Prematurity affects 11% of the births and is the main cause of infant mortality. On the opposite case, the failure of induction of parturition in the case of delayed spontaneous birth is associated with fetal suffering. Both conditions are associated with precocious and/or delayed cervical ripening. Quantitative and objective information about the temporal evolution of the cervical ripening may provide a complementary method to identify cases at risk of preterm delivery and to assess the likelihood of successful induction of labour. In this study, the cervical stiffness was measured in vivo in pregnant sheep by using Shear Wave Elastography (SWE). This technique assesses the stiffness of tissue through the measurement of shear waves speed (SWS). In the present study, 9 pregnant ewes were used. Cervical ripening was induced at 127 days of pregnancy (term: 145 days) by dexamethasone injection in 5 animals, while 4 animals were used as control. Elastographic images of the cervix were obtained by two independent operators every 4 hours during 24 hours after injection to monitor the cervical maturation induced by the dexamethasone. Based on the measurements of SWS during vaginal ultrasound examination, the stiffness in the second ring of the cervix was quantified over a circular region of interest of 5 mm diameter. SWS was found to decrease significantly in the first 4–8 hours after dexamethasone compared to controls, which was associated with cervical ripening induced by dexamethasone (from 1.779 m/s ± 0.548 m/s, p < 0.0005, to 1.291 m/s ± 0.516 m/s, p < 0.000). Consequently a drop in the cervical elasticity was quantified too (from 9.5 kPa ± 0.9 kPa, p < 0.0005, to 5.0 kPa ± 0.8 kPa, p < 0.000). Moreover, SWE measurements were highly reproducible between both operators at all times. Cervical ripening induced by dexamethasone was confirmed by the significant increase in maternal plasma Prostaglandin E2 (PGE2), as evidenced by the assay of its metabolite PGEM. Histological analyses and two-photon excitation microscopy, combining both Second Harmonic Generation (SHG) and Two-photon Fluorescence microscopy (2PF) contrasts, were used to investigate, at the microscopic scale, the structure of cervical tissue. Results show that both collagen and 2PF-active fibrillar structures could be closely related to the mechanical properties of cervical tissue that are perceptible in elastography. In conclusion, SWE may be a valuable method to objectively quantify the cervical stiffness and as a complementary diagnostic tool for preterm birth and for labour induction success.

Nonlinear optical scattering from single- and few-layer MoS2 contains important information about the orientation, inversion symmetry, and degree of interlayer coupling between the layers. We simultaneously map second harmonic generation (SHG) and four wave mixing (FWM) signals in chemical vapor deposition (CVD) grown 2H-phase MoS2 from single to five layers. We tune the excitation wavelengths to compare cases where the nonlinear signals are on and off resonance with the A-exciton band. The SHG signal shows the expected 4-fold symmetry, however, the FWM signal depends on the incident laser polarization only, and is independent of the crystallographic orientation. We show using the symmetry of the χ(3) tensor that this results from out of plane FWM dipoles. We explore the scaling of SHG and FWM signals with layer number on and off excitonic resonance When a nonlinear scattered signal overlaps with the A excitonic band, the scaling of the signals with layer number deviates from the expected values, due to the layer dependent red shift in the exciton absorption peak due to interlayer coupling. Finally we show that circularly polarized excitation significantly enhances nonlinear scattering which overlaps with the A excitonic band and indicates the presence of spin splitting of valence bands at the energy degenerate points (K, K′) of the Brillouin zone.