DeRosa J, Anderle L J
Department of Obstetrics, Doctor's Hospital, Stark County, Massillon, Ohio.
J Am Osteopath Assoc. 1991 Apr;91(4):351-2, 355-7.
External version with the use of tocolysis in low-risk patients has been shown to be relatively safe and effective. A retrospective analysis was undertaken to see if version was practical for a smaller community-based hospital. Thirty-two antepartum external cephalic versions with ritodrine tocolysis during a 4-year period were reviewed. Successful version occurred in 59.4% of attempts. Of patients with a successful version, 68.4% delivered vaginally. One successful version occurred spontaneously with ritodrine tocolysis alone. A stillbirth due to abruptio placentae occurred 20 hours after a failed version attempt.
在低风险患者中使用宫缩抑制剂进行外倒转术已被证明相对安全有效。我们进行了一项回顾性分析，以探讨外倒转术对于一家规模较小的社区医院是否可行。我们回顾了在4年期间内使用利托君进行宫缩抑制的32例产前外倒转术。59.4%的尝试获得成功。在成功外倒转的患者中，68.4%经阴道分娩。有1例成功外倒转是仅使用利托君进行宫缩抑制后自然发生的。1例倒转术尝试失败后20小时，发生了1例因胎盘早剥导致的死产。
