Adrenomedullin concentrations in umbilical cord plasma of uncomplicated term pregnancies.

Abstract:

OBJECTIVE:The study's objective was to determine whether there is a difference in the plasma concentration of adrenomedullin, a hypotensive peptide, between arterial and venous umbilical cord blood of uncomplicated gestations with vaginal delivery. STUDY DESIGN:Arterial and venous umbilical cord blood was obtained immediately after vaginal delivery of 44 term infants with uncomplicated antepartum and intrapartum courses. Radioimmunoassay was performed to assess adrenomedullin concentrations in the plasma. The paired t test was used to compare arterial and venous concentrations. Significance was set at P < .05. RESULTS:Mean +/- SE adrenomedullin concentrations were 178.7 +/- 4.7 pg/mL and 190.6 +/- 6.3 pg/mL for arterial and venous cord plasma, respectively. The difference between the 2 concentrations was not significant (11.8 pg/mL, P = .09). CONCLUSION:Arterial and venous umbilical plasma concentrations of adrenomedullin do not differ significantly in uncomplicated gestations terminating with uncomplicated vaginal deliveries. This suggests that in the normal state there is neither net production nor net clearance of adrenomedullin in the placenta.

journal_name

Am J Obstet Gynecol

authors

Hoeldtke NJ,Wagner RK,Moore KH,Calhoun BC,Hume RF Jr

doi

10.1016/s0002-9378(98)70217-0

subject

Has Abstract

pub_date

1998-10-01 00:00:00

pages

1071-4

issue

4

eissn

0002-9378

issn

1097-6868

pii

S0002937898702170

journal_volume

179

pub_type

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