had labor induction with dinoprostone. Eligible patients received a vaginal insert of dinoprostone (10 mg) and were followed until delivery. Serum progesterone (P4), estradiol (E2) and estriol (E3) levels and changes in P4/E2, P4/E3 and E3/E2 ratios were monitored from admission to immediately before birth, and the association of these measures with the resulting clinical classification outcome (route of delivery and induction responsiveness) was assessed. Progesterone levels decreased from admission to birth in patients who underwent successful labor induction with dinoprostone [vaginal and cesarean birth after induced labor: 23% (P < 0.001) and 18% (P < 0.025) decrease, respectively], but not in those whose induction failed (6.4% decrease, P > 0.05). Estriol and estradiol levels, P4/E2, P4/E3 and E3/E2 ratios did not differ between groups. Successful dinoprostone-induced labor was associated with reduced maternal progesterone levels from induction to birth. While a causal relationship between progesterone decrease and effective dinoprostone-induced labor cannot be established, it is tempting to propose that dinoprostone may contribute to progesterone withdrawal and favor labor induction in humans.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-879X2013000100091&lng=en&tlng=enLabor inductionDinoprostone, PGE2ProgesteroneEstriolEstradiol |
| spellingShingle | C.K. Konopka E.N. Morais D. Naidon A.M. Pereira M.A. Rubin J.F. Oliveira C.F. Mello Maternal serum progesterone, estradiol and estriol levels in successful dinoprostone-induced labor Brazilian Journal of Medical and Biological Research Labor induction Dinoprostone, PGE2 Progesterone Estriol Estradiol |
| title | Maternal serum progesterone, estradiol and estriol levels in successful dinoprostone-induced labor |
| title_full | Maternal serum progesterone, estradiol and estriol levels in successful dinoprostone-induced labor |
| title_fullStr | Maternal serum progesterone, estradiol and estriol levels in successful dinoprostone-induced labor |
| title_full_unstemmed | Maternal serum progesterone, estradiol and estriol levels in successful dinoprostone-induced labor |
| title_short | Maternal serum progesterone, estradiol and estriol levels in successful dinoprostone-induced labor |
| title_sort | maternal serum progesterone estradiol and estriol levels in successful dinoprostone induced labor |
| topic | Labor induction Dinoprostone, PGE2 Progesterone Estriol Estradiol |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-879X2013000100091&lng=en&tlng=en |
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