Author:
Giri Tusar,Jiang Jia,Xu Zhiqiang,McCarthy Ronald,Halabi Carmen M.,Tycksen Eric,Cahill Alison G.,England Sarah K.,Palanisamy Arvind
Abstract
AbstractDespite the widespread use of oxytocin for induction of labor, mechanistic insights into fetal/neonatal wellbeing are lacking because of the absence of an animal model that recapitulates modern obstetric practice. Here, we create and validate a hi-fidelity pregnant rat model that mirrors labor induction with oxytocin in laboring women. The model consists of an implantable preprogrammed microprocessor-controlled infusion pump that delivers a gradually escalating dose of intravenous oxytocin to induce birth at term gestation. We validated the model with molecular biological experiments on the uterine myometrium and telemetry-supported assessment of changes in intrauterine pressure. Finally, we applied this model to test the hypothesis that labor induction with oxytocin would be associated with oxidative stress in the newborn brain. Analysis of biomarkers of oxidative stress and changes in the expression of associated genes were no different between oxytocin-exposed and saline-treated pups, suggesting that oxytocin-induced labor was not associated with oxidative stress in the developing brain. Collectively, we provide a viable and realistic animal model for labor induction and augmentation with oxytocin that would enable new lines of investigation related to the impact of perinatal oxytocin exposure on the mother-infant dyad.
Funder
Office of Extramural Research, National Institutes of Health
Publisher
Springer Science and Business Media LLC
Reference72 articles.
1. Obstetrics, A. C. o. P. B.-.-. ACOG Practice Bulletin No. 107: Induction of labor. Obstet Gynecol 114, 386–397, doi:https://doi.org/10.1097/AOG.0b013e3181b48ef5 (2009).
2. Osterman, M. J. & Martin, J. A. Recent declines in induction of labor by gestational age. NCHS Data Brief, 1–8 (2014).
3. Martin, J. A., Hamilton, B. E., Osterman, M. J. K., Driscoll, A. K. & Drake, P. Births: final data for 2016. Natl Vital Stat Rep 67, 1–55 (2018).
4. Zhang, J. et al. Oxytocin regimen for labor augmentation, labor progression, and perinatal outcomes. Obstet Gynecol 118, 249–256. https://doi.org/10.1097/AOG.0b013e3182220192 (2011).
5. Kernberg, A. & Caughey, A. B. Augmentation of labor: a review of oxytocin augmentation and active management of labor. Obstet Gynecol Clin North Am 44, 593–600. https://doi.org/10.1016/j.ogc.2017.08.012 (2017).
Cited by
8 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献