Key points
Older pregnant women have a greater risk of operative delivery, still birth and postâterm induction.This suggests that maternal age can influence the timing of birth and processes of parturition.We have found that increasing maternal age in C57BL/6J mice is associated with prolongation of gestation and length of labour.Older pregnant mice also had delayed progesterone withdrawal and impaired myometrial function.Uterine ageing and labour dysfunction should be investigated further in older primigravid women.
AbstractAdvanced maternal age (â„35Â years) is associated with increased rates of operative delivery, stillbirth and postâterm labour induction. The physiological causes remain uncertain, although impaired myometrial function has been implicated. To investigate the hypothesis that maternal age directly influences successful parturition, we assessed the timing of birth and fetal outcome in pregnant C57BL/6J mice at 3Â months (young) and 5Â months (intermediate) vs. 8Â months (older) of age using infrared video recording. Serum progesterone profiles, myometrium and cervix function, and mitochondrial electron transport chain complex enzymatic activities were also examined. Older pregnant mice had a longer mean gestation and labour duration (PÂ <Â 0.001), as well as reduced litter size (PÂ <Â 0.01) vs. 3âmonthâold mice. Older mice did not exhibit the same decline in serum progesterone concentrations as younger mice. Cervical tissues from older mice were more distensible than younger mice (PÂ <Â 0.05). Oxytocin receptor and connexinâ43 mRNA expression were reduced in the myometrium from 8âmonthâold vs. 3âmonthâold mice (PÂ <Â 0.05 and PÂ <Â 0.01 respectively) in tandem with more frequent but shorter duration spontaneous myometrial contractions (PÂ <Â 0.05) and an attenuated contractile response to oxytocin. Myometrial mitochondrial copy number was reduced in older mice, although there were no ageâinduced changes to the enzymatic activities of the mitochondrial electron transport chain complexes. In conclusion, 8âmonthâold mice provide a useful model of reproductive ageing. The present study has identified potential causes of labour dysfunction amenable to investigation in older primigravid women.