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In which preterm labor-patients is intravenous maintenance tocolysis effective?

Authors :
Kaori Fukuta
Shigeru Saito
Akitoshi Nakashima
Mika Kigawa
Satoshi Yoneda
Noriko Yoneda
Taketoshi Yoshida
Arihiro Shiozaki
Osamu Yoshino
Tomoko Shima
Source :
Journal of Obstetrics and Gynaecology Research. 44:397-407
Publication Year :
2017
Publisher :
Wiley, 2017.

Abstract

AIM We evaluated whether maintenance tocolysis (intravenous ritodrine hydrochloride and/or magnesium sulfate) was effective in cases of spontaneous preterm labor with intact membranes. METHODS One hundred and thirty preterm labor patients who reached 36 weeks of gestation by maintenance tocolysis were selected. Immediate delivery (ID) after ceasing maintenance tocolysis was defined as an 'effective case'. The correlated factors between ID and no immediate delivery (NID) were statistically analyzed. RESULTS Thirty-six patients delivered < two days after ceasing maintenance tocolysis (27.7%) and were defined as effective cases. Multiple logistic regression analysis revealed that amniotic fluid interleukin-8 at admission (≥ 2.3 ng/mL; odds ratio [OR] 5.6, 95% confidence interval [CI] 2.1-17.6; P

Details

ISSN :
13418076
Volume :
44
Database :
OpenAIRE
Journal :
Journal of Obstetrics and Gynaecology Research
Accession number :
edsair.doi...........e16c6131643f43fd70f58895e1584e9b
Full Text :
https://doi.org/10.1111/jog.13547