2007
DOI: 10.1097/01.aog.0000246798.78839.62
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Adaptations of the Rat Vagina in Pregnancy to Accommodate Delivery

Abstract: In pregnancy, collagen fiber area decreased while smooth muscle cells transformed from a contractile to a synthetic phenotype. The late postpartum period returned to prepregnant levels for both collagen and smooth muscle cell morphologies. It is likely that these changes represent adaptations to minimize trauma to the vagina during passage of the fetus.

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Cited by 36 publications
(36 citation statements)
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“…The vaginal wall and supporting tissues are more distensible during pregnancy, with a decrease in stiffness, or modulus, in preparation for delivery with minimal injury (1,2,4). Collagen fibrils within the vaginal wall also undergo progressive disorganisation and remodelling through the middle and later stages of pregnancy (26). Although there was apparent thickening of the collagen fibrils in this study, other research suggests that individual fibril diameter may not account for overall tissue modulus (27).…”
Section: Discussioncontrasting
confidence: 56%
See 1 more Smart Citation
“…The vaginal wall and supporting tissues are more distensible during pregnancy, with a decrease in stiffness, or modulus, in preparation for delivery with minimal injury (1,2,4). Collagen fibrils within the vaginal wall also undergo progressive disorganisation and remodelling through the middle and later stages of pregnancy (26). Although there was apparent thickening of the collagen fibrils in this study, other research suggests that individual fibril diameter may not account for overall tissue modulus (27).…”
Section: Discussioncontrasting
confidence: 56%
“…To further understand the observation, GAGs contents were measured and were notably higher in pregnant rat tissues. Previous studies have also noted a progressive increase in GAGs content of pelvic tissues during pregnancy and its loss at delivery (26,29). Certain proteoglycans also modulate fibrillogenesis and fiber alignment (30).…”
Section: Discussionmentioning
confidence: 84%
“…28,33 Our findings suggest that vaginal adaptation in preparation for parturition also extends to neural remodeling. There are several implications regarding the observed reduction in the density of autonomic and sensory axons at the end of pregnancy.…”
Section: Physiological Significance Of Reduced Vaginal Innervation Atmentioning
confidence: 68%
“…For its part in women, the urethral mucosa consists of a transitional epithelium in the proximal portion and of a nonkeratinized squamous epithelium in the distal portion [1,2]. For the vagina wall, both in humans and rats, it has a stratified squamous epithelium [3,4,12,19,20] followed by a lamina propria composed of collagen and elastin.…”
Section: Discussionmentioning
confidence: 99%
“…The thickness of this tissue layer was thinner along the perineal vagina where striated musculature was not observed. In humans and rats, the outer layer of the urethra and vagina wall has been known for many years as the tunica adventitia, composed of loose connective tissue and a large plexus of blood vessels [3,4,12,20]. The striated musculature that has been observed was described as apparently adjacent to the urethral wall and semidetached from the vagina causing this musculature to be named the external urethral sphincter [1,2,24].…”
Section: Discussionmentioning
confidence: 99%