IMR Press / CEOG / Volume 40 / Issue 4 / pii/1630389124503-962015843

Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 47 Issue 1 (2020). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.

Original Research
Corticotropin-releasing hormone and progesterone plasma levels association with the onset and progression of labor
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1 Sixth Department of Obstetrics and Gynecology, Elena Venizelou Maternity Hospital, Athens
2 Second Department of Obstetrics and Gynecology, University of Athens Medical School, Aretaieion Hospital, Athens
3 Department of Obstetrics and Gynaecology, University Hospital of Heraklion, Heraklio, Crete (Greece)
Clin. Exp. Obstet. Gynecol. 2013, 40(4), 568–571;
Published: 10 December 2013
Abstract

Purpose of Investigation: To examine the relationship between maternal plasma progesterone along with corticotropin- releasing hormone (CRH) plasma levels and the progression of labor. Materials and Methods: Maternal serum CRH and progesterone were measured during the latent phase of labor, active labor, and 24 hours postpartum in women who went into spontaneous labor and delivered vaginally at term. Progesterone (P) levels in women delivered by an elective cesarean section at term were also measured as baseline. Results: Mean maternal plasma P was 18% higher in the active phase than in the latent phase of labor (p < 0.01), and declined significantly by 24 hours postpartum (p < 0.001). Mean level of serum CRH was 24% higher in the active phase than in the latent phase of labor (p < 0.01), and subsequently declined significantly by 24 hours postpartum (p < 0.001). Conclusions: As labor progresses, P and CRH increase and subsequently decrease precipitously in the immediate postpartal period. P levels tend to drop in women who are in early labor compared with non-laboring full-term women.
Keywords
CRH
Progesterone
Phases of labor
Term labor
Latent phase of labor
Active labor
Postpartum
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