Intrauterine injection of 15(S)-15-methyl-prostaglandin F2alpha for termination of early pregnancy in out-patient.

15-me-PGF2alpha was administered as single intrauterine injection for interruption of very early pregnancy in 30 out-patients. After 2 weeks, abortion was complete in 60% induced with 125 or 200 mug and 80% induced with 300 mug. After 3 weeks, abortion was complete in 90% induced with 125 mug, in 70% induced with 200 mug and in 100% induced with 300 mug. One failure occurred in patients treated with 200 mug and 2 curettages were performed because of incompleteness of abortion. No serious complications occurred. Compared with our previous results it appears that 15-me-PGF2alpha is as effective as natural PGF2alpha in inducing abortions during very early pregnancy but causes somewhat fewer side-effects.     

Closure of the uterine lumen and the plasma membrane transformation do not require blastocyst implantation

Ultrastructural changes in the plasma membrane of uterine epithelial cells in the pseudopregnant rat were examined to determine if these changes resemble those found during normal pregnancy and also to examine if the well-known membrane alterations of early pregnancy are intrinsic to uterine epithelial cells. Changes in the surface contours of uterine epithelial cells from the afternoon of day 6 to the morning of day 9 of pseudopregnancy were similar to those present after attachment in normal pregnancy although somewhat delayed. The presence of short, irregular microvilli was seen from as early as day 7 of pseudopregnancy, with regular microvilli returning to the epithelial surface by days 8-9 of pseudopregnancy but to a slightly lesser extent as compared to normal pregnancy. Furthermore, observations made on the afternoon of day 6 to the morning of day 7 of pseudopregnancy showed that the uterine lumen was closed down and that complete membrane flattening between opposing uterine epithelial cells was seen all along the uterus in the absence of a blastocyst. These observations establish that the "plasma membrane transformation" does not depend on blastocyst implantation.     

Serum estradiol and progesterone during pregnancy and the status of the corpus luteum at delivery in cynomolgus monkeys (Macaca fascicularis).

Levels of estradiol and progesterone in peripheral serum of seven cynomolgus monkeys (Macaca fascicularis) were measured from about the 30th day of pregnancy until parturition. Although the pattern of each steroid in circulation differed somewhat from the respective patterns in rhesus monkeys (Macaca mulatta), there were basic similarities. On the day of delivery, the corpus luteum was excised and in vitro incubation of dispersed luteal cells was performed. Isolated luteal cells produced progesterone under control conditions and responded to the addition of HCG with enhanced steroidogenesis. Accordingly, "rejuvenation" of the corpus luteum may occur during advanced gestation in cynomolgus monkeys. These findings, along with establishing the efficacy of the Subhuman Primate Pregnancy Test kit to diagnose pregnancy in this macaque, extend previous evidence for utility of cynomolgus monkeys as a primate model for study of steroid hormones in pregnancy.     

Histological studies of influences of pregnancy and lactation on the adrenal cortex in mice

Summary Histological and histometric studies were made of the adrenal cortex of the mouse during pregnancy and lactation. In earlier pregnancy the cortex histologically shows almost no changes, except that the X zone disappears during this period of the first pregnancy. In later pregnancy and at parturition the fasciculata cells are less vacuolated in appearence and relatively large in size, and their nuclei are remarkably enlarged in volume. After parturition the histophysiological findings of the fasciculata cells are different between lactating and non-lactating mice. In lactating mice the fasciculata cells show a marked increase in vacuolation and a striking enlargement of the size. Their nuclei are also hypertrophie. In non-lactating mice, the fasciculata cells are almost the same both in vacuolation and in size as those of normal females, although their nuclei remain somewhat large in volume. These results are discussed particularly in relation to the thymic changes dealt with in a previous paper (Ito and Hoshino 1962): the histophysiological findings of the fasciculata would give an explanation for the thymic changes during pregnancy and lactation.     

动情周期、妊娠期与产后大鼠离体子宫的肾上腺素能效应

本文观察不同机能状态下133个大鼠子宫标本的自发活动,分析了不同机能状态下108个子宫标本的β受体效应与190个子宫标本的α受体效应。 大鼠离体子宫标本的自发收缩频率,在动情间期时明显高于自然动情期,妊娠期与产后的收缩频率介于动情间或与动情期之间。动情期的收缩张力明显高于动情间期,晚孕期的张力则最高。张力或张力频率乘积的数值与妊娠天数呈明显正相关。 整个妊娠期间子宫对异丙基肾上腺素的敏感性明显高于动情期、动情间期或产后,提示妊娠期间子宫中的β受体量可能有所增多。动情期对异丙基肾上腺素的敏感性似比动情间期稍高。 根据子宫对α受体激动剂与阻断剂的反应表明,动情间期的子宫中α受体可能很少,自然与诱发动情期的α受体可能较多,而妊娠期与产后的子宫α受体量可能介乎两者之间。     

An evaluation of the maternal natural killer cell population during the course of murine pregnancy

Earlier work from this laboratory revealed an increase in the level of null (Thy-1-, IgM-) lymphocytes in the maternal lymphoid organs during the first pregnancy in the mouse that was more pronounced during allogeneic pregnancy than during syngeneic pregnancy. In view of the suggestive evidence for the bone marrow origin of these null cells, the functional significance of the null cell rise was explored in this study by an examination of (1) splenic NK activity as measured by the 51Cr-release assay using YAC-1 lymphoma targets, (2) the incidence of NK lineage cells in the spleen as measured by the ability of splenic null lymphocytes to bind YAC-1 lymphoma targets, and (3) the possible presence of a NK target structure on placental trophoblast cells, studied with a cold target competition assay. Results revealed that the absolute levels of null lymphocytes, NK lineage cells, and NK activity in the spleen increased moderately and nearly at the same time during syngeneic pregnancy. During allogeneic pregnancy all three parameters increased more significantly, the rise in the levels of NK activity and NK lineage cells somewhat preceding the null cell rise, suggesting preferential recruitment of active NK cells within the null lymphocyte population of the spleen. Trophoblast cells appeared to share NK target structures with YAC-1 lymphoma cells, suggesting that a rise in the NK cell level in both pregnancy types may represent a response of the mother to such target structures. Since the density of such moieties was similar for homozygous and heterozygous trophoblasts, a higher NK cell response during allogeneic pregnancy is considered to result indirectly from an alloreactive response of the mother to the paternally encoded antigens on the fetoplacental unit, possibly from a stimulation of interferon producing cells such as macrophages. Nevertheless, such a response appears to be harmless for the allogeneic conceptus.     

A profound decrease in maternal arginine uptake provokes endothelial nitration in the pregnant rat

While a specific role for nitric oxide (NO) in inducing the hemodynamic alterations of pregnancy is somewhat controversial, it is widely accepted that excess NO is generated during pregnancy. L-Arginine is the sole precursor for NO biosynthesis. Among several transporters that mediate L-arginine uptake, cationic amino acid transporter-1 (CAT-1) acts as the specific arginine transporter for endothelial NO synthase. The present study was designed to test the hypothesis that, during pregnancy, when arginine consumption by the fetus is significantly increased, compensatory changes in maternal arginine uptake affect the endothelium. Uptake of radiolabeled arginine (L-[3H]arginine) by freshly harvested maternal aortic rings from pregnant rats decreased by 65 and 30% in mid- and late pregnancy, respectively, compared with those obtained from virgin animals. This decrease was associated with a significant increase in endothelial protein nitration (the footprint of peroxynitrite generation), as shown by both Western blotting and immunohistochemistry utilizing anti-nitrotyrosine antibodies, reflecting endothelial damage. Northern blot analysis revealed that steady-state aortic CAT-1 mRNA levels did not change throughout pregnancy, whereas CAT-1 protein abundance was significantly increased, peaking at mid-pregnancy. Protein content of protein kinase C (PKC)-alpha, which was previously shown to decrease CAT-1 activity, increased significantly in the pregnant animals and was associated with a significant increase in CAT-1 phosphorylation. Intraperitoneal injection of alpha-tocopherol, a PKC-alpha inhibitor, prevented the decrease in arginine transport and attenuated protein nitration. In conclusion, aortic arginine uptake is reduced during pregnancy, through posttranslational modulation of CAT-1 protein, presumably via upregulation of PKC-alpha. The aforementioned findings are associated with an increase in protein nitration and, therefore, in selected individuals, may lead to the development of certain forms of endothelial dysfunction, like preeclampsia.     

盐酸纳美芬用于腹腔镜下宫外孕手术麻醉复苏的临床观察

目的 ：本文旨在探讨盐酸纳美芬用于腹腔镜下宫外孕手术麻醉复苏的临床效果。方法：将50例ASAⅠ-Ⅱ级于腹腔镜下行宫外孕手术患者随机分为两组：盐酸纳美芬组（A组）和对照组（B组）。两组患者分别于手术缝皮结束时静脉注射盐酸纳美芬注射液0.25μg/kg和盐酸纳洛酮4μg/kg。观察并记录手术维持时间,术中输液量、术中输血量、失血量和尿量,术中麻醉用药消耗量。术毕停麻醉用药后自给目的药物起病人恢复自主呼吸时间、呼之睁眼时间、拔管时间、定向力恢复时间和离开手术室时间;同时观察病人离开手术室时的意识及躁动情况。结果：比较两组患者术后自主呼吸恢复时间、呼之睁眼时间、拔管时间、定向力恢复时间和离开手术室时间,纳美芬处理组患者麻醉复苏效果优于对照组（P〈0.05）。A组患者于离开手术室时的意识状态优于B组（P〈0.05）。结论：与纳洛酮相比,盐酸纳美芬用于腹腔镜下宫外孕手术麻醉后复苏临床效果良好且更加稳定,有利于患者麻醉复苏。     

The relationship between maternal characteristics, birth weight and pre-term delivery: evidence from Germany at the end of the 20th century

Using data from a sample of German women, this paper analyzes the relationship between maternal characteristics and infants' birth weight and pre-term delivery. Besides typical epidemiological factors that influence the weight of infants, such as the gestational age and maternal BMI at the beginning of the pregnancy, we find a West--East gradient. Within West Germany, there is a small North-South gradient in birth weight, with larger birth weights in the north. Better educated mothers give birth to heavier babies and have a somewhat decreased risk of pre-term delivery. Income plays a minor role, while occupational status is not associated with the weight of infants at all.     

Endothelial vasodilator production by uterine and systemic arteries. V. Effects of ovariectomy, the ovarian cycle, and pregnancy on prostacyclin synthase expression

Prostacyclin (PGI(2)) is a potent vasodilator, the level of which is increased during pregnancy, and is the main eicosanoid of which production is elevated in the endothelium and vascular smooth muscle (VSM) of both uterine and omental (systemic) arteries. We tested the hypothesis that during physiologic states that have high uterine blood flow, such as pregnancy and the follicular phase of the ovarian cycle (versus luteal phase and ovariectomized ewes), there is an increased level of prostacyclin synthase (PGIS) expression in ovine uterine and omental artery endothelium and VSM. To investigate this, the cellular localization and PGIS protein expression level in uterine and systemic arteries was examined by immunohistochemistry as well as by Western immunoblot analysis of endothelial-isolated protein and denuded vessels (VSM). Whole uterine, but not omental (systemic), arteries from the pregnant ewes showed an increase (P < 0.001) in PGIS expression. Further localization of PGIS protein by immunohistochemistry and quantification by Western analysis showed PGIS to be somewhat higher in the uterine artery VSM (69 +/- 7%) than endothelium (31 +/- 7%). PGIS protein levels in uterine and omental artery endothelial isolated protein were not altered by ovariectomy or the ovarian cycle, although they were both significantly elevated by pregnancy. Uterine and omental artery VSM PGIS expression levels also were not altered by ovariectomy or the ovarian cycle, whereas PGIS expression, in uterine but not omental artery VSM showed a significant elevation during pregnancy. Thus, the rise in PGI(2) production by uterine arteries observed in ovine pregnancy is paralleled by an elevation in PGIS expression in both endothelium and VSM, whereas those seen in omental arteries is associated with increases in endothelial PGIS.     

妊娠晚期合并急性胰腺炎患者的手术时机对妊娠结局的影响分析

目的:研究妊娠晚期合并急性胰腺炎(APIP)患者的手术时机对妊娠结局的影响。方法:回顾性分析我院2016年7月到2018年6月诊治的35例APIP患者的临床资料,依照不同手术时机分成急诊手术组19例及延期手术组16例。观察和比较两组患者的手术时间、住院时间、下床时间、妊娠结局及并发症的发生情况。结果:急诊手术组的手术时间、住院时间及下床时间均明显短于延期手术组(P0.05),产妇出现早产、剖宫产、死胎引产的不良结局发生率(15.79%)明显低于延期手术组(50.00%,P0.05),围产儿发生窒息、畸形、死亡的不良结局发生率(21.05%)显著低于延期手术组(62.50%,P0.05),产妇的术后并发症发生率(5.26%)明显低于延期手术组(31.25%,P0.05)。结论:对已确诊的妊娠晚期合并急性胰腺炎患者实施急诊手术能够显著降低妊娠晚期合并急性胰腺炎产妇及其围产儿发生不良结局的可能性,同时有效促进产妇的术后恢复并降低并发症发生率。     

The metabolism of oxytocin during lactation in the rabbit

1. It has been suggested that changes in the concentration of hypothalamic enzymes inactivating oxytocin might be taken as an index of hormone production (Hooper, 1966). The present work describes the changes in enzyme concentration shortly after parturition and during lactation. 2. Two groups of animals were used; one consisted of lactating animals from which litters had been removed shortly after parturition. 3. Two fractions obtained from homogenized hypothalamus contained enzyme activity. In animals which had been suckled for 3 days the enzyme activity in the supernatant fraction was three times as great as that observed during pregnancy. Between the third and fifth days the activity reverted to pregnancy levels, and remained fairly constant for as long as the animals were suckled. 4. In animals whose litters were removed shortly after birth, the enzyme activity reverted to pregnancy levels by about the third day post partum, and by the sixth day non-pregnancy levels were reached. 5. The enzymes of a particulate fraction behaved somewhat differently; 6 hr. after parturition the enzyme activity was similar to that found in pregnant animals and there was no detectable activity by the tenth day in suckled animals. In non-suckled animals the enzyme activity decreased more rapidly, and non-detectable levels were reached by the fourth day post partum.     

Pathogenesis of median facial clefts in mice treated with methotrexate

Methotrexate (MTX), administered as a single 20 mg/kg intraperitoneal dose to C57Bl/6J mice on their 9th day of pregnancy results in high incidences of median facial clefts in the surviving gestational-day-18 fetuses. We have shown the presence of dilated and congested blood vessels in the frontonasal prominences (FNP) of embryos from treated mothers as early as 3 hours following drug administration. Within 24 hours, large vascular blebs are located in the FNP and the neural tubes appear somewhat distended. By 32 hours after treatment, distention of the neural tube is marked while blebs have become less evident. Subsequent to these changes, FNP mesenchymal deficiency as well as neural tube distention lead to the formation of median facial clefts. It is hypothesized that, as with a number of other teratogenic agents (especially hypoxia), initial fluid imbalance is the primary teratogenic insult.     

The influence of fatness on the likelihood of early-winter pregnancy in muskoxen (Ovibos moschatus)

Among wild ruminants, muskoxen have an exceptional ability to fatten, but their pregnancy rates are variable and often low. To test whether the likelihood of pregnancy in muskoxen is associated with exceptionally good body condition, we used logistic regression analysis with data from 32 pregnant and 18 nonpregnant muskoxen > or = 1.5 yr of age shot in November (1989 to 1992) on Victoria Island in Arctic Canada. We assayed their serum for insulin-like growth factor-1 (IGF-1). All fatness and mass measures were positively related to the likelihood of pregnancy (P < 0.001), with the strongest associations for estimated total fat mass (80% of outcomes predicted correctly) and kidney fat mass (77%), and weaker models for body mass. Pregnancy was less likely to occur in lactating females than in nonlactating ones (P = 0.03). Although IGF-1 concentrations were higher (P = 0.001) in nonlactating females than in lactating ones (28.7 +/- 1.7 vs. 22.5 ng/ml), no association with pregnancy was detected (P = 0.57). Fatness associated with a 50% probability of pregnancy in muskoxen (22% of ingesta-free body mass or 32 kg fat in females > 3.5 yr old) is much higher than in caribou and somewhat higher than in cattle, and this may partly account for the low calving rates often observed in this species.     

The rat as an animal model for fetoplacental development: a reappraisal of the post-implantation period

Following implantation in rodents, the uterine stromal fibroblasts differentiate into densely packed decidual cells. This process, called decidualization, is well-orchestrated and progresses both antimesometrially and mesometrially, creating two regions with distinctive cellular morphologies. In addition, subsequent placental development is dependent on the invasion of the trophoblast, the process intimately linked to the endometrial tissue remodelling and depending largely on the environment created by the decidua; this phenomenon is crucial for the establishment and maintenance of pregnancy. The key mechanisms underlying the maternal tissue remodelling and trophoblast invasion remain poorly understood. The rat, just like human beings, exhibits a highly invasive type of placental development, the haemochorial placentation. For obvious ethical reasons, the studies of endometrial tissue remodelling throughout pregnancy in humans are greatly limited. Although the rat differs somewhat from humans with regards to the implantation process, it is an appropriate model for studying the mechanisms of decidualization as well as subsequent remodelling of the uterine tissues and fetoplacental development. As decidual remodelling is very closely linked to placentation and the maternal-fetal interactions in the rat show several important similarities to human placentation, the morphological alterations occurring during the post-implantation period in the rat have been addressed in the present review.     

妊娠期卵巢过度刺激综合征合并卵巢蒂扭转行腹腔镜下保留卵巢术的可行性及安全性研究

目的:研究妊娠期卵巢过度刺激综合征合并卵巢蒂扭转行腹腔镜下保留卵巢术的可行性及安全性。方法:对本院2010年1月-2017年12月妇科住院的9例妊娠期卵巢过度刺激综合征合并卵巢蒂扭转患者进行腹腔镜下保留卵巢术,观察其发病时间、卵巢扭转情况、手术时间、术中出血量、术后并发症及妊娠结局等。结果:9例患者术后均无明显并发症发生,术后随访9例患者妊娠结局均良好,其中,8例患者足月产,1例早产。结论:腹腔镜下妊娠期卵巢过度刺激综合征合并卵巢蒂扭转保留卵巢术对患者维持妊娠及生育功能的影响小、术后并发症低,是一种安全、可行性强的手术。     

Intrauterine injection of 15(S)-15-methyl-prostaglandin F2α for termination of early pregnancy in out-patient

15-me-PGF_2α was administered as single intrauterine injection for interruption of very early pregnancy in 30 out-patients. After 2 weeks, abortion was complete in 60 % induced with 125 or 200 μg and 80 % induced with 300 μg. After 3 weeks, abortion was complete in 90 % induced with 125 μg, in 70 % induced with 200 μg and in 100 % induced with 300 μg. One failure occurred in patients treated with 200 μg and 2 curettages were performed because of incompleteness of abortion. No serious complications occurred. Compared with our previous results it appears that 15-me-PGF_2α is as effective as natural PGF_2α in inducing abortions during very early pregnancy but causes somewhat fewer side-effects.     

Intrauterine injection of 15(S)-15-methyl-prostaglandin F2α for termination of early pregnancy in out-patient

15-me-PGF_2α was administered as single intrauterine injection for interruption of very early pregnancy in 30 out-patients. After 2 weeks, abortion was complete in 60 % induced with 125 or 200 μg and 80 % induced with 300 μg. After 3 weeks, abortion was complete in 90 % induced with 125 μg, in 70 % induced with 200 μg and in 100 % induced with 300 μg. One failure occurred in patients treated with 200 μg and 2 curettages were performed because of incompleteness of abortion. No serious complications occurred. Compared with our previous results it appears that 15-me-PFG_2α is as effective as natural PGF_2α in inducing abortions during very early pregnancy but causes somewhat fewer side-effects.     

Analysis of transfer of microinjected zygotes in production of transgenic mice

The data on transfer of mouse eggs microinjected with DNA during production of transgenic mice were analyzed. The transfer of mouse eggs into both oviducts did not lead to a reliably higher birth rate. It did not affect the frequency of recipients' pregnancy and, although somewhat increased the frequency of multiple birth, led, finally, to unjustified loss of the major part of viable DNA-injected eggs. We recommend transferring no less than 15 microinjected eggs only in one oviduct of each recipient. The transfer into another oviduct is acceptable if the transfer into the first oviduct failed or its outcome is doubtful.     

右侧输卵管同时合并左侧卵巢妊娠一例暨文献复习

目的:总结输卵管合并卵巢妊娠的诊治经验教训和治疗方法。方法:回顾性分析我院2010年11月9日入院右侧输卵管同时合并左侧卵巢妊娠患者临床资料,B超检查,急诊腹腔镜探查术并送病理组织检查。结果:行右侧输卵管切除术+左侧卵巢囊肿剥除术+粘连分解术后病检结果为:(右输卵管)腔内变性绒毛及滋养细胞,符合异位妊娠;(左卵巢囊肿)羊膜、绒毛及滋胚叶细胞,符合异位妊娠。术后3、6和8天患者血HCG浓度水平分别为19.61ng/ml、4.47ng/ml和1.84ng/ml,术后顺利恢复出院。结论:输卵管合并卵巢妊娠发生较为罕见,极易漏诊和误诊,及时行腹腔镜探查术是有效的诊治手段。