THE CONCENTRATION OF PROSTAGLANDIN F2α IN MATERNAL PLASMA, FOETAL PLASMA AND AMNIOTIC FLUID DURING PREGNANCY IN WOMEN

Abstract

ABSTRACT The concentration of prostaglandin F2α has been determined in serial samples of peripheral venous plasma from women at defined times during labour, and studied in detail throughout two consecutive uterine contractions. In addition, the same compound has been measured in single samples of uterine venous plasma, cord venous plasma, and amniotic fluid in groups of patients during early and late pregnancy, labour and at delivery of the baby. The results from the analysis of peripheral venous plasma show that there is considerable individual variation in the concentration of prostaglandin F2α during labour (mean ± sd, 33.1 ± 11.6 pg/ml). However, it is not possible to establish a definite correlation with either the latent or accelerated phases or with the time of delivery. Furthermore, there is no apparent temporal relationship between the concentrations in peripheral venous plasma and the contractile state of the uterus as assessed by external tocography. In early pregnancy (16th to 20th week) the concentration of prostaglandin F2α (pg/ml, mean ± sd) in peripheral venous plasma is 26.3 ± 4.3 and in amniotic fluid 32.7 ± 26.5. At the 36th week to the start of labour the corresponding values are 27.1 ± 8.1 and 110.0 ± 73.8. At the same time the levels in cord plasma and uterine venous plasma are 100.4 ± 74.9 and 87.9 ± 55.0 respectively. During labour there is a significant increase (P < 0.005, Student's t-test) in the concentration in amniotic fluid (335.1 ± 171.0). The results are discussed in relation to the possible role of prostaglandin F2α in the process of parturition.