R. Perez et al., A SINGLE INTRAVENOUS HIGH-DOSE OF CHOLIC-ACID TO A PREGNANT EWE DOES NOT AFFECT FETAL WELL-BEING, Research in experimental medicine, 194(1), 1994, pp. 63-67
Cardiovascular variables of both mother and fetus and total bile acid
levels were monitored in amniotic fluid and in maternal and fetal plas
ma after the administration of a single intravenous high dose (29 mg)
of cholic acid to a pregnant ewe. We observed the diffusion of signifi
cant quantities of cholic acids from the mother to the fetus and amnio
tic fluid. Nevertheless, cardiovascular parameters (heart rate, blood
pressure, PO2, PCO2 and pH) were not affected, neither did intra-amnio
tic pressure show significant changes compared with the initial experi
mental conditions. It is concluded that an acute increase in maternal
plasma levels of bile acids does not produce important adverse effects
in either the mother animal or the fetus and consequently, if bile ac
ids should be deemed responsible for any deleterious effect observed i
n a preterm fetus in intrahepatic cholestasis, this should be consider
ed as the consequence of a chronic process.