The perinatal period extends from the completion of embryonic dif ferentiation into recognizable anatomic organ structures to the end of the first month of postnatal extrauterine existence. As such it encompasses the most rapid rate of growth and development with accompanying biochemical and physiological changes noted during the total lifespan of the mammalian organism (1).The effects of pharmacologically active agents when administered during this critical period have attracted considerable notoriety in scientific, governmental , industrial, and public circl es because of a number of recent therapeutic misadventures associated with their use. The vulnerability of the developing fetus and newborn infant to chemical agents prescribed on the basis of investigations conducted in adult subjects has been repeatedly demonstrated. The response elicited on the part of the perinatal subject has often been qualitatively and quantitatively dissimilar to that seen in the more mature subject. It is the purpose of this paper to discuss selected aspects of perinatal pharmacology which contribute to our understanding of drug action during this critical period of development. This represents but one aspect of the recently recognized discipline of developmental pharmacology which, in its broadest sense, includes the influence of aging (and the maturational status of the organism) on pharmacologic responses as well as the converse effects of drugs upon maturation and development. Done (2) has recently published a comprehensive review emphasizing these principles as they relate to the neonatal period.
THE ROLE OF THE PLACENTAIt is logical to subdivide perinatal pharmacology into prenatal (fetal) and postnatal events. Apart from the recent experimental introduction of blood transfusions directly into the peritoneal cavity of the fetus (3a, 3b), all chemical agents which effect the fetus must traverse the placenta or fetal membranes after maternal administration.The fact that substances may reach the fetus by routes other than the placenta has been shown in many species. In the guinea pig and rabbit, Brambell (4) has demonstrated that antibodies may be transferred