Premature Birth Clinical Trial
Official title:
Evaluation of Oxidative and Antioxidative Status of Pregnant Women Suffering From Threatened Preterm Birth During Tocolytic Treatment With Atosiban
Oxidative stress is recognized as a important factor in the pathogenesis premature birth. Preterm birth is defined as delivery before 37 completed weeks of gestation and it is the leading cause of neonatal morbidity and mortality. The investigators conducted this analysis to investigate the safety of administration of Atosiban - a reversible, competitive antagonist of the oxytocin receptor in the treatment of preterm labor and its impact on the level of oxidative stress after 48 hours of tocolytic treatment.
Atosiban (1-(3-mercaptopropanoic
acid)-2-(O-ethyl-D-tyrosine)-4-L-threonine-8-L-ornithine-oxytocin) is licensed for clinical
use in women suffering from threatened premature birth and is widely used in clinical
practice in Europe because of its low side effect profile. The impact of Atosiban on
pregnancy outcomes in women has been investigated in recent years and the research has shown
its ability to reduce intracytoplasmic calcium release and downregulate prostaglandin
synthesis as oxytocin receptor antagonist. While a role of Atosiban in the modulation of
myometrial contractility is well-described, its effect on many other functions is not so well
known.
The serum and plasma samples take for the measurement of total oxidant status (TOS), total
antioxidant status (TAS), level of 3-nitrotyrosine (3-NT), and carbonyl and thiol groups will
be stored at -70°C in aliquots for subsequent biochemical analysis and processed within two
months.
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