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Ru 486 Misconceptions Myths and Morals - ressourcesfeministes

Ru 486 Misconceptions Myths and Morals - ressourcesfeministes

Ru 486 Misconceptions Myths and Morals - ressourcesfeministes

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What Is RU <strong>486</strong> <strong>and</strong> How Does It Work?potential teratogenic effects. This is especially importantbecause RU <strong>486</strong> induced abortion continues over aprolonged period, during which a number of women maychange their mind <strong>and</strong> decide to continue the pregnancy.In 1985, Frydman et al. wrote in The Lancet that theirresearch on second-trimester pregnant women conclusivelydemonstrated that mifepristone crossed the placenta <strong>and</strong> thatthe absence of fetal toxicity was yet to be demonstrated (p.1252). A year later, studies of cell cultures from seven totwelve-week-old embryos, which were obtained fromconventional pregnancy termination (Bischof et al., 1986),were compared with placentas obtained from normaldeliveries <strong>and</strong> then immersed in RU <strong>486</strong> (Das <strong>and</strong> Catt,1987). These studies demonstrated clearly that in earlyembryonic development RU <strong>486</strong> acts directly on thetrophoblast which later grows into the placenta. In late stagesof pregnancy, RU <strong>486</strong> inhibits the production <strong>and</strong> reducesthe secretion of placental hormones. In both cases theresearchers posit that this was due to inhibited production ofhCG. There is limited <strong>and</strong> contradictory data on whetherthis direct action on the trophoblast/ placenta might result inretardation of the embryos <strong>and</strong> contribute to the birth ofchildren with abnormalities.In their study designed to investigate the effect of RU <strong>486</strong>on embryo transport <strong>and</strong> preimplantation development inmice Y.Q. Yang <strong>and</strong> J.T. Wu administered RU <strong>486</strong> orally at100mg/kg/day for two days to female mice, caged with malemice. 21 (Compared with the 600 mg commonly administeredto women this represents roughly a tenfold increase.) Thenext day the mice were ‘sacrificed’, <strong>and</strong> oviducts <strong>and</strong> uteriremoved <strong>and</strong> flushed for embryos. Compared with controls,the treated mice had fewer embryo numbers reaching theblastocyt stage (35 per cent versus 77 per cent) <strong>and</strong> generallyfewer embryos. In addition, 69 per cent of the embryos werelocated in the oviducts. Yang <strong>and</strong> Wu conclude that ‘RU <strong>486</strong>could retain the embryos in the oviduct but expel those having77

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