USMLE Step 2 CK Lecture Notes 2019: Obstetrics/Gynecology (Kaplan Test Prep)

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OB TRIAD


Human   Placental   Lactogen    (hPL)

Its effect is to antagonize the cellular action of insulin, decreasing insulin
utilization and thereby contributing to the predisposition of pregnancy to glucose
intolerance and diabetes.


If levels are low, threatened abortion or intrauterine growth restriction
(IUGR) can occur.


Produced    by  syncytiotrophoblast
Similar to HGH, prolactin
Decreases insulin sensitivity
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