PMID- 11390251 OWN - NLM STAT- MEDLINE DCOM- 20010719 LR - 20181130 IS - 1071-5576 (Print) IS - 1071-5576 (Linking) VI - 8 IP - 3 DP - 2001 May-Jun TI - Maternal plasma calcitonin gene-related peptide levels do not change during labor and are not influenced by delivery route. PG - 165-8 AB - OBJECTIVE: Calcitonin gene-related peptide (CGRP) circulates in maternal circulation throughout pregnancy, and specific receptors for CGRP (CGRPrs) are expressed by human myometrium. Because CGRP induces a dose-dependent relaxation of human myometrium, we examined a role for CGRP in modulation of myometrial smooth muscle contractility during pregnancy and labor. The aim of the present study was to evaluate the changes of maternal serum CGRP levels during parturition, according to the mode of delivery and in relation to cervical dilatation. METHODS: Circulating CGRP levels were measured in the following groups of healthy women: nonpregnant women, during the follicular phase of the menstrual cycle (n = 19); at term pregnancy (39-40 weeks; n = 24); after elective cesarean delivery (39-40 weeks; n = 20); and at spontaneous vaginal delivery (39-40 weeks; n = 16). In a subgroup of women, blood samples were collected longitudinally throughout labor at various cervical dilatations in the progress of labor (n = 8). RESULTS: Pregnant women at term not in labor had significantly higher CGRP levels than nonpregnant women (P =.021). No significant difference was found between women who delivered vaginally and those who had elective cesarean, and there were no correlations between CGRP plasma levels and cervical dilatation. CONCLUSIONS: Parturition is characterized by no significant changes in maternal serum CGRP levels, and no significant correlation exists between plasma CGRP levels and cervical dilatation during labor. FAU - Florio, P AU - Florio P AD - Department of Obstetrics and Gynecology, University of Siena, Siena, Italy. FAU - Margutti, A AU - Margutti A FAU - Apa, R AU - Apa R FAU - Miceli, F AU - Miceli F FAU - Pezzani, I AU - Pezzani I FAU - Degli Uberti, E C AU - Degli Uberti EC FAU - Petraglia, F AU - Petraglia F LA - eng PT - Journal Article PL - United States TA - J Soc Gynecol Investig JT - Journal of the Society for Gynecologic Investigation JID - 9433806 RN - JHB2QIZ69Z (Calcitonin Gene-Related Peptide) SB - IM MH - Adult MH - Calcitonin Gene-Related Peptide/*blood MH - Cesarean Section MH - Delivery, Obstetric/*methods MH - Female MH - Follicular Phase MH - Gestational Age MH - Humans MH - Labor Stage, First MH - Labor, Obstetric/*physiology MH - Pregnancy EDAT- 2001/06/08 10:00 MHDA- 2001/07/20 10:01 CRDT- 2001/06/08 10:00 PHST- 2001/06/08 10:00 [pubmed] PHST- 2001/07/20 10:01 [medline] PHST- 2001/06/08 10:00 [entrez] AID - S1071557601001034 [pii] PST - ppublish SO - J Soc Gynecol Investig. 2001 May-Jun;8(3):165-8.