title: External cephalic version of term singleton breech presentations with tocolysis: a retrospective study in a community hospital.
abstract: 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.
authors.affiliation: Department of Obstetrics, Doctor's Hospital, Stark County, Massillon, Ohio.
authors.forename: J
authors.initials: J
authors.lastname: DeRosa
authors.forename: L J
authors.initials: LJ
authors.lastname: Anderle
mesh_terms: D000328:Adult; D001946:Breech Presentation; D003131:Combined Modality Therapy; D005069:Evaluation Studies as Topic; D005260:Female; D006764:Hospitals, Community; D006801:Humans; D010021:Osteopathic Medicine / Q000379:methods* / Q000592:standards; D011247:Pregnancy; D011256:Pregnancy Outcome; D012189:Retrospective Studies; D012312:Ritodrine / Q000627:therapeutic use; D015145:Tocolysis / Q000379:methods*; D014710:Version, Fetal / Q000379:methods*
chemical_list: D012312:Ritodrine