“…Recent findings (McLean et al, 1995;Wadhwa, Porto, Garite, Chicz-DeMet, & Sandman, 1998) indicate that elevated concentrations or a precocious rise in CRH during the 2nd or early 3rd trimester of human pregnancy are associated with spontaneous preterm delivery (PTD) independently of medical (obstetric) risk. In humans, the CRH gene is expressed in the placenta and amniotic membranes by the 7th week of gestation (Grino, Burgunder, Eskay, & Eiden, 1989;Okamoto, et al, 1990). Levels of hCRHmRNA increase more than 20-fold in the weeks preceding delivery , resulting in an exponential rise in maternal CRH plasma concentrations during the second half of pregnancy that peak at delivery and return to very low or undetectable levels within 24 hr after delivery (Challis, Matthews, Van Meir, & Ramirez, 1995;Petraglia, Florio, Nappi, & Genazzani, 1996).…”