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Related Experiment Videos

Terbutaline pump tocolysis in high-order multiple gestation

J P Elliott1, M J Flynn, E L Kaemmerer

  • 1Phoenix Perinatal Associates, Phoenix, AZ 85006, USA.

The Journal of Reproductive Medicine
|December 31, 1997
PubMed
Summary
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Terbutaline pump tocolysis is a safe and effective treatment for high-order multiple gestations, including triplets and quadruplets. This therapy helps manage these complex pregnancies, leading to positive outcomes.

Area of Science:

  • Maternal-Fetal Medicine
  • Pharmacology in Pregnancy
  • High-Risk Obstetrics

Background:

  • High-order multiple gestations, such as triplets and quadruplets, present significant management challenges.
  • Tocolytic therapy is often employed to prolong gestation in these pregnancies.
  • Continuous subcutaneous terbutaline infusion via a pump offers an alternative to intermittent dosing.

Purpose of the Study:

  • To evaluate the efficacy and safety of terbutaline pump tocolysis.
  • To assess its role in managing triplet and quadruplet pregnancies.

Main Methods:

  • Retrospective review of medical records.
  • Study included triplet and quadruplet pregnancies receiving terbutaline pump tocolysis.
  • Data collected from August 1988 to January 1992.

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Main Results:

  • The study included 15 triplet and 6 quadruplet pregnancies.
  • Mean gestational age at delivery was 33.0 weeks for both groups.
  • Tocolytic failure occurred in only 13% of triplets and 17% of quadruplets.

Conclusions:

  • Terbutaline pump tocolysis is a safe and effective option.
  • It is suitable for select high-order multifetal gestations.
  • This therapy can help prolong pregnancy in these high-risk cases.