The effect of carbetocin was evaluated in different doses on porcine myometrium with contractile pattern of uterus. Six healthy post-weaning sows, weighing between 200kg and 300kg, were given 25IU of oxytocin, 0.05mg, 0.10mg, 0.20mg, 0.40mg and 0.60mg of carbetocin on the first, third, fifth, seventh, ninth and eleventh day, respectively, by intramuscular administration.
The following results were obtained.
1. The amplitude of uterine internal pressure increased gradually after 25IU of oxytocin administration and the pressure reached 60mmHg in maximum. The highest frequency of uterine contraction (once per 0.98min.) was recognized soon after the administration. The frequency of contraction gradually decreased and returned to the value before the administration. The pattern of uterine contraction after carbetocin injection was similar to that after oxytocin injection. The decreased amplitude and heightened frequency of uterine contraction immediately after carbetocin administration gradually changed to the increased amplitude and low frequency and finally returned to the state before the injection by 2 to 5 hours after the administration.
2. The mean internal pressure of uterus was increased from 50.3 to 60.0mmHg by oxytocin injection. Thereafter the pressure decreased and returned to the value before the injection by about 2 hours after the injection. There was no significant difference in the mean uterine pressure between the group of carbetocine and oxytocin injection. The amplitude of the contraction of both groups increased temporarily soon after each administration then gradually decreased and tended to be smaller than that before each administration.
3. The mean wave length in changing pattern of uterine pressure in oxytocin group was shorter by half at 5 minutes after the injection. The length was slowly extended and returned to the value before the injection by 0.5 to 1 hour after the injection. There was significant shortening of the wave length in 0.20mg of carbetocin group compared with 25IU of oxytocin group at 0.5 to 1.5 hour after each injection. There was significant difference in wave length between the group treated with 25IU of oxytocin and 0.40mg of carbetocin at 1.5 hour after the injection. A significant difference in wave length was found also between the group treated with 25IU of oxytocin and 0.60mg of carbetocin at 1.5 hour after each injection.
4. The duration of the effect of 25IU oxytocin on uterine contraction was 57.6 minutes. On the group of carbetocin, the durations were 93.9 minutes for 0.05mg, 43.1 minutes for 0.10mg, 213.2 minutes for 0.20mg, 225.3 minutes for 0.40mg and 280.6 minutes for 0.60mg. They were 1.6 times, 0.8 times, 3.7 times, 3.9 times, 4.9 times longer than that of 25IU oxytocin.
View full abstract