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However, these drugs also lack Post Date: Sat, 11 Oct 2008 13:50:31 +0000
Since the activity of the uterus is largely independent of its motor inner-vation, autonomic blocking agents have little effect and do not impair the actions of the clinically used oxytocic agents. Uterine contractile activity is in-hibited by local anesthetics and by direct-acting smooth muscle relaxants such as papaverine, nitro-glycerin, and caffeine. However, these drugs also lack selectivity.
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In some species, progesterone markedly Post Date: Sat, 11 Oct 2008 13:39:06 +0000
Uterine smooth muscle is unusually susceptible to endocrine influence, especially that of the estrogens. Thus, spontaneous activity, as well as responsiveness to neurogenic, hormonal, and pharmacological stim-ulation, increases greatly at puberty and varies thereafter with the ovulatory cycle. In some species, progesterone markedly inhibits uterine activity.
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The study of the uterus Post Date: Sat, 11 Oct 2008 13:25:41 +0000
Whether progesterone has an important physio-logical role in regulating the motor activity of the human uterus has yet to be clearly demonstrated.Experimental Evaluation of Oxytocics. The study of the uterus is complicated by many factors, such as the alterations in its behavior occasioned by phys-iological variables (maturity, endocrine milieu, pe-riod of gestation, etc).
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The smooth muscle Post Date: Sat, 11 Oct 2008 13:08:09 +0000
Confusion is compounded by the marked species variations among the experi-mental animals that have been studied and between these and human beings. In vitro, the responses of uterine smooth muscle are strongly influenced by the concentrations not only of calcium but also of mag-nesium, potassium, and other ions in the bathing medium. The smooth muscle of the cervical region often responds differently than that of the body of the uterus.
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OXYTOCIN AND POSTERIOR PITUITARY EXTRACTSThe structure Post Date: Sat, 11 Oct 2008 12:48:34 +0000
It is not surprising that there are many conflicting reports of the effects of drugs on this organ. Unless otherwise stated, the effects of the oxytocic drugs to be discussed are those that have been confirmed in human beings.OXYTOCIN AND POSTERIOR PITUITARY EXTRACTSThe structure, formation, storage, and re-lease of the neurohypophyseal hormones, oxytocin and antidiuretic hormone (ADH), and a comparison of their biological activi-ties have been presented in Chapter 40.
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Physiological Role of Oxytocin Post Date: Sat, 11 Oct 2008 12:29:12 +0000
The following discussion will deal in more detail with the physiological and pharmacological properties of oxytocin. This hormone has slight, but not insignificant, antidiuretic and vascular activity that may become manifest when large doses are used (see below).Physiological Role of Oxytocin.
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It is well established Post Date: Sat, 11 Oct 2008 12:13:43 +0000
Oxytocin has stimulant effects on the smooth muscle of the uterusand mammary gland so potent and selective as to suggest that the polypeptide serves a true hormonal function at these sites. Oxytocin is unique in eliciting contractions of the fundus that are indistinguishable in amplitude, duration, and frequency from those seen in late pregnancy and during spontaneous labor. It is well established that the appropriate sensory stimuli, arising in the cervix and vagina or in the mammillae, reflexly cause oxytocin to be released from the posterior pituitary.
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Marked elevation of plasma oxytocin Post Date: Sat, 11 Oct 2008 12:00:43 +0000
The initiation of labor occurs without demonstrable dependence on oxytocin. However, dilatation of the birth canal con-stitutes a well-established reflex stimulus for the release of the hormone. Marked elevation of plasma oxytocin concentrations occurs during delivery and is believed to play an important part in the expulsion of the fetus and placenta.
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It is known Post Date: Sat, 11 Oct 2008 11:42:28 +0000
It has not been shown that parturition or lactation fails to occur in the complete absence of oxytocin. However, prolonged labor has been observed and the milk-ejection reflex is absent. It is known that in domestic animals the uterine stimulation, resulting from the release of oxytocin (and ADH), facilitates the ascent of spermatozoa.
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Its function, if any Post Date: Sat, 11 Oct 2008 11:24:09 +0000
A corresponding effect in the human reproductive tract has not been established. Oxytocin can thus be con-sidered to play a facilitatory role, at least, in parturi-tion and an essential role in the milk-ejection reflex. Its function, if any, in males is not known.
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