Changes in the connective tissue of corpus and cervix uteri during ripening and labour in term pregnancy

L Granström, G Ekman, U Ulmsten… - BJOG: An International …, 1989 - Wiley Online Library
L Granström, G Ekman, U Ulmsten, A Malmström
BJOG: An International Journal of Obstetrics & Gynaecology, 1989Wiley Online Library
The composition of the connective tissue of human cervix and corpus uteri was studied in
tissue specimens from seven nonpregnant women and 14 pregnant women, delivered at
term by section, to examine spontaneous cervical ripening and labour‐induced changes in
both the uterine and the cervical connective tissue. The main finding in both the cervix and
the corpus was a large (40–60%) decrease of the collagen concentration. The collagen
extractability, obtained by pepsin digestion, was increased twofold, suggesting a change of …
Summary
The composition of the connective tissue of human cervix and corpus uteri was studied in tissue specimens from seven nonpregnant women and 14 pregnant women, delivered at term by section, to examine spontaneous cervical ripening and labour‐induced changes in both the uterine and the cervical connective tissue. The main finding in both the cervix and the corpus was a large (40–60%) decrease of the collagen concentration. The collagen extractability, obtained by pepsin digestion, was increased twofold, suggesting a change of the organization of the collagen fibrils. This reorganization process could also be demonstrated by a large increase of the collagenolytic activity demonstrated with an artificial DNP‐peptide substrate. The concentrations of sulphated glycosaminoglycans was lower in pregnant women than in non‐pregnant women. The results show that both the cervix and the corpus uteri contain substantial amounts of connective tissue components (collagen, sulphated glycosaminoglycans and hyaluronic acid) and that during ripening, reconstruction of the connective tissue components occurs in both sites. This indicates that the cervical state reflects that of the myometrium.
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