Dudenhausen J W, Pluta M, Försterling R, Gesche J, Saling E
Geburtshilfe Frauenheilkd. 1981 Jun;41(6):407-9. doi: 10.1055/s-2008-1037188.
In 51 patients with 53 external versions of the child from breech presentation to vertex presentation near to term under tocolysis, the maternal serum-level of human placental lactogen (HPL) and free estriol (E3) was examined immediately before attempting the version and also 30 minutes and 60 minutes after the version, in order to find out whether these two parameters vary according to stress made on the placenta and fetus. In the whole group these were no significant differences in the HPL and estriol levels 30 and 60 minutes after the version compared with the levels before the version. Furthermore comparisons made with attempted versions with heavier stress on the placenta, such as anterior wall placenta, small volume of amniotic fluid, longer duration of the version, and placenta insufficiency did not lead to any significant HPL or estriol decrease in these groups.
对51例临近足月臀位胎儿进行53次外倒转术(tocolysis下),将胎儿转为头位。在尝试倒转术之前、倒转术之后30分钟和60分钟,检测母体血清人胎盘催乳素(HPL)和游离雌三醇(E3)水平,以确定这两个参数是否会因对胎盘和胎儿造成的压力而发生变化。在整个组中,倒转术后30分钟和60分钟时的HPL和雌三醇水平与倒转术前相比无显著差异。此外,对胎盘压力较大的尝试性倒转术进行比较,如前壁胎盘、羊水量少、倒转术持续时间长和胎盘功能不全,这些组中的HPL或雌三醇水平均未出现显著下降。