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In recent years there has been an impressive surge of interest in
the mecha nisms which control the onset and the maintenance of
labour. Much of it stems from a constant awareness that gestational
age at birth is still an important factor in neonatal mortality and
morbidity. Advances in the sensitivity and specificity of
immunoassay, the discovery of the prosta glandins, new skills in
fetal surgery and chronic catheterisation in experi mental animals
have greatly stimulated further research in this area. In the
meantime clinicians became continuously more aware that, despite
consider able advances in perinatal medicine, gestational age at
birth remains the major determinant of neonatal mortality and
morbidity. It led them to seek new and better ways of controlling
uterine function whether by influencing cervical ripeness, by
stimulating or by inhibiting myometrial contractility. This volume
uniquely combines knowledge which has been gained from both
experimental and clinical research on parturition. A brief outline
of current evidence on the control of parturition in experimental
animals may be fruitful in delineating problems and hypotheses for
further study in human pregnancy. Much of our present day knowledge
of human parturition has been gained by checking such data against
experimental findings, careful measurements and clinical
observations in human pregnancy. It is hoped that the
interdisciplinary nature of this volume will enhance the
understanding of human parturition and stimulate further research
in this area. Thanks are due to Miss H. Wittenberg and Mrs M."
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