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Related Experiment Videos

Tocolysis in term breech external cephalic version.

M I Nor Azlin1, H Haliza, Z A Mahdy

  • 1Department of Obstetric and Gynaecology, Hospital Universiti Kebangsaan Malaysia, Jalan Yaacob Latiff, 56000 Kuala Lumpur, Malaysia. azlinm@mail.hukm.ukm.my

International Journal of Gynaecology and Obstetrics: the Official Organ of the International Federation of Gynaecology and Obstetrics
|December 25, 2004
PubMed
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Ritodrine tocolysis significantly boosts external cephalic version (ECV) success rates for breech presentations. ECV also effectively reduces cesarean section rates, benefiting both nulliparous and parous women.

Area of Science:

  • Obstetrics and Gynecology
  • Maternal-Fetal Medicine

Background:

  • Breech presentation complicates term pregnancies, often necessitating cesarean delivery.
  • External cephalic version (ECV) is a procedure to manually turn the fetus from breech to cephalic presentation.
  • Tocolysis is frequently used during ECV to relax the uterus, but its optimal agent is debated.

Purpose of the Study:

  • To evaluate the efficacy of ritodrine tocolysis in enhancing the success rate of external cephalic version (ECV).
  • To determine the overall impact of ECV on reducing cesarean section rates for term breech presentations.

Main Methods:

  • A prospective, randomized, double-blind, placebo-controlled trial was conducted.
  • Participants included singleton term pregnancies with breech presentation at a tertiary hospital.

Related Experiment Videos

  • Ritodrine was compared against a placebo for tocolysis during ECV procedures.

    • Main Results:

    • The overall success rate for ECV was 36.7%.
    • Ritodrine tocolysis significantly increased ECV success rates (50% with ritodrine vs. 23% with placebo; P=0.032).
    • ECV demonstrated a 33.5% reduction in cesarean section rates for breech presentation within the study unit.

    Conclusions:

    • External cephalic version is effective in reducing cesarean section rates for term breech presentations.
    • Ritodrine tocolysis significantly improves ECV success rates.
    • Ritodrine should be considered for both nulliparous and parous women undergoing ECV for term breech presentation.