Maternal parity and functional contractility of human myometrium in vitro in the third trimester of pregnancy

J Perinatol. 2019 Mar;39(3):439-444. doi: 10.1038/s41372-019-0312-2. Epub 2019 Jan 17.

Abstract

Objective: It is well established that the duration of the first and second stages of labor are shorter in parous women than in their nulliparous counterparts, a phenomenon not well understood. The aim was to examine the effect of maternal parity on contractile parameters of human myometrium.

Design: Myometrial strips were excised from n = 74 women at cesarean delivery and recordings of contractile activity analyzed and compared across three clinical groups: 1. No previous delivery (P0); 2. One previous delivery (P1); 3. Greater than one previous delivery (P>1).

Results: There was a trend towards greater mean contractile force in the P>1 group than the P1 and P0 groups (P = 0.412). Frequency of contractions was less in the P1 group than in the P0 and P>1 groups(P = 0.027). No differences were observed in relation to all other parameters.

Conclusion: Excluding frequency, no intrinsic differences were observed in the functional parameters of human uterine contractions in relation to parity.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Cesarean Section
  • Female
  • Humans
  • Myometrium / physiology*
  • Parity*
  • Pregnancy
  • Pregnancy Trimester, Third
  • Tissue Culture Techniques
  • Uterine Contraction / physiology*
  • Young Adult