Method for monitoring plasma progesterone concentrations in pregnancy.

1976 ◽  
Vol 22 (4) ◽  
pp. 422-428 ◽  
Author(s):  
P Winkel ◽  
P Gaede ◽  
J Lyngbye

Abstract We present a time-series model for monitoring concentrations in plasma of hormones produced in the placenta, progesterone being chosen as an example. The model, which is based on the assumption that variations in plasma progesterone concentration in pregnant subjects mainly reflect variations in the growth rate of the placenta, was applied to eight series of progesterone values measured during pregnancy in eight subjects. In the model, which was found to fit the data, it is assumed that progesterone concentration is proportional to the size of the placenta and that the growth rate of the placenta varies at random, with a mean value alpha. The variation of alpha was of the same magnitude among and within the subjects. If the average of many subjects alpha values is used, a single subject may be used as her own reference, based on only one previous observation. When two observations are available, an individual's own alpha value may be estimated and used for the prediction. The predictive power of the new method was found to be far superior to the conventional method in which a single sample reference material is used. Furthermore, one need not know the gestational age in order to use the method.

1999 ◽  
Vol 69 (1) ◽  
pp. 93-103 ◽  
Author(s):  
N. D. Cameron ◽  
J. C. Kerr ◽  
G. B. Garth ◽  
R. L. Sloan

AbstractAges at first behavioural oestrus and at elevated plasma progesterone concentration were measured in three selection groups, after seven generations of divergent selection for lean growth rate (LGA), lean food conversion (LFC) and daily food intake (DFI) in a population of Large White pigs. First physiological oestrus was defined to have occurred when a blood plasma progesterone concentration of at least 1 μg/l was detected from weekly sampling of gilts. The study consisted of 146 gilts, which were given 0·75 , 0·81 , 0·88 , 0·94 or 1·0 g/g of daily ad-libitum food intake during performance test and then 1.9, 2.05, 2.2, 2.35 or 2.5 kg/day, respectively, until conception, to determine if there were differences between selection lines in their sensitivity to changes in nutritional inputs.Responses in oestrus and performance test traits were dependent on selection group. First physiological oestrus was later with selection for high LFC than for low LFC (234 v. 215, s.e.d. 9.1 days) but there was no significant response within each of the LG A (224 v. 226 days) and DFI (218 v. 206 days) selection groups. The probability of exhibiting oestrous behaviour signs at first physiological oestrus was significantly lower in the high LG A line (0·62 v. 0·93 or 0·5 v. 2.5, s.e.d. 0·75 on the logit scale) than in the low line but there were no responses in the LFC and DFI groups. For animals exhibiting oestrous behaviour signs at first physiological oestrus, there were no significant responses in oestrous behaviour score for the three selection groups. Live weight at first physiological oestrus in the LFC and LG A selection groups was greater in the high lines than in the low lines (120 v. 109 and 123 v. 112, s.e.d. 4.3 kg) but not in the DFI selection group (116 v. 111 kg). Responses in ultrasonic backfat (-7.3, -8.2 and 5.0, s.e.d. 1.5 mm) and muscle depth (4.9, 6.1 and -3.5, s.e.d. 1.4 mm) at first physiological oestrus were of similar magnitude in the LGA, LFC and DFI selection groups.Increasing the ration (amount of food offered) did not have a linear effect on performance test traits and reproductive development, such that ration had to be included in the model as a fixed effect, rather than a covariate. There was no significant effect of ration or of selection line with ration interaction for traits associated with first oestrus.Selection for lean growth rate had no adverse effect on reproductive development, unlike selection for lean food conversion. Detection of first oestrus with oestrous behaviour signs combined with physiological assessment may be required in genotypes selected exclusively for lean growth rate, rather than relying only on observed behavioural signs of oestrus.Ages at first behavioural oestrus and at elevated plasma progesterone concentration were measured in three selection groups, after seven generations of divergent selection for lean growth rate (LGA), lean food conversion (LFC) and daily food intake (DFI) in a population of Large White pigs. First physiological oestrus was defined to have occurred when a blood plasma progesterone concentration of at least 1 μg/l was detected from weekly sampling of gilts. The study consisted of 146 gilts, which were given 0·75 , 0·81 , 0·88 , 0·94 or 1·0 g/g of daily ad-libitum food intake during performance test and then 1.9, 2.05, 2.2, 2.35 or 2.5 kg/day, respectively, until conception, to determine if there were differences between selection lines in their sensitivity to changes in nutritional inputs.Responses in oestrus and performance test traits were dependent on selection group. First physiological oestrus was later with selection for high LFC than for low LFC (234 v. 215, s.e.d. 9.1 days) but there was no significant response within each of the LG A (224 v. 226 days) and DFI (218 v. 206 days) selection groups. The probability of exhibiting oestrous behaviour signs at first physiological oestrus was significantly lower in the high LG A line (0·62 v. 0·93 or 0·5 v. 2.5, s.e.d. 0·75 on the logit scale) than in the low line but there were no responses in the LFC and DFI groups. For animals exhibiting oestrous behaviour signs at first physiological oestrus, there were no significant responses in oestrous behaviour score for the three selection groups. Live weight at first physiological oestrus in the LFC and LG A selection groups was greater in the high lines than in the low lines (120 v. 109 and 123 v. 112, s.e.d. 4.3 kg) but not in the DFI selection group (116 v. 111 kg). Responses in ultrasonic backfat (-7.3, -8.2 and 5.0, s.e.d. 1.5 mm) and muscle depth (4.9, 6.1 and -3.5, s.e.d. 1.4 mm) at first physiological oestrus were of similar magnitude in the LGA, LFC and DFI selection groups. Increasing the ration (amount of food offered) did not have a linear effect on performance test traits and reproductive development, such that ration had to be included in the model as a fixed effect, rather than a covariate. There was no significant effect of ration or of selection line with ration interaction for traits associated with first oestrus. Selection for lean growth rate had no adverse effect on reproductive development, unlike selection for lean food conversion. Detection of first oestrus with oestrous behaviour signs combined with physiological assessment may be required in genotypes selected exclusively for lean growth rate, rather than relying only on observed behavioural signs of oestrus.


1967 ◽  
Vol 55 (1) ◽  
pp. 91-96 ◽  
Author(s):  
Benno Runnebaum ◽  
Josef Zander

ABSTRACT Progesterone was determined and identified in human peripheral blood during the preovulatory period of the menstrual cycle, by combined isotope derivative and recrystallization analysis. The mean concentration of progesterone in 1.095 ml of plasma obtained 9 days before ovulation was 0.084 μg/100 ml. However, the mean concentration of progesterone in 1.122 ml of plasma obtained 4 days before ovulation was 0.279 μg/100 ml. These data demonstrate a source of progesterone secretion other than the corpus luteum. The higher plasma-progesterone concentration 4 days before ovulation may indicate progesterone secretion of the ripening Graafian follicle of the ovary.


Reproduction ◽  
1969 ◽  
Vol 18 (3) ◽  
pp. 546-548 ◽  
Author(s):  
R. Heap

Animals ◽  
2021 ◽  
Vol 11 (2) ◽  
pp. 454
Author(s):  
Jaime Palomino ◽  
Javiera Flores ◽  
Georges Ramirez ◽  
Victor H. Parraguez ◽  
Monica De los Reyes

The gene expression in the canine oviduct, where oocyte maturation, fertilization, and early embryonic development occur, is still elusive. This study determined the oviductal expression of (PR), cyclooxygenase-2 (COX-2), growth differentiation factor 9 (GDF-9), and bone morphogenetic protein 15 (BMP-15) during the canine oestrous cycle. Samples were collected from bitches at anoestrus (9), proestrus (7), oestrus (8), and dioestrus (11), after routine ovariohysterectomy and the ovarian surface structures and plasma progesterone concentration evaluated the physiological status of each donor. The oviductal cells were isolated and pooled. Total RNA was isolated, and gene expression was assessed by qPCR followed by analysis using the t-test and ANOVA. The PR mRNA increased (P < 0.05) from the anoestrus to dioestrus with the plasma progesterone concentration (r = 0.8). COX-2 mRNA expression was low in the anoestrus and proestrus, and negligible in the oestrus, while it was around 10-fold higher (P < 0.05) in the dioestrus. The GDF-9 mRNA was expressed during all phases of the oestrous cycle and was most abundant (P < 0.05) during oestrus phase. The BMP-15 mRNA decreased (P < 0.05) in the anoestrus and proestrus phases. Thus, the transcripts were differentially expressed in a stage-dependent manner, suggesting the importance of oestrous cycle regulation for successful reproduction in dogs.


2021 ◽  
pp. 141-146
Author(s):  
Reda Youssef ◽  
Gamal Sayed Ahmed ◽  
Samir Alhyassat ◽  
Sanaa Badr ◽  
Ahmed Sabry ◽  
...  

Dysgerminoma is an uncommon malignant tumor arising from the germ cells of the ovary. Its association with pregnancy is extremely rare, with a reported incidence of about 0.2–1 per 100,000 pregnancies. Women in the reproductive age group are more commonly affected. It can be extremely rare to conceive naturally, without assisted reproductive interventions, in cases with ovarian dysgerminoma. If a pregnancy does occur with a concurrent dysgerminoma, it is even more unusual to carry the pregnancy to viability or childbirth without fetal or maternal compromise. We report a case of right ovarian dysgerminoma in a young female with a viable intrauterine pregnancy at 10 weeks, which is rarely diagnosed and managed at this gestational age. Numerous factors played a role in her favorable outcome, including early suspicion by ultrasound and presenting history, surgery, histopathological assessment, imaging, and involvement of the multidisciplinary oncology team. Ovarian neoplasms may rapidly increase in size within a short period with little or no symptoms. This poses a diagnostic challenge for obstetricians and oncologists. Hence, we aimed to evaluate the role of imaging in pregnancy using ultrasound as an imaging modality for both early detection of ovarian neoplasms and for follow-up. In conclusion, patients with ovarian dysgerminoma in pregnancy can have favorable outcomes. Treatment should be individualized on a case-to-case basis, depending on many factors; cancer stage, previous reproductive history, the impact of imaging in staging or follow-up of tumor on the fetus, fetal gestational age, and whether termination of the pregnancy can improve survival or morbidity for the mother.


SLEEP ◽  
2021 ◽  
Vol 44 (Supplement_2) ◽  
pp. A168-A168
Author(s):  
Mihaela Bazalakova ◽  
Abigail Wiedmer ◽  
Lauren Rice ◽  
Sakshi Bajaj ◽  
Natalie Jacobson ◽  
...  

Abstract Introduction Sleep apnea is emerging as an important and underdiagnosed comorbidity in pregnancy. Screening, diagnosis, and initiation of therapy are all time-sensitive processes during the dynamic progression of gestation. Completion of referral and testing for sleep apnea during pregnancy requires a significant commitment of time and effort on the part of the pregnant patient. We evaluated for predictors of non-completion of sleep apnea testing within our obstetric-sleep referral pipeline, in an effort to inform and optimize future referrals. Methods We performed a retrospective chart-review of 405 pregnant patient referrals for sleep apnea evaluation at the University of Wisconsin-Madison/UnityPoint sleep apnea pregnancy clinic. We used logistic regression analysis to determine predictors of lack of completion of sleep apnea testing. Results The vast majority of referrals (&gt;95%) were triaged directly to home sleep apnea testing with the Alice PDX portable device, rather than a sleep clinic visit. The overall rate of referral non-completion was 59%. Predictors of non-completion of sleep apnea evaluation in our pregnant population included higher gestational age (GA) at referral (1–12 wks GA: 30%, 13–26 wks GA: 31%, and 27–40 wks GA: 57% non-completers, p=0.006) and multiparity with 1 or more living children (65% non-completers if any living children, compared to 45% non-completers if no living children, p=0.002). Age, race, and transportation were not predictors of failure to complete sleep apnea testing. Conclusion We have identified several predictors of pregnant patients’ failure to complete sleep apnea evaluation with objective home sleep apnea testing after referral from obstetrics. Not surprisingly, higher gestational age emerged as a strong negative predictor of referral completion, with &gt;50% of patients referred in the third trimester not completing sleep apnea testing. Early screening and referral for sleep apnea evaluation in pregnancy should be prioritized, given the time-sensitive nature of diagnosis and therapy initiation, and demonstrated reduced completion of referrals in advanced pregnancy. Support (if any) None


2018 ◽  
Vol 70 (6) ◽  
pp. 2017-2022 ◽  
Author(s):  
N.G. Alves ◽  
C.A.A. Torres ◽  
J.D. Guimarães ◽  
E.A. Moraes ◽  
P.B. Costa ◽  
...  

Author(s):  
Kristen S. GIBBONS ◽  
Allan M.Z. CHANG ◽  
Ronald C.W. MA ◽  
Wing Hung TAM ◽  
Patrick M. CATALANO ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document