Nifedipine versus terbutaline for tocolysis in external cephalic version

被引：20
作者：
Ismail, Nor Azlin Mohamed [1 ]
Ibrahim, Maryasalwati [1 ]
Naim, Norzilawati Mohd [1 ]
Mahdy, Zaleha Abdullah [1 ]
Jamil, Mohammad Abdul [1 ]
Razi, Zainul Rashid Mohd [1 ]
机构：
[1] Univ Kebangsaan Malaysia, Dept Obstet & Gynecol, Kuala Lumpur 56000, Malaysia
来源：
INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS | 2008年 / 102卷 / 03期
关键词：
breech; external cephalic version (ECV); nifedipine; tocolysis; terbutaline;
D O I：
10.1016/j.ijgo.2008.04.010
中图分类号：
R71 [妇产科学];
学科分类号：
100211 ;
摘要：
Objective: To study the efficacy of nifedipine compared with terbutaline as a tocolytic agent in external cephalic version (ECV). Methods: A prospective, randomized, comparative trial was carried out in a tertiary hospital. Women with singleton term breech pregnancies were randomized for nifedipine (group A) and terbutaline (group B) tocolysis for ECV in an outpatient setting. The efficacy, side effects, and complications were analyzed and compared. Results: A total of 86 women were recruited with 43 women in each group. The overall success rate was 48.8% and this reduced the rate of cesarean delivery for breech presentation by 32.5% in our center. ECV was successful in 39.5% of women in group A and 58.1% in group B. Fewer side effects were experienced by the women in group A compared with group B, although this was not significant. Conclusion: Nifedipine can be used as an alternative for tocolysis in ECV when there are maternal contraindications to beta-sympathomimetics. (c) 2008 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.
引用
收藏
页码：263 / 266
页数：4
相关论文
共 26 条
[1]   Tocolysis in term breech external cephalic version [J].
Azlin, MIN ;
Haliza, H ;
Mahdy, ZA ;
Anson, I ;
Fahya, MN ;
Jamil, MA .
INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS, 2005, 88 (01) :5-8
[2]   DECREASING VALUE OF EXTERNAL CEPHALIC VERSION IN MODERN OBSTETRIC PRACTICE [J].
BRADLEYWATSON, PJ .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1975, 123 (03) :237-240
[3]  
Broekhuizen FF, 2003, AM J OBSTET GYNECOL, V188, P1457
[4]   Sublingual nitroglycerin versus intravenous ritodrine as tocolytic for external cephalic version: A double-blinded randomized trial [J].
Bujold, E ;
Marquette, GP ;
Ferreira, E ;
Gauthier, R ;
Boucher, M .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 2003, 188 (06) :1454-1457
[5]   A randomized, double blind, controlled trial of tocolysis to assist external cephalic version in late pregnancy [J].
Chung, T ;
Neale, E ;
Lau, TK ;
Rogers, M .
ACTA OBSTETRICIA ET GYNECOLOGICA SCANDINAVICA, 1996, 75 (08) :720-724
[6]   External cephalic version: a safe procedure? A systematic review of version-related risks [J].
Collaris, RJ ;
Oei, SG .
ACTA OBSTETRICIA ET GYNECOLOGICA SCANDINAVICA, 2004, 83 (06) :511-518
[7]   Randomized comparison of intravenous nitroglycerin and subcutaneous terbutaline for external cephalic version under tocolysis [J].
El-Sayed, YY ;
Pullen, K ;
Riley, ET ;
Lyell, D ;
Druzin, ML ;
Cohen, SE ;
Chitkara, U .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 2004, 191 (06) :2051-2055
[8]   CARDIOVASCULAR AND METABOLIC EFFECTS ASSOCIATED WITH NIFEDIPINE AND RITODRINE TOCOLYSIS [J].
FERGUSON, JE ;
DYSON, DC ;
HOLBROOK, RH ;
SCHUTZ, T ;
STEVENSON, DK .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1989, 161 (03) :788-795
[9]   A randomized placebo-controlled evaluation of terbutaline for external cephalic version [J].
Fernandez, CO ;
Bloom, SL ;
Smulian, JC ;
Ananth, CV ;
Wendel, GD .
OBSTETRICS AND GYNECOLOGY, 1997, 90 (05) :775-779
[10]   Planned caesarean section versus planned vaginal birth for breech presentation at term: a randomised multicentre trial [J].
Hannah, ME ;
Hannah, WJ ;
Hewson, SA ;
Hodnett, ED ;
Saigal, S ;
Willan, AR .
LANCET, 2000, 356 (9239) :1375-1383
123