Glossary

Term · Getting Ready for Birth

placental corticotropin-releasing hormone

Also: placental CRH, placental clock hormone, CRH

A hormone made by the placenta that rises through pregnancy and is thought to help time the start of labor. It is a biological clock, and its role is still being studied.

In plain words

Placental corticotropin-releasing hormone is a hormone the placenta makes. Its level rises slowly through pregnancy. Researchers think it acts as a kind of clock that helps time when labor starts. It may also help signal the baby's lungs and other systems to prepare for birth. Doctors cannot yet measure it to predict birth in a useful way for most people. The exact trigger for labor is still not fully understood. If you are curious about how your body knows when to start labor, ask your provider. They can explain what is known and what is not.

The deeper version

Placental CRH rises exponentially across gestation, and McLean et al. (1995) proposed that its concentration functions as a placental clock regulating gestational length, with cortisol-driven stimulation and feedback from the fetal . Smith (2007) reviewed the parturition cascade, including and inflammatory activation of the and cervix, and noted that these mechanisms are not mutually exclusive. Maternal CRH is not used clinically for predicting preterm or term birth, and evidence for its predictive value has been mixed. The trigger for human parturition remains incompletely understood, and the placental clock hypothesis is one of several explanations in the literature.

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Sources

  • McLean M et al. — A placental clock controlling the length of human pregnancy. Nature Medicine, 1995
  • Smith R — Parturition. New England Journal of Medicine, 2007

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