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 half-life of progesterone in the circulation is very short at a range of about 3 to 90 minutes. Previous studies using RIA have reported an overestimated half-life of oral progesterone of about 16 to 18 hours. A subsequent, reliable study using high-performance liquid chromatography–tandem mass spectrometry (HPLC–MS/MS) reported a half-life of oral progesterone of about 4.6 to 5.2 hours when it was taken with food. Due to the short half-life and duration of action of oral progesterone, it is often taken in divided doses of two or three times per day. Because of studies that used RIA, it was incorrectly