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Can hair steroids predict pregnancy longevity?
Anat Schonblum1, Liat Arnon1, Eyal Ravid2
1The Mina and Everard Goodman Faculty of Life Sciences, Bar-Ilan University, Ramat Gan, 5290002, Israel.
Maternal hair cortisol and testosterone levels in early pregnancy can help predict pregnancy duration. Higher first-trimester cortisol is linked to longer pregnancies, especially in smokers, indicating potential biomarkers for predicting birth timing.
Area of Science:
- Reproductive Endocrinology
- Maternal-Fetal Medicine
- Biomarker Discovery
Background:
- Preterm delivery poses risks to infant development, necessitating early prediction methods.
- Identifying biomarkers for pregnancy longevity is crucial for preventing adverse outcomes.
- Maternal hair steroids offer a retrospective window into hormonal status during early gestation.
Purpose of the Study:
- To investigate if maternal hair testosterone (pre-conception) and cortisol (first trimester) can predict pregnancy duration.
- To explore the role of these steroids as potential biomarkers for pregnancy longevity.
- To assess the influence of pre-conception smoking on the relationship between steroids and gestation length.
Main Methods:
- Recruitment of 125 pregnant women and collection of hair samples.
- Quantification of steroid hormones (testosterone and cortisol) using enzyme-linked immunosorbent assays.
- Statistical analysis using General Linear Models to predict gestational length based on hormonal levels and smoking status.
Main Results:
- A model including first-trimester cortisol, pre-conception testosterone, and smoking status predicted 13% of the variance in gestation length (R² = 0.130, p = 0.007).
- First-trimester cortisol was the strongest predictor, with higher levels associated with increased probability of full-term delivery.
- The effect of cortisol on gestation length was more pronounced in smokers compared to non-smokers.
Conclusions:
- Maternal hair steroids, particularly first-trimester cortisol, show potential as biomarkers for predicting pregnancy longevity.
- The predictive value of hair steroids is influenced by factors such as smoking status.
- Further research into hair steroid analysis could aid in the early identification of at-risk pregnancies.
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