Tocolysis in term breech external cephalic version

Nor Azlin Mohamed Ismail, H. Haliza, Zaleha Abdullah Mahdy, I. Anson, M. N. Fahya, M. A. Jamil

Research output: Contribution to journalArticle

21 Citations (Scopus)

Abstract

To study the effect of ritodrine tocolysis on the success of external cephalic version (ECV) and to assess the role of ECV in breech presentation at our centre. A prospective randomized double-blind-controlled trial comparing ritodrine and placebo in ECV of singleton term breech pregnancy at a tertiary hospital. Among the 60 patients who were recruited, there was a success rate of 36.7%. Ritodrine tocolysis significantly improved the success rate of ECV (50% vs. 23%; P=0.032). There was a marked effect of ritodrine tocolysis on the ECV success in nulliparae (36.4% vs. 13.0%) and multiparae (87.5% vs. 57.1%). External cephalic version has shown to reduce the rate of cesarean section for breech presentation by 33.5% in our unit. External cephalic version significantly reduced the rate of cesarean section in breech presentation, and ritodrine tocolysis improved the success of ECV and should be offered to both nulliparous and parous women in the case of term breech presentation.

Original languageEnglish
Pages (from-to)5-8
Number of pages4
JournalInternational Journal of Gynecology and Obstetrics
Volume88
Issue number1
DOIs
Publication statusPublished - Jan 2005

Fingerprint

Fetal Version
Tocolysis
Ritodrine
Breech Presentation
Cesarean Section
Tertiary Care Centers
Placebos
Pregnancy

Keywords

  • Breech presentation
  • External cephalic version
  • Ritodrine
  • Tocolysis

ASJC Scopus subject areas

  • Obstetrics and Gynaecology

Cite this

Tocolysis in term breech external cephalic version. / Mohamed Ismail, Nor Azlin; Haliza, H.; Abdullah Mahdy, Zaleha; Anson, I.; Fahya, M. N.; Jamil, M. A.

In: International Journal of Gynecology and Obstetrics, Vol. 88, No. 1, 01.2005, p. 5-8.

Research output: Contribution to journalArticle

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