Endogenous opioids are released in great amounts in perinatal asphyxia. The
role of this release has been unclear. In a study of cerebral blood flow and oxygen metabolism
in 5 hypoxic newborn lambs, naloxone blocking of opioid receptors resulted in a proportional
increase in telencephalic cerebral blood flow and oxygen metabolism. It is suggested
that endogenous opioid release protects the neonatal brain in hypoxia by diminishing the
cerebral metabolic rate of oxygen.