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“Pregnancy is known to increase myocardial susceptibility to bupivacaine-induced cardiovascular collapse, and prolonged pretreatment of rabbits with high doses of progesterone potentiates bupivacaine's depression of the maximal rate of increase (Vmax) of the cardiac action potential.”
Journal of cardiovascular pharmacology • 1999 | View Paper
“Progesterone levels are elevated during pregnancy, and exogenously increasing progesterone levels in rabbits has increased bupivacaine's depressive effects on excitability.”
“Each concentration of progesterone (6.25, 12.5, 25, and 50 μg/ml) caused a significant and concentration-dependent reduction in the AD50 for bupivacaine.”