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Updated: Apr 24, 2026

Comprehensive Evaluation of the Effectiveness and Safety of Placenta-Targeted Drug Delivery Using Three Complementary Methods
Published on: September 10, 2018
Micronized progesterone reduces vasoconstriction in the placenta
Nathaniel R Miller1, Brad M Dolinsky, Peter G Napolitano
1a Department of Obstetrics and Gynecology , Carl R. Darnall Army Medical Center , TX , USA and.
Objective:
To investigate if micronized progesterone (P4) has the ability to attenuate thromboxane mimetic U46619-mediated fetoplacental artery vasoconstriction.
Methods:
Paired cotyledons obtained from the same placenta of five-term subjects were analyzed. The fetal artery and maternal intervillous space of one cotyledon was infused with P4 while another cotyledon was infused with control perfusate. After 30 min, a bolus dose of U44619 was administered to both cotyledons.
Results:
The change in the measured fetoplacental vascular pressure caused by bolus administration of U46619 was less in the cotyledons infused with P4 (p = 0.009).
Conclusion:
Continuous treatment with P4 significantly attenuates the U46619-mediated fetoplacental vasoconstriction.
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