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Exercises · Q18

Q.What is parturition? Which hormones are involved in induction of parturition?

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Parturition is the act of giving birth — the expulsion of the fully developed foetus from the mother's uterus at the end of pregnancy — triggered by a cascade of hormones from both the foetus and the mother.

Parturition marks the culmination of pregnancy, the moment when the baby is delivered into the world. After roughly nine months of gestation in humans, a complex interplay of signals ensures that labour begins at the right time and proceeds smoothly. The process is not arbitrary; it is tightly regulated by hormones that coordinate uterine contractions, cervical dilation, and the eventual expulsion of the foetus and placenta.

The initiation of parturition is fascinating because it involves signals from the foetus itself. As the foetus matures and is ready for life outside the womb, it sends hormonal cues that set the entire process in motion. The mother's body responds, and together, foetal and maternal hormones orchestrate labour.

The hormonal cascade

Several hormones work in concert to induce and sustain parturition:

  • Foetal signals (cortisol and others): The fully developed foetus, particularly through its adrenal glands, releases hormones including cortisol. These foetal hormones act as the initial trigger, signalling that the foetus is mature and ready for birth. They stimulate the placenta to alter its hormonal output.

  • Oestrogens: In response to foetal signals, the placenta increases oestrogen production. Oestrogens play a crucial role in making the uterine muscles more sensitive and excitable. They increase the number of oxytocin receptors on the uterine muscle cells, priming the uterus to respond vigorously to oxytocin later in labour.

  • Oxytocin: This is the key hormone that drives uterine contractions. Oxytocin is released from the posterior pituitary gland of the mother. As labour progresses, the baby's head (or presenting part) presses against the cervix, stretching it. This mechanical stretch sends nerve signals to the mother's brain, which responds by releasing more oxytocin. Oxytocin then causes the uterine muscles to contract more forcefully. …

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