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Atosiban vs. ritodrine as a tocolytic in external cephalic version at term: a prospective cohort study
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Jorge Burgos
Veröffentlicht/Copyright:
5. Januar 2010
Abstract
Objective: To compare the success rate of external cephalic version (ECV) at term using ritodrine or atosiban as a tocolytic agent.
Study design: Prospective cohort study with a sample of 236 pregnant women with a breech presentation at term, from November 2006 to March 2008. Data have been analyzed from the moment the cephalic version is performed until the time of delivery.
Results: ECV success rate using ritodrine as a tocolytic agent was 56.8% compared to 31.4% with atosiban. Ritodrine increases the version success potential more significantly than atosiban (P<0.05). In both cases, the use of ECV reduced the rate of cesarean sections, although a higher number of versions are required with atosiban [numbers needed to treat (NNT)=9.08] to avoid a cesarean section compared to ritodrine (NNT=3.41).
Conclusions: Ritodrine seems better than atosiban as tocolytic agent for ECVs.
Keywords: Breech presentation; external cephalic version (ECV); ritodrine; tocolityc agents; vasotocin
Received: 2009-5-3
Revised: 2009-6-4
Accepted: 2009-8-3
Published Online: 2010-01-05
Published in Print: 2010-01-01
©2010 by Walter de Gruyter Berlin New York
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Schlagwörter für diesen Artikel
Breech presentation;
external cephalic version (ECV);
ritodrine;
tocolityc agents;
vasotocin
Artikel in diesem Heft
- The Declaration of Dubrovnik
- The prediction and prevention of preterm birth and its consequences: an unmet challenge to perinatal medicine, science and society
- Original articles – Obstetrics
- Women's attitudes to and perceptions of oral health and dental care during pregnancy
- Low circulating maternal adiponectin in patients with pyelonephritis: adiponectin at the crossroads of pregnancy and infection
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- Atosiban vs. ritodrine as a tocolytic in external cephalic version at term: a prospective cohort study
- Evaluation of placental function using near infrared spectroscopy during fetal growth restriction
- Association between women's self-diagnosis of labor and labor duration after admission
- Amniotic fluid volume in intra-amniotic inflammation with and without culture-proven amniotic fluid infection in preterm premature rupture of membranes
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