An unselected series of 291 pregnant women was followed during pregnancy. Maternal
serum was assayed for both hyaluraonidase activity and HPL. Urine was assayed for 24 h
oestrogen output. A retrospective examination of the results showed that hyaluronidase activity
did not provide as good an indication of fetoplacental well-being as did either HPL or pregnancy
oestrogen. There were differences, however, in the mean levels obtained in complicated pregnancy,
compared to the levels in normal pregnancy. Fetal death was associated with increased hyaluronidase
activity whereas fetoplacental dysfunction was associated with lower levels of hyaluronidase
activity.