Robertson 1987.
Methods | Quasi‐RCT | |
Participants |
Inclusion criteria: breech presentation suitable for ECV at term (37 to 41 weeks). N = 58. Exclusion criteria: oligohydramnios, estimated fetal weight < 2500 g or > 4000 g, non‐reactive NST. |
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Interventions |
Intervention:tocolytic: ritodrine ‐ beta stimulant (A1) ‐ parenteral. Use of tocolysis (ritodrine infusion 200 micrograms per minute for 20 minutes) compared with no tocolysis. All women had IV lines. Repeat version attempt with tocolysis was successful in 1/9, with initial failure in the control group (for immediate success rate, this review considered only the initial attempt). N = 30. Comparison:no tocolytic. N = 28. |
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Outcomes | Non‐cephalic presentation at birth; CS; immediate ECV success. | |
Notes | Tacoma, Washington, USA. July 1984 to May 1987. | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | High risk | Allocated according to last digit of social security number. |
Allocation concealment (selection bias) | High risk | Allocated according to last digit of social security number. |
Blinding of participants and personnel (performance bias) All outcomes | High risk | No blinding. |
Blinding of outcome assessment (detection bias) All outcomes | High risk | No blinding. |
Incomplete outcome data (attrition bias) All outcomes | Low risk | 3 women lost to follow‐up in the intervention group and 5 in the control group. This seems unlikely to impact outcomes. |
Selective reporting (reporting bias) | Unclear risk | We did not assess the trial protocol. |
Other bias | Low risk | Groups were similar in age, parity, maternal weight, GA, EFW. No other biases apparent. |