Levels of thiobarbituric acid reactive substances (TBARS), an indicative pa
rameter for oxidative damage, were measured in maternal and cord arterial a
nd venous bloods, and compared between abdominal and vaginal deliveries. Sp
ontaneous labor resulting in either vaginal or emergency abdominal deliveri
es was associated with a statistically significant higher levels of TEARS i
n cord artery compared to cord vein and maternal blood (p<0.05). The result
s support a role of reactive oxygen species in the initiation of labor, pos
sibly through their effect on prostaglandin metabolism. Alternatively, this
may be a marker of fetal oxidative stress, secondary to the process of lab
or.