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. |
|
| 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. |
|
| 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. |