足月臀位外倒转术中的安胎治疗

作     者：Azlin M.I Haliza H Mahdy Z.A 朱晓明 

出 版 物：《世界核心医学期刊文摘（妇产科学分册）》 (Core Journal in Obstetrics/Gynecology)

年 卷 期：2005年第1卷第5期

页      面：57-58页

学科分类：1002[医学-临床医学] 100211[医学-妇产科学] 10[医学] 

主　　题：外倒转 臀位 臀先露 利托君 初产妇 经产妇 安慰剂 

摘      要：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 centr e. A prospective randomized double-blind-controlled trial comparing ritodrine and placebo in ECV of singleton term breech pregnancy at a tertiary hospital. Am ong the 60 patients who were recruited, there was a success rate of 36.7%. Ri todrine 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 cep halic version has shown to reduce the rate of cesarean section for breech presen tation by 33.5%in our unit. External cephalic version significantly reduced the rate of cesarean section in breech presentation, and ritodrine tocolysis improv ed the success of ECV and should be offered to both nulliparous and parous women in the case of term breech presentation.