Abstract
Attenuated systemic pressor responses to infused angiotensin II characterize normal human and ovine pregnancy; moreover, uterine vascular refractoriness is greater than that of the systemic vasculature overall. It remains unclear whether this generalized refractoriness also pertains to other vasoconstrictors; therefore we studied simultaneous systemic and uterine responses to α-agonists in pregnant (n = 6) and nonpregnant (n = 6) sheep. Mean arterial pressure, heart rate, uterine blood flow, and cardiac output were measured before and during infusions of norepinephrine (0.456 to 45.84 μg/min) and phenylephrine (1.29 to 129 μg/min). Both α-agonists caused dose-dependent increases (p < 0.01) in mean arterial pressure and systemic vascular resistance and decreases in cardiac output (p < 0.01) in nonpregnant and pregnant animals; however, nonpregnant pressor responses exceeded pregnant ones. Nonpregnant ewes also had greater decreases in uterine blood flow (p < 0.05) and increases in uterine vascular resistance (p < 0.05); furthermore, increases in uterine vascular resistance exceeded those of systemic vascular resistance in both groups (p < 0.01). Attenuated uterine and systemic responses to α-agonists characterize normal ovine pregnancy; however, in contrast to the results with angiotensin II, the uterine vascular bed is substantially more responsive to α-agonists than the systemic vasculature overall.
Original language | English (US) |
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Pages (from-to) | 897-904 |
Number of pages | 8 |
Journal | American journal of obstetrics and gynecology |
Volume | 155 |
Issue number | 4 |
DOIs | |
State | Published - 1986 |
Keywords
- Vascular responsiveness
- pregnancy
- systemic vascular resistance
- uterine blood flow
- α-agonists
ASJC Scopus subject areas
- Obstetrics and Gynecology