The Agapanthus africanus plant is used by South African traditional healers
as a phytomedicine in herbal remedies to treat pregnancy-related ailments
and to augment labour. It has already been shown that an aqueous extract of
A. africanus causes smooth muscle contractions in the isolated uterus and
ileum preparations. In the present study, the effects of an aqueous extract
of A. africanus leaves was examined on receptor systems involved in contra
ction of the uterine smooth muscle in order to determine the mechanism of i
ts pharmacological effect relevant to its ethnic use to augment labour. The
extract was tested on the isolated rat uterus preparation. The aqueous ext
ract of A. africanus leaves was found to exhibit agonist activity on uterin
e muscarinic receptors and to promote the synthesis of prostaglandins in th
e oestrogenized rat uterus. Some pharmacological justification for the ethn
ic use of A. africanus as a herbal oxytocic in prolonged labour has been pr
ovided. (C) 1999 Elsevier Science Ireland Ltd. All rights reserved.