Herabutya Y, O-Prasertsawat P
Department of Obstetrics & Gynaecology, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
J Med Assoc Thai. 1993 Jan;76 Suppl 1:100-4.
Prostaglandin E2 is beginning to be used more widely for the induction of labor in this country. The main concern with vaginal administration is the difficulty in stopping uterine hyperactivity. This report is a case where intravenous terbutaline was given as soon as hyperactivity and fetal heart rate deceleration were detected. Using this treatment, hyperactivity was controlled and the fetal heart rate returned to normal. Unfortunately, cesarean section was necessary for fetal distress which developed two and a half hours later when syntocinon was started intravenously to augment the labor.
在这个国家，前列腺素E2开始被更广泛地用于引产。阴道给药的主要问题是难以停止子宫活动过度。本报告是一例在检测到子宫活动过度和胎儿心率减速后立即给予静脉注射特布他林的病例。采用这种治疗方法，子宫活动过度得到了控制，胎儿心率恢复正常。不幸的是，在两小时半后开始静脉滴注缩宫素加强宫缩时出现胎儿窘迫，不得不进行剖宫产。
