Summary
The uterine inhibitory effect and potential maternal and fetal side effects of two β-mimetic compounds, ritodrine hydrochloride and fenoterol hydrobromide, were compared in a randomized trial. The drugs were administered by intravenous infusion to 24 healthy term nulliparous women during effective first-stage labour; each of them received fenoterol (1, 2, or 4 µg/min) or ritodrine (100, 200, or 400 µg/min). There was no difference between the drugs in the intensity of the uterine inhibition. However, for a similar inhibitory effect, the duration of tocolysis was longer after ritodrine. During the intrapartum and neonatal periods, neither compound induced any change in the fetal parameters investigated, and their effects on maternal parameters were comparable.
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Alvarez H, Caldeyro-Barcia R (1954) The normal and abnormal contractility waves of the uterus during labour. Gynaecologia 138: 190–196
Amy JJ, Thiery M, Crawford JS, Kerenyi TD, Bygdeman M, Karim GMM (1976) A suggested set of working definitions and criteria applicable to induction of labour. Int J Gynaecol Obstet 14: 379–383
Andersson KE, Bengtsson LP, Gustafson I, Ingemarsson I (1975) The relaxing effect of terbutaline on the human uterus during term labor. Am J Obstet Gynecol 121: 602–609
Andersson KE, Ingemarsson I, Persson CGA (1977) Effects of terbutaline on human uterine motility at term. Acta Obstet Gynecol Scand 56: 287–291
Bieniarz J, Motew M, Scommegna A (1972) Uterine and cardiovascular effects of ritodrine in premature labor. Obstet Gynecol 40: 65–73
Caldeyro-Barcia R, Sica-Blanco J, Poseiro JJ, Gonzalez-Panizza V, Méndez-Bauer C, Fielitz C, Alvarez H, Pose SV, Hendrickx CH (1957) A quantitative study of the action of synthetic oxytocin on the pregnant human uterus. J Pharmacol Exp Ther 121: 18–31
Campbell J, Anderson I, Chang A, Wood C (1978) The use of ritodrine in the management of the fetus during the second stage of labour. Int NZ J Obstet Gynaecol 18: 110–113
Castano-Almendral JL, Arto-Medrano F (1974) Intravenous high doses of orciprenaline (Alupent®) in women during labor. Int J Gynaecol Obstet 12: 204–211
Eskes TKAB (1973) The influence of beta-mimetic catecholamines upon uterine activity in human pregnancy and labor. In: Josimovich JB (ed) Uterine contraction. Wiley, New York, pp 265–286
Eskes TKAB, De Haan J (1977) In: Weidinger H (ed) Labour inhibition. Betamimetic drugs in obstetrics. Gustav Fischer, Stuttgart, pp 57–65
Fargier P, Dargent D, Salomon B, Dolfus JM, Magnin P (1974) Notre expérience de la réanimation du foetus in utero. J Gynecol Obstet Biol Reprod 3: 355–364
Friedman EA (1955) Primigravid labor — a graphicostatistical analysis. Obstet Gynecol 6: 567–589
Hemmenski E, Starfield B (1978) Prevention and treatment of premature labour by drugs. Review of controlled clinical trials. Br J Obstet Gynaecol 85: 411–417
Herre H-D, Wilken HP, Stark KH, Kunkel S (1977) In: Weidinger H (ed) Labour inhibition. Betamimetic drugs in obstetrics. Gustav Fischer, Stuttgart, pp 121–124
Junge HD, Kords H, Rodt C (1978) Maternal and fetal ECG alterations during and after infusion of fenoterol. Eur J Obstet Gynecol Biol Reprod 85: 269–276
Künzel W, Reinecke J (1974) Der Einfluß von Th 1165a auf die Gaspartialdrucke und auf kardiovaskuläre Parameter von Mutter und Fetus. Zugleich eine quantitative Analyse der Wehentätigkeit. Z Geburtshilfe Perinatol 177: 81–90
Künzel W, Kastendieck E (1977) In: Weidinger H (ed) Labour inhibition. Betamimetic drugs in obstetrics. Gustav Fischer, Stuttgart, pp 87–97
Lang N, Bellmann O, Hinckers HJ, Schlebusch H (1977) In: Weidinger H (ed) Labour inhibition. Betamimetic drugs in obstetrics. Gustav Fischer, Stuttgart, pp 111–120
Langnickel D von Akute intrauterine Hypoxie. Fortschr Med 96: 18
Lipshitz J (1977) Use of a β2-sympathomimetic drug as a temporizing measure in the treatment of acute fetal distress. Am J Obstet Gynecol 129: 31–36
Mahon WA, Reid DWJ, Day RA (1967) The in vivo effects of beta adrenergic stimulation and blockade on the human uterus at term. J Pharmacol Exp Ther 156: 178–185
Mohr D, Weidinger H (1977) In: Weidinger H (ed) Labour inhibition. Betamimetic drugs in obstetrics. Gustav Fischer, Stuttgart, pp 125–130
Nigg OM, Maye D, Béguin F (1975) Réanimation intrautérine par les substances β-mimétiques et évaluation du nouveau-né. Gynäkol Rdsch 16: (Suppl 1) 44–46
Richter R, Hinselmann MJ (1979) The treatment of threatened premature labor by betamimetic drugs: a comparison of fenoterol and ritodrine. Obstet Gynecol 53: 81–87
Röpke F, Woraschk H-J, Seifert B (1977) In: Weidinger H (ed) Labour inhibition. Betamimetic drugs in obstetrics. Gustav Fischer, Stuttgart, pp 235–241
Saling E (1966) Das Kind im Bereich der Geburtshilfe. Thieme, Stuttgart
Schreyer P, Caspi E, Ariely S, Herzianu I, User P, Gilboa J, Zaidman JL (1979) Metabolic effects of intravenous ritodrine infusion during pregnancy. Eur J Obstet Gynecol Biol Reprod 9: 97–103
Stockhausen H, Schnell J, Rüther K (1972) Die Tokolyse unter der Geburt — eine tokographische Vergleichsuntersuchung bei Anwendung verschiedener tokolytischer Substanzen. Geburtsh Frauenheilk 32: 51–56
Vroman S, Thiery M (1969) A simplified technique for transcervical intraamniotic tocography during labor. Bull Soc R Belge Gynécol Obstét 39: 349–353
Wesselius-de Casparis A, Thiery M, Yo Le Sian A, Baumgarten K, Brosens I, Gamissans O, Stolk JG, Vivier W (1971) Results of double-blind, multicentre study with ritodrine in premature labour. Br Med J 3: 144–147
Wiest W, Weidinger H, Zsolnai B, Somogyi J, Rominger KL (1977) In: Weidinger H (ed) Labour inhibition. Betamimetic drugs in obstetrics. Gustav Fischer, Stuttgart, pp 47–51
Zahn V, Bittner S, Zach HP (1977) Notfalltokolyse. Geburtsh Frauenheilk 37: 207–215
Zahn V von, Johannigmann J (1975) Partusisten® in der Geburtshilfe. Zentralb Gynäkol 97: 605–611
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Gerris, J., Thiery, M., Bogaert, M. et al. Randomized trial of two beta-mimetic drugs (ritodrine and fenoterol) in acute intra-partum tocolysis. Eur J Clin Pharmacol 18, 443–448 (1980). https://doi.org/10.1007/BF00874653
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DOI: https://doi.org/10.1007/BF00874653