LEVELS OF CHORIONIC GONADOTROPHIN IN THE NEWBORN INFANT AND THEIR RELATIONSHIP TO ADRENAL DEHYDROEPIANDROSTERONE

1967 ◽  
Vol 39 (2) ◽  
pp. 173-182 ◽  
Author(s):  
CH. LAURITZEN ◽  
W.-D. LEHMANN

SUMMARY Chorionic gonadotrophin (HCG) concentrations were measured in newborn infants. The levels of HCG were found to be higher in the umbilical vein than in the arteries. The hormone is eliminated within 72 hr. post partum. After the injection of HCG a mean of 3·6% of the administered dose appeared in the urine. The renal clearance was very low (0·006 ml./min.) in the newborn corresponding to the low volume of urinary output. HCG is also excreted in the meconium and in the faeces during the first day of life. Administration of HCG to newborn infants significantly increased the urinary excretion of dehydroepiandrosterone. This rise was even more pronounced in premature infants. It is suggested that HCG is an adrenocorticotrophic hormone in the foetus, regulating the supply of foetal adrenal dehydroepiandrosterone as a precursor for the production of oestrogens in the placenta. The excretion of dehydroepiandrosterone in the urine of the newborn was found to lie between 78 and 277 μg./24 hr. After injection of sodium dehydroepiandrosterone sulphate, 5% of the dose was excreted in the urine. Dehydroepiandrosterone was not converted into oestrogens by the newborn.

1974 ◽  
Vol 47 (6) ◽  
pp. 559-565 ◽  
Author(s):  
P. F. Semple ◽  
W. Carswell ◽  
J. A. Boyle

1. A serial study of renal clearance of urate and inulin was made in thirteen normal women in early, mid and late pregnancy and 6–15 weeks after delivery. 2. The mean serum urate concentration was low in early and mid pregnancy but rose in late pregnancy towards the control value. 3. Clearances of urate and inulin were consistently elevated throughout pregnancy to about 150% of the post-partum values. The ratio of clearance of urate to clearance of inulin was the same in pregnancy as it was after the puerperium. 4. The urinary excretion of urate was increased only in late pregnancy.


1998 ◽  
Vol 4 (S2) ◽  
pp. 1164-1165
Author(s):  
N Tabatabaei ◽  
KH Albertine ◽  
L Wenhua ◽  
DE Lorant

Newborn, premature infants have greater susceptibility to infection compared to older newborn infants. Although the reason for greater susceptibility to bacterial infection in premature infants is unknown, there are many reports that focus on polymorphonuclear leukocytes (neutrophils) as the defective cell type in the immature neonatal system. However, we have recently reported that in an rat model of inflammation, neutrophils from adult rats failed to migrate efficiently in neonatal rats. Furthermore, we found that this defect was associated with decreased expression of P-selectin on the surface of neonatal endothelial cells in situ. P-selectin is an adherence molecule that is expressed by activated endothelial cells and serves as the counterligand for CD11/CD18, the β2- integrin that is expressed by activated neutrophils.We hypothesized that endothelial cell P-selectin expression would be less in human umbilical cord veins from prematurely born (preterm) infants compared to normal term infants. To test this hypothesis, we collected umbilical cords from preterm infants (<27 weeks gestation) and term infants (>38 weeks gestation).


1969 ◽  
Vol 62 (2) ◽  
pp. 289-298 ◽  
Author(s):  
W. Geiger ◽  
R. Kaiser ◽  
M. Kneer

ABSTRACT HCG was injected intramuscularly into three normal menstruating women in a quantity sufficient to produce a daily urinary excretion of HCG which when tested immunologically imitated the excretion curve of three women in normal early pregnancy. The doses administered ranged from 300 IU to 80 000 IU daily, while the total dose up to the 21. or 22. day after ovulation was 189 000 IU, 217 000 IU and 284 500 IU respectively and the total urinary excretion 9515 IU (= 5.4 %), 12 302 IU (= 5.65 %) and 9200 IU (= 3.23%). The level of HCG in the plasma after the last injection rose to a maximum (1100 IU – 4800 IU) after 45 to 240 min and showed a rapid decrease up to eight hours and a slow, continuous fall for the next five days. The renal clearance for these days was 1.02 ± 0.16 ml/min, 1.02 ± 0.36 ml/min and 0.63 ± 0.31 ml/min and for the same period post partum 0.42 ± 0.18 ml/min. Despite good specific HCG effects no clinical side-effects were seen.


1960 ◽  
Vol XXXIII (III) ◽  
pp. 388-400 ◽  
Author(s):  
L. G. Huis in 't Veld ◽  
B. Louwerens ◽  
P. A. F. van der Spek

ABSTRACT In two male patients and two castrated males, the influence of corticotrophin (ACTH) on the urinary excretion of neutral 17-ketosteroids and 17-hydroxycorticosteroids was determined before and during a period in which patients were treated with 5 mg 17α-methyl-19-nortestosterone (MNT) daily. In two castrated males, moreover, the influence of chorionic gonadotrophin and ACTH + chorionic gonadotrophin on the urinary excretion of 17-ketosteroids and 17-hydroxycorticosteroids was determined before and during a period of treatment with 5 mg MNT daily. Prolonged administration of MNT causes a decrease in the urinary excretion of neutral 17-ketosteroids and 17-hydroxycorticosteroids both in the normal males and in the male castrates. ACTH caused an increase in the urinary excretion of 17-ketosteroids and 17-hydroxycorticosteroids before and during MNT administration. During MNT administration this increase (expressed in mg/24 hours) was ≤ the increase produced by the same dose of ACTH prior to MNT administration. In two male castrates treated with MNT, chorionic gonadotrophin caused no increase in the urinary excretion of 17-ketosteroids and 17-hydroxycorticosteroids. The effect obtained before and during MNT administration by administration of ACTH + chorionic gonadotrophin did not exceed the effect obtained by the same dose of ACTH alone. Our conclusion is that the effect of MNT on the excretion of adrenocortical steroids is not due to the inhibition of the ACTH secretion. The possibility of a direct effect of MNT on the adrenal cortex has not been excluded with complete certainty. A change in the corticosteroid metabolism due to the influence of MNT, however, must also be taken into consideration.


PEDIATRICS ◽  
1963 ◽  
Vol 31 (6) ◽  
pp. 946-951
Author(s):  
Samuel O. Sapin ◽  
Leonard M. Linde ◽  
George C. Emmanouilides

Angiocardiography from an umbilical vessel approach was performed in 10 critically sick newborn infants. The umbilical vein route was successfully employed up to the eighth day of life, while the umbilical artery was safely used as late as age 5 days. This approach has advantages over other methods of catheterization and angiocardiography. Angiocardiographic quality was satisfactory for accurate interpretation.


PEDIATRICS ◽  
1987 ◽  
Vol 79 (1) ◽  
pp. 61-68 ◽  
Author(s):  
A. Zipursky ◽  
E. J. Brown ◽  
J. Watts ◽  
R. Milner ◽  
C. Rand ◽  
...  

Serum vitamin E levels are reduced in newborn infants. It has been reported that this deficiency is responsible, in part, for the development of anemia in premature infants during the first 6 weeks of life. The efficacy of vitamin E supplementation for the prevention of anemia in premature infants has been studied in a randomized, controlled, and blinded trial. Premature infants whose birth weights were less than 1,500 g were given, by gavage, 25 IU of dl-α-tocopherol or a similar volume of the drug vehicle. Treatment was continued for the first 6 weeks of life. A total of 178 infants were studied. Vitamin E levels were significantly higher in a supplemented group by day 3 and for the remainder of the 6-week period. At 6 weeks of age, there was no significant difference between the supplemented and unsupplemented groups in hemoglobin concentration, reticulocyte and platelet counts, or erythrocyte morphology. It is concluded that there is no evidence to support a policy of administering vitamin E to premature infants to prevent the anemia of prematurity.


PEDIATRICS ◽  
1971 ◽  
Vol 48 (6) ◽  
pp. 998-999
Author(s):  
S. H. Reisner ◽  
M. Cornblath ◽  
Ronald W. Gotlin

In the article by J. R. Humbert and R. W. Gotlin,1 the authors state that previous reports in which hypoglycemia was induced artificially with insulin demonstrated a variable growth hormone response. They then refer to the paper by Cornblath, et al.2 as reporting a failure to obtain a rise in growth hormone levels. This is incorrect as we found that insulin-induced hypoglycemia actually resulted in a very marked rise in growth hormone levels in both the full-term and premature infants tested.


PEDIATRICS ◽  
1984 ◽  
Vol 74 (4) ◽  
pp. 501-504
Author(s):  
Richard H. Porter ◽  
Jennifer M. Cernoch ◽  
Rene D. Balogh

A series of experiments investigated the salience of newborn infants' facial-visual features for recognition and sex identification. Within 33 hours post-partum, mothers recognized photographs of their own offspring when presented with those of unrelated neonates. Furthermore, adult subjects were able to match photographs of unfamiliar mothers and their infants, and determine the sex of neonates, at a greater than chance level of accuracy. Although recognizable facial features are presumably genetically determined, maternal recognition of offspring probably results from brief exposure and familiarization as well as physical resemblance between the infant and other familiar family members, including the mother herself.


PEDIATRICS ◽  
1962 ◽  
Vol 29 (5) ◽  
pp. 728-728
Author(s):  
Marvin Cornblath

Dr. Osler, in his monograph, merely reiterates and summarizes work he has done in studying the height, weight, urinary excretion, and compartmental body water in babies of diabetic mothers. In the monograph, he presents the data in a fashion that makes it impossible to analyze and has added nothing new except that the diabetic baby is the proper length for its weight. In addition, he has made a sketchy, uncritical review of the literature pertaining to these babies and presents the data, again, in a summary fashion.


PEDIATRICS ◽  
1968 ◽  
Vol 41 (4) ◽  
pp. 777-783
Author(s):  
Demetre Nicolopoulos ◽  
Anthony Agathopoulos ◽  
Calliope Danelatou-Athanassiadou ◽  
Marianthi Bafataki

The 24-hour urinary excretion of phenolic and indolie compounds, metacatechol-amines, and VMA by full-term and premature infants on their first and fifteenth days of life was studied. The presence of metabolites from all three main catabolic pathways of tryptophan was noted in both groups of infants. 3-indole-acetic and 3-indole-propionic acids were present on the first day of life in the urine of full-term infants, but they were absent on the fifteenth day. Twenty phenolic acids were observed in both groups of infants, but their excretion varied a great deal. Homogentisic acid was not excreted on the first day of life of full-term and premature infants, but it was found in the urine of full-term infants on the fifteenth day of life. The variations of excretion of VMA generally followed that of metacatecholamines. The excretion of VMA by the premature infants on their fifteenth day of life is four- to fivefold that of the first day and reaches adult levels, in contrast to the moderate decrease of VMA excretion of the fuil-term infants on the fifteenth day. The degree of maturation of the enzymic systems involved is discussed as a probable cause of these variations.


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