Document Detail


Combined use of beta-sympathomimetic drugs and beta-blockers during labour.
MedLine Citation:
PMID:  7247466     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
None of the betamimetics have a exclusively tocolytic effect. By stimulating the cardiovascular beta-receptor, they also cause a substantial increase in the heart rate and a decrease in blood pressure. We administered 4--5 micrograms/min of Fenoterol to 13 patients during the first stage of labour. This led to complete inhibition of labour. To reduce cardiac side effects, a primarily cardiac beta-blocker (5 mg Atenolol or 20 mg Metoprolol) was also given. The maternal and fetal heart rates were measured by ECG and by fetal scalp-electrode, respectively. The fetal heart rate remained largely unchanged, both during the Fenoterol infusion as well as during the additional administration of the beta-blocker. The maternal heart rate, which increased under the influence of the Fenoterol, fell (p less than or equal to 0.01) but did not return to normal. In all cases the beta-blockade led to a brief increase in uterine activity.
Authors:
M Steyer; W Poleska; H P Diemer; H Schmidt; J Heidenreich
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Archives of gynecology     Volume:  230     ISSN:  0170-9925     ISO Abbreviation:  Arch. Gynecol.     Publication Date:  1981  
Date Detail:
Created Date:  1981-08-20     Completed Date:  1981-08-20     Revised Date:  2005-11-17    
Medline Journal Info:
Nlm Unique ID:  7901051     Medline TA:  Arch Gynecol     Country:  GERMANY, WEST    
Other Details:
Languages:  eng     Pagination:  231-7     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Atenolol / therapeutic use*
Blood Pressure / drug effects
Ethanolamines / therapeutic use*
Female
Fenoterol / adverse effects,  therapeutic use*
Heart Rate / drug effects
Humans
Metoprolol / therapeutic use*
Obstetric Labor Complications / drug therapy*
Pregnancy
Propanolamines / therapeutic use*
Tachycardia / chemically induced,  drug therapy
Chemical
Reg. No./Substance:
0/Ethanolamines; 0/Propanolamines; 13392-18-2/Fenoterol; 29122-68-7/Atenolol; 37350-58-6/Metoprolol

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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