Literature DB >> 1894013

Mifepristone (RU486) alone or in combination with a prostaglandin analogue for termination of early pregnancy: a review.

O M Avrech1, A Golan, Z Weinraub, I Bukovsky, E Caspi.   

Abstract

The availability of a medical mode of termination of early pregnancy by the administration of RU486, an antiprogesterone alone, or in combination with one of the PG analogues significantly reduces the maternal morbidity and mortality associated with the classical surgical abortion. RU486 given alone in early pregnancy induces complete abortion in 60% to 85% of cases, and when combined with prostaglandin analogues, gemeprost or sulprostone, reaches a success rate of 95% to 99%. RU486 may also be of potential value in the medical treatment of ectopic pregnancy. Its use as a postcoital contraception is suggested, but further research is required to determine whether RU486 can be used on a once-a-month basis for contraception.

Entities:  

Keywords:  Abortion, Drug Induced; Abortion, Induced; Adrenal Cortex Effects; Asia; Biology; Contraception; Contraception Research; Contraceptive Agents; Contraceptive Agents, Female; Contraceptive Agents, Postcoital; Contraceptive Mode Of Action; Demographic Factors; Developed Countries; Diseases; Endocrine Effects; Endocrine System; Endometrial Effects; Endometrium; Family Planning; Fertility Control, Postcoital; Fertility Control, Postconception; Genitalia; Genitalia, Female; Gonadotropins; Gonadotropins, Pituitary; Hormone Antagonists; Hormone Receptors; Hormones; Israel; Literature Review; Maternal Mortality; Mediterranean Countries; Membrane Proteins; Morbidity--women; Mortality; Ovulation Suppression; Physiology; Population; Population Dynamics; Pregnancy; Pregnancy Complications; Pregnancy, Ectopic; Pregnancy, First Trimester; Products Of Conception, Retention; Progestational Hormones; Progesterone; Prostaglandins; Prostaglandins, Synthetic; Reproduction; Ru-486; Urogenital System; Uterus; Western Asia

Mesh:

Substances:

Year:  1991        PMID: 1894013     DOI: 10.1016/s0015-0282(16)54527-0

Source DB:  PubMed          Journal:  Fertil Steril        ISSN: 0015-0282            Impact factor:   7.329


  15 in total

1.  Progesterone receptor-A and -B have opposite effects on proinflammatory gene expression in human myometrial cells: implications for progesterone actions in human pregnancy and parturition.

Authors:  Huiqing Tan; Lijuan Yi; Neal S Rote; William W Hurd; Sam Mesiano
Journal:  J Clin Endocrinol Metab       Date:  2012-03-14       Impact factor: 5.958

Review 2.  Progestin therapy to prevent preterm birth: History and effectiveness of current strategies and development of novel approaches.

Authors:  Sam A Mesiano; Gregory A Peters; Peyvand Amini; Rachel A Wilson; Gregory P Tochtrop; Focco van Den Akker
Journal:  Placenta       Date:  2019-01-28       Impact factor: 3.481

Review 3.  Role of nuclear progesterone receptor isoforms in uterine pathophysiology.

Authors:  Bansari Patel; Sonia Elguero; Suruchi Thakore; Wissam Dahoud; Mohamed Bedaiwy; Sam Mesiano
Journal:  Hum Reprod Update       Date:  2014-11-18       Impact factor: 15.610

4.  Inflammatory Stimuli Increase Progesterone Receptor-A Stability and Transrepressive Activity in Myometrial Cells.

Authors:  Gregory A Peters; Lijuan Yi; Yelenna Skomorovska-Prokvolit; Bansari Patel; Peyvand Amini; Huiqing Tan; Sam Mesiano
Journal:  Endocrinology       Date:  2017-01-01       Impact factor: 4.736

5.  PXR mediates mifepristone-induced hepatomegaly in mice.

Authors:  Xin-Peng Yao; Ting-Ying Jiao; Yi-Ming Jiang; Shi-Cheng Fan; Ying-Yuan Zhao; Xiao Yang; Yue Gao; Fei Li; Yan-Ying Zhou; Pan-Pan Chen; Min Huang; Hui-Chang Bi
Journal:  Acta Pharmacol Sin       Date:  2021-03-29       Impact factor: 6.150

6.  In Vivo Genome-Wide PGR Binding in Pregnant Human Myometrium Identifies Potential Regulators of Labor.

Authors:  Ariel J Dotts; Derek Reiman; Ping Yin; Stacy Kujawa; William A Grobman; Yang Dai; Serdar E Bulun
Journal:  Reprod Sci       Date:  2022-06-22       Impact factor: 3.060

7.  Human Parturition Involves Phosphorylation of Progesterone Receptor-A at Serine-345 in Myometrial Cells.

Authors:  Peyvand Amini; Daniel Michniuk; Kelly Kuo; Lijuan Yi; Yelenna Skomorovska-Prokvolit; Gregory A Peters; Huiqing Tan; Junye Wang; Charles J Malemud; Sam Mesiano
Journal:  Endocrinology       Date:  2016-09-21       Impact factor: 4.736

Review 8.  Novel concepts on pregnancy clocks and alarms: redundancy and synergy in human parturition.

Authors:  Ramkumar Menon; Elizabeth A Bonney; Jennifer Condon; Sam Mesiano; Robert N Taylor
Journal:  Hum Reprod Update       Date:  2016-06-30       Impact factor: 15.610

Review 9.  Medication to Manage Abortion and Miscarriage.

Authors:  Jessica Beaman; Christine Prifti; Eleanor Bimla Schwarz; Mindy Sobota
Journal:  J Gen Intern Med       Date:  2020-05-14       Impact factor: 5.128

10.  Progesterone for the prevention of preterm birth: indications, when to initiate, efficacy and safety.

Authors:  Helen Y How; Baha M Sibai
Journal:  Ther Clin Risk Manag       Date:  2009-03-26       Impact factor: 2.423

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