Pharmacokinetics of a Novel Vaginal Delivery System for Testosterone and Dehydroepiandrosterone (DHEA)

Author(s):  
Medicina ◽  
2021 ◽  
Vol 57 (5) ◽  
pp. 478
Author(s):  
Sho Takakura ◽  
Hiroaki Tanaka ◽  
Naosuke Enomoto ◽  
Shintaro Maki ◽  
Tomoaki Ikeda

The PROPESS, a controlled-release dinoprostone vaginal delivery system, is a pharmacological cervical ripening intervention and promotes cervical change causing uterine contraction. During insertion of the PROPESS, uterine hyperstimulation could occur and result in fetal heart rate (FHR) abnormality. We report a case of uterine hyperstimulation accompanied with FHR abnormality caused by the PROPESS in a pregnant woman. Postural change, oxygenation, fluid infusion, and the immediate PROPESS removal were ineffective to address the adverse event, so we administered nitroglycerin for acute uterine relaxation. The nitroglycerin resulted in uterine relaxation, and the FHR abnormality was resolved immediately, thereby preventing an emergency cesarean section. Therefore, nitroglycerin could be considered an effective option for uterine hyperstimulation accompanied with FHR abnormality caused by the PROPESS.


2001 ◽  
Vol 77 (3) ◽  
pp. 323-332 ◽  
Author(s):  
Claudia Valenta ◽  
Constantia E Kast ◽  
Irene Harich ◽  
Andreas Bernkop-Schnürch

2009 ◽  
Vol 98 (2) ◽  
pp. 555-564 ◽  
Author(s):  
Juliane Hombach ◽  
Thomas F. Palmberger ◽  
Andreas Bernkop‐Schnürch

2005 ◽  
Vol 106 (1-2) ◽  
pp. 34-43 ◽  
Author(s):  
Željka Pavelić ◽  
Nataša Škalko-Basnet ◽  
Jelena Filipović-Grčić ◽  
Anita Martinac ◽  
Ivan Jalšenjak

2010 ◽  
Vol 18 (8) ◽  
pp. 637-644 ◽  
Author(s):  
June-Woo Kang ◽  
Enkhzaya Davaa ◽  
Ye-Tae Kim ◽  
Jeong-Sook Park

2016 ◽  
Vol 105 (5) ◽  
pp. 1714-1720 ◽  
Author(s):  
Muhammad Ijaz ◽  
Julia Anita Griessinger ◽  
Arshad Mahmood ◽  
Flavia Laffleur ◽  
Andreas Bernkop-Schnürch

2018 ◽  
Vol 21 ◽  
pp. S251-S252
Author(s):  
K. Pacocha ◽  
I. Pieniazek ◽  
J. Stelmachowski ◽  
J. Walczak ◽  
A. Bierut ◽  
...  

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