Nifedipine versus terbutaline for tocolysis in external cephalic version

Nor Azlin Mohamed Ismail, Maryasalwati Ibrahim, Norzilawati Mohd Naim, Zaleha Abdullah Mahdy, Mohammad Abdul Jamil, Zainul Rashid Mohd. Razi

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

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.

Original languageEnglish
Pages (from-to)263-266
Number of pages4
JournalInternational Journal of Gynecology and Obstetrics
Volume102
Issue number3
DOIs
Publication statusPublished - Sep 2008

Fingerprint

Fetal Version
Tocolysis
Terbutaline
Nifedipine
Tocolytic Agents
Breech Presentation
Sympathomimetics
Tertiary Care Centers
Outpatients
Mothers
Pregnancy

Keywords

  • Breech
  • External cephalic version (ECV)
  • Nifedipine
  • Terbutaline
  • Tocolysis

ASJC Scopus subject areas

  • Obstetrics and Gynaecology

Cite this

Nifedipine versus terbutaline for tocolysis in external cephalic version. / Mohamed Ismail, Nor Azlin; Ibrahim, Maryasalwati; Mohd Naim, Norzilawati; Abdullah Mahdy, Zaleha; Jamil, Mohammad Abdul; Mohd. Razi, Zainul Rashid.

In: International Journal of Gynecology and Obstetrics, Vol. 102, No. 3, 09.2008, p. 263-266.

Research output: Contribution to journalArticle

Mohamed Ismail, Nor Azlin ; Ibrahim, Maryasalwati ; Mohd Naim, Norzilawati ; Abdullah Mahdy, Zaleha ; Jamil, Mohammad Abdul ; Mohd. Razi, Zainul Rashid. / Nifedipine versus terbutaline for tocolysis in external cephalic version. In: International Journal of Gynecology and Obstetrics. 2008 ; Vol. 102, No. 3. pp. 263-266.
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