The effect of experimentally induced hypocalcaemia on uterine activity at parturition in the ewe

The effect of hypocalcaemia experimentally induced by the intravenous infusion of ethylene-diamine tetraacetic acid, disodium salt (Na(2)EDTA) upon myometrial activity at parturition was studied in eleven ewes. Infusions of Na(2)EDTA were performed during first stage of labour (three animals), second stage (four animals), third stage (three animals) and postpartum (two animals); one in the latter group had been previously treated during second and third stages. Uterine activity was recorded using balloon-tipped catheters surgically implanted into the uterus and was expressed in Montevideo Units (M.U.). Plasma calcium (nonchelated) concentrations were monitored throughout the infusion. Induced hypocalcaemia resulted in a reduction of the activity of the uterus when Na(2)EDTA was administered during the first stage of labour. In the ewes infused during the second stage of labour, there was difficulty in reducing the activity of the uterus and, consequently, in delaying parturition. Reduction in uterine activity was easier in the ewes infused during the third stage of labour and during postpartum. Uterine activity started decreasing when plasma calcium concentrations were 6.6 and 7.1 mg/100 ml in the ewes infused during third stage of labour and postpartum, respectively, compared with 4.9 mg/100 ml in those infused during first stage of labour; the difference between this last group and the first two was significant (p < 0.05). After the end of the infusion, the plasma calcium started rising and normal uterine activity quickly resumed.