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[Indomethacin and lung maturity].

G Georgiev, S Avgarska

    Akusherstvo I Ginekologiia
    |January 1, 1989
    PubMed
    Summary
    This summary is machine-generated.

    Indomethacin treatment in pregnant rats negatively impacted fetal lung maturation, indicated by altered amniotic fluid surfactant. Higher doses also led to gastrointestinal issues and fetal mortality.

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    Boulay et al. Reply.

    Physical review letters·2021

    Area of Science:

    • Pharmacology
    • Developmental Biology
    • Obstetrics

    Background:

    • Indomethacin is a nonsteroidal anti-inflammatory drug (NSAID) used to manage pain and inflammation.
    • Premature infants may experience respiratory distress syndrome due to immature lung surfactant.
    • Understanding drug effects on fetal development is crucial for maternal and child health.

    Purpose of the Study:

    • To investigate the effects of indomethacin on fetal lung maturation in Wistar rats.
    • To assess the impact of different indomethacin dosages on amniotic fluid surfactant and fetal outcomes.

    Main Methods:

    • Pregnant Wistar rats were administered indomethacin (3 mg/kg or 5 mg/kg) for two days.
    • Animals were euthanized on days 18, 19, and 20 of gestation.

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  • Amniotic fluid surfactant was analyzed using the black foam film method.
  • Maternal and fetal gastrointestinal tracts were examined for abnormalities.
  • Main Results:

    • Indomethacin administration resulted in threshold dilution of amniotic fluid surfactant in treated groups compared to controls.
    • Higher doses of indomethacin caused changes in the maternal and fetal gastrointestinal tracts.
    • Fetal mortality was observed in some fetuses following higher-dose indomethacin administration.

    Conclusions:

    • Indomethacin exposure during pregnancy adversely affects fetal lung maturation.
    • The drug's effects on surfactant may contribute to respiratory complications in newborns.
    • Indomethacin poses risks to fetal development, including gastrointestinal disturbances and mortality.