2002
DOI: 10.1530/rep.0.1240001
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Prostaglandins and mechanisms of preterm birth

Abstract: Preterm birth (birth before week 37 of gestation) occurs in approximately 5-10% of all pregnancies. This value may be higher in certain population groups and has not decreased over the past 20-30 years. Although some preterm births may be elective, approximately 30% occur in association with an underlying infectious process, and about 50% are idiopathic preterm births of unknown cause. Preterm birth is associated with 70% of neonatal deaths, and up to 75% of neonatal morbidity. Infants born preterm have an inc… Show more

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Cited by 313 publications
(122 citation statements)
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“…PG plays a central role in the initiation and progression of labor through their transformation of quiescent uterine tissue into a state of active contractility (4). Studies in human uterine and placental tissues show that inflammatory cytokines, particularly TNF-␣ and IL-1, induce synthesis of PGE 2 and PGI 2 in myometrial cells, amnion cells, and placental trophoblast cells through induction of PG H synthase-2 (4).…”
Section: Discussionmentioning
confidence: 99%
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“…PG plays a central role in the initiation and progression of labor through their transformation of quiescent uterine tissue into a state of active contractility (4). Studies in human uterine and placental tissues show that inflammatory cytokines, particularly TNF-␣ and IL-1, induce synthesis of PGE 2 and PGI 2 in myometrial cells, amnion cells, and placental trophoblast cells through induction of PG H synthase-2 (4).…”
Section: Discussionmentioning
confidence: 99%
“…Ascending intrauterine colonization, originating as bacterial vaginosis and progressing to infection of the choriodecidua, the fetal membranes, amniotic cavity, and ultimately, the fetus, activates an inflammatory cascade that culminates in preterm birth. Related molecular pathways activated by immunological dysfunction or other stressors likely account for preterm delivery in the 70% of cases where no infectious agent can be identified (4,5). Spontaneous preterm labor is the predominant cause of infant morbidity and mortality and is frequently associated with fetal growth restriction and serious developmental disorders that have lifelong consequences for the child (4,6).…”
mentioning
confidence: 99%
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“…The role of AEA at the time of labour is currently unknown, but it may be acting as a reservoir for arachidonic acid, a precursor of prostaglandins, an increase in which is observed in the uterus during labour [26].…”
Section: Comparison Of Plasmamentioning
confidence: 99%
“…In some species the fetus clearly plays an important role in the timing of parturition. Specifically, in the pregnant ewe, activation of the fetal hypothalamic -pituitary-adrenal (HPA) axis is critical for the normal onset of labor (McDonald & Nathanielsz 1991, Jacobs et al 1994, Challis et al 2002, Lopez Bernal 2003. Although in humans, activation of the fetal HPA axis does not control the timing of parturition, it appears to play a supportive role in the timing of labor (Lopez Bernal 2003).…”
Section: Introductionmentioning
confidence: 99%