Review Article

The Interplay between Estrogen and Fetal Adrenal Cortex

Table 1

The effects of estrogen on the mother and the fetus.

Estrogen in maternal circulation:
(i) Enhances myometrial activity
(ii) Soften collagen fibers in the cervical tissue
(iii) Promotes myometrial vasodilation
(iv) Increases uterine blood flow
(v) Increases production of insulin-like growth factors (IGF-I/II) and binding proteins
(vi) Promotes growth of the uterus, vagina, and breast
(vii) Increases pituitary secretion of prolactin
(viii) Increases sensitivity of the maternal respiratory center to carbon dioxide
(ix) Stimulates synthesis and turnover of phospholipids
(x) Increases serum binding proteins and fibrinogens to decrease plasma proteins
(xi) Increases the sensitivity of the uterus to progesterone in late pregnancy
(xii) Helps to control behavior including fatique, forgetfulness, poor concentration, as well as mild mood changes including irritability and depressed mood
(xiii) Regulates salt and water retention

Estrogen in fetal circulation:
(i) Helps to maintain chemical levels in the bloodstream to achieve intrauterine homeostasis, which is the state of stability within the body
(ii) Promotes maturation of fetal organs
(iii) Regulates the fetal neuroendocrine system that controls reaction to stress, digestion, immune function, mood and emotion, sexuality, energy storage, and/or expenditure
(iv) Regulates timing of parturition