To shed light on factors possibly concerned with the unfavorable influence of pregnancy upon human hypertension, rats and rabbits with experimental hypertension were studied during pregnancy or pseudopregnancy with deciduomas.Blood pressures were measured in rats by the tail plethysmograph and in rabbits by the ear capsule method. Hypertension was induced by partial ligation of renal arteries, or in some rats by painting one kidney with collodion and removing the opposite kidney later. Deciduomas were induced by placing silk threads in the uterine mucosa during pseudopregnancy.During pregnancy in normal rabbits, the changes in blood pressure as shown by these methods are negligible. Renal ischemia produced during pregnancy was followed by hypertension, but the onset was delayed until after delivery. Pregnancy produced an early fall in blood pressure in all of 10 hypertensive rats and a less constant fall in 12 hypertensive rabbits. No untoward effects were observed. An increase of protein content in the diet caused sickness or death in hypertensive nonpregnant rabbits. Pseudopregnancy with deciduomas in all of 11 hypertensive rats caused a decline in blood pressure corresponding roughly in time and extent with that caused by pregnancy.These findings suggest that the cause for the blood pressure fall observed more likely results from endocrine changes than from any action of fetal kidneys. Doubt is thrown on the concept that a “load on the maternal kidneys” plays a significant part in the exacerbation of hypertension usually observed in human pregnancy.
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