Precipitated opiate abstinence in utero

Am J Obstet Gynecol. 1985 Feb 15;151(4):441-4. doi: 10.1016/0002-9378(85)90266-2.

Abstract

Following direct infusion of morphine (0.6 to 80.0 mg/hr) to the fetal lamb for 2 to 6 hours, naloxone administration precipitated a fetal abstinence syndrome consisting of desynchronization of electrocortical activity; increased total body movements, neck tone, and eye movements; continuous rapid, deep breathing movements; immediate bradycardia associated with transient increases in systolic, diastolic, and pulse pressures; and meconium staining of the amniotic fluid. This syndrome resembles that observed in the opiate-abstinent human neonate.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Animals
  • Electroencephalography
  • Electromyography
  • Female
  • Fetal Diseases / chemically induced*
  • Fetal Diseases / physiopathology
  • Fetal Monitoring
  • Fetal Movement / drug effects
  • Hemodynamics / drug effects
  • Humans
  • Morphine / adverse effects
  • Naloxone / pharmacology
  • Narcotics / adverse effects*
  • Pregnancy
  • Sheep
  • Substance Withdrawal Syndrome / etiology*

Substances

  • Narcotics
  • Naloxone
  • Morphine