Placental transfer of fentanyl in early human pregnancy and its detection in fetal brain
Cooper, J;Jauniaux, E.;Gulbis, B.;Quick, D;Bromley, L
(1999) British Journal of Anaesthesia — Vol. 82, n° 6, p. 929-931 (1999)
Files
No attached file found for this publication.
Details
Authors
Cooper, J
Author
Jauniaux, E.
Author
Gulbis, B.
Author
Quick, D
Author
Bromley, L
Author
Abstract
We have investigated the transfer of fentanyl across the early human placenta in 38 women (8-14 weeks' gestation) undergoing termination of pregnancy. After administration of a bolus dose of fentanyl 2 mu g kg(-1) at induction of anaesthesia, maternal blood (n=38), placenta (n=38), amniotic fluid (n=38) and fetal brain (n=7) samples were collected and assayed for fentanyl by radioimmunoassay. Fentanyl was detected in all placental and fetal brain samples but not in amniotic fluid. There was a rapid decrease in fentanyl concentrations in maternal serum after the bolus but placental concentrations had not started to decline 30 min later. There was no difference in placental drug concentrations at different gestational ages. These data suggest that there is rapid transfer of fentanyl to the fetus in early pregnancy and that the drug remains in fetal tissue for some time after the initial dose is given to the mother.
Cooper, J., Jauniaux, E., Gulbis, B., Quick, D., & Bromley, L. (1999). Placental transfer of fentanyl in early human pregnancy and its detection in fetal brain. British Journal of Anaesthesia, 82(6), 929-931. https://hdl.handle.net/2078.5/25631 (Original work published 1999)