Fernandez 1997.
Methods | RCT. | |
Participants |
Inclusion criteria: singleton, non‐cephalic pregnancy; > 36 weeks' gestation. N = 103. Exclusion criteria: younger than 17 years of age, prior uterine surgery, ruptured membranes, placenta praevia, anomalous fetus, multiple gestation, sensitivity to terbutaline, other maternal medical complications. |
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Interventions |
Intervention:tocolytic: terbutaline ‐ beta stimulant (A1) ‐ parenteral. Terbutaline 0.25 mg in unlabelled insulin syringe given SQ 15 to 30 minutes before ECV attempts. Forward then backward roll attempted. N = 52. Comparison:placebo. N = 51. |
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Outcomes | Successful ECV; CS. | |
Notes | Parkland Memorial Hospital, Dallas, Texas, USA. January 1994 to June 1995. | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | Randomised computer tables ‐ randomisation by pharmacy using computer‐generated random sequence. |
Allocation concealment (selection bias) | Unclear risk | No mention in article. |
Blinding of participants and personnel (performance bias) All outcomes | Low risk | Terbutaline or placebo obtained from pharmacy in unlabelled syringe. Placebo was an equal volume of normal saline. |
Blinding of outcome assessment (detection bias) All outcomes | Low risk | Placebo‐controlled trial with blinding of staff. |
Incomplete outcome data (attrition bias) All outcomes | Low risk | No exclusion of women or loss to follow‐up. Appears to be an intention‐to‐treat analysis. |
Selective reporting (reporting bias) | Unclear risk | We did not assess the trial protocol. |
Other bias | Low risk | With exception of maternal age, the 2 groups did not differ at baseline. Mean age for terbutaline group: 23.4. Mean age for placebo group: 25.7. |