Maternal physiological changes in pregnancy range of effects during the pregnancy. Pregnant women experience numerous adjustments in their endocrine system that help support the developing fetus. The fetal-placental unit secretes steroid hormones and proteins that alter the function of various maternal endocrine glands. Sometimes, the changes in certain hormone levels and their effects on their target organs can lead to gestational diabetes and gestational hypertension. Levels of progesterone and estrogen rise continually throughout pregnancy, suppressing the hypothalamic axis and subsequently the menstrual cycle. The progesterone is first produced by the corpus luteum and then by the placenta in the second trimester. Women also experience increased
Pharmacokinetics of progesterone and has been found to result in higher serum peak progesterone levels relative to intramuscular oil formulations. In addition, subcutaneous injection of progesterone is considered to be easier, safer (less risk of injection site reactions), and less painful relative to intramuscular injection. The elimination half-life of this formulation is 13 to 18 hours, compared to 20 to 28 hours for intramuscular injection in oil. Progesterone has a very short elimination half-life of about 3 to 90 minutes when given by intravenous injection. A one-year progesterone intrauterine device (IUD) for hormonal birth control was previously available in the United States and