“…Placentophagia (ingestion of afterbirth material) occurs in most nonhuman and non-aquatic mammalian species at parturition (Kristal, 1980(Kristal, , 1991(Kristal, , 1998. Ingestion of placenta or amniotic fluid modulates opioid-mediated events: (a) it enhances opioid-induced hypoalgesia (Kristal et al, 1985(Kristal et al, , 1986a(Kristal et al, , 1986b whether the pain relief is produced by endogenous (Kristal et al, 1990a(Kristal et al, , 1990b(Kristal et al, , 1986a(Kristal et al, , 1986b or exogenous opioids (Kristal et al, 1985(Kristal et al, , 1986a(Kristal et al, , 1986b, (b) it does not affect nonopioid-induced hypoalgesia (Kristal et al, 1990a(Kristal et al, , 1990bRobinson-Vanderwerf et al, 1997), and (c) it does not produce hypoalgesia by itself (without the existence of an underlying opioid hypoalgesia) (Kristal, 1991(Kristal, , 1998. Furthermore, ingestion of placenta enhances δ-and κ-opioid-receptor-mediated hypoalgesia and attenuates μ-opioid-receptor-mediated hypoalgesia (DiPirro and Kristal, 2004), which is consistent with Gintzler's research (Gintzler, 1980;Gintzler and Liu, 2001) showing that the spinal mechanisms of periparturitional hypoalgesia (pregnancy-mediated analgesia) are mediated by δ-and κ-opioid receptors, but not by μ-opioid receptors (Gintzler and Liu, 2001).…”