[A randomized study of the treatment of threatened premature labor. Nifedipine versus ritodrine]

J Gynecol Obstet Biol Reprod (Paris). 1990;19(4):478-82.
[Article in French]

Abstract

The authors compare the efficiency of two drugs in the treatment of threatened premature labour, the one being the calcium inhibitor (nifedipine) and the other a beta-mimetic drug (ritodrine). 62 patients after random selection were divided into two groups: 32 treated with ritodrine and 30 treated with nifedipine. The treatment was carried out over 7 days. The success rate was similar in both groups -72% for the ritodrine group and 63.33% for the nifedipine group. Women receiving nifedipine had slightly greater gain in weeks, six as against five for ritodrine. The side effects which were often found with nifedipine were; hot flushes (in 10 cases) and headaches (4 cases). These symptoms appeared 15-30 minutes after the first dose and were transitory. No neonatal complications were found. The ease with which a calcium inhibitor can be given suggests that it should be used more frequently in the treatment of threatened premature labour and particularly when there are contra-indications to the use of beta-mimetic drugs.

Publication types

  • Clinical Trial
  • Comparative Study
  • English Abstract
  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Apgar Score
  • Female
  • Heart Rate, Fetal / drug effects
  • Humans
  • Infant, Newborn
  • Nifedipine / adverse effects
  • Nifedipine / therapeutic use*
  • Obstetric Labor, Premature / prevention & control*
  • Placenta / anatomy & histology
  • Placenta / drug effects
  • Pregnancy
  • Prospective Studies
  • Random Allocation
  • Ritodrine / adverse effects
  • Ritodrine / therapeutic use*
  • Uterine Contraction / drug effects

Substances

  • Ritodrine
  • Nifedipine