Question:

Effects of estrogens at the time of parturition include
(A). Direct effect upon the myometrium, increasing its responsiveness to oxytocin
(B). Softening of the cervix by altering the structure of collagen fibers
(C). Softening and relaxation of pelvic ligaments
(D). Stimulation of the production and release of prostaglandin F2\(\alpha\)
Choose the correct answer from the options given below:

Show Hint

To remember the roles of hormones at parturition:
- Estrogen: Sensitizes the uterus to oxytocin, softens the cervix, and stimulates PGF2\(\alpha\) release.
- Relaxin: Specifically relaxes the pelvic ligaments.
  • (A) and (B) only.
  • (A), (B) and (C) only.
  • (A), (B) and (D) only.
  • (B), (C) and (D) only.
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The Correct Option is C

Solution and Explanation

Step 1: Understanding the Concept:
Parturition is initiated by a complex cascade of endocrine events.
Near the end of gestation, a rise in fetal cortisol triggers a shift in placental steroidogenesis, causing progesterone levels to fall and estrogen levels to rise.

Step 2: Detailed Explanation:

Let us analyze the physiological effects of estrogen during parturition:
- Myometrial sensitization (A): Estrogen directly stimulates the synthesis of oxytocin receptors in the myometrium, significantly increasing its responsiveness and sensitivity to oxytocin-induced contractions. Thus, (A) is correct.
- Cervical Softening (B): Estrogen alters the extracellular matrix of the cervix, promoting collagenase activity that breaks down collagen fibers to soften and dilate the cervix. Thus, (B) is correct.
- Prostaglandin Synthesis (D): Estrogen upregulates cyclooxygenase enzymes in the endometrium, directly stimulating the synthesis and release of prostaglandin F2\(\alpha\) (PGF2\(\alpha\)), which is essential for luteolysis and myometrial contraction. Thus, (D) is correct.
- Evaluating Statement (C): While pelvic ligament relaxation occurs at parturition, this effect is primarily mediated by the hormone relaxin.
Estrogen plays a secondary, priming role rather than being the primary driver of ligament relaxation.
Therefore, statements (A), (B), and (D) are direct primary effects of estrogen during parturition.

Step 3: Final Answer:

The direct effects of estrogen include (A), (B), and (D). This corresponds to option (C).
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