Document Detail


Feto-maternal concentrations of diazepam and W-demethyldiazepam after intra-amniotic diazepam injection.
MedLine Citation:
PMID:  13006     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Ten milligrams of diazepam were injected intraamniotically in 8 mothers prior to therapeutic abortion between 12 and 19 weeks. The diazepam concentrations in the maternal plasma were comparable to those found after the same intramuscular diazepam dose to the mother. The concentration of diazepam in the amniotic fluid 12 to 18 hours after the injection was no longer significantly higher than in the maternal plasma. The concentrations of diazepam in the fetal plasma, liver and brain were comparable to the concentrations resulting from a 10 mg intramuscular diazepam dose to the mother about 2 hours before legal abortion. The feto-maternal ratio of diazepam was of same magnitude as after the intramuscular application to the mother. The results indicate that the disappearance of diazepam from the amniotic fluid in this stage of pregnancy occurs extraplacentally, through the mambranes into the uterine circulation. In the treatment of a fetus with drugs having properties similar to diazepam, intra-amniotic administration is no better than intramuscular administration to the mother.
Authors:
R Erkkola; J Kanto; L Kangas; O Piiroinen
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics     Volume:  14     ISSN:  0020-7292     ISO Abbreviation:  Int J Gynaecol Obstet     Publication Date:  1976  
Date Detail:
Created Date:  1977-03-31     Completed Date:  1977-03-31     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0210174     Medline TA:  Int J Gynaecol Obstet     Country:  SWEDEN    
Other Details:
Languages:  eng     Pagination:  213-6     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Amniotic Fluid / analysis
Brain Chemistry
Diazepam / administration & dosage,  analogs & derivatives*,  analysis*,  blood
Female
Fetal Blood / analysis
Humans
Injections
Injections, Intramuscular
Kinetics
Liver / analysis
Maternal-Fetal Exchange*
Nordazepam / analysis*
Oxazepam / analysis
Pregnancy
Chemical
Reg. No./Substance:
1088-11-5/Nordazepam; 439-14-5/Diazepam; 604-75-1/Oxazepam

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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