Effect of Intrapartum Hyoscine Butylbromide Administration on Duration of Labor and Mode of Delivery: A Systematic Review and Meta - Analysis

E. Gomaa, A. Shabaan, Eslam Mohamed, A. Saleh, O. Mohammed, M. Ramadan, Amr Hussein
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Abstract

Background: Hyoscine Butylbromide (HBB) is a potent parasympatholytic drug with strong antispasmodic action contributing to cervical dilation during labor. Objective: We aimed to determine if hyoscine butylbromide (HBB) during labor is associated with shortened duration of labor. Search Strategy: We searched several electronic databases from inception to march 2019 using various search terms. Selection Criteria: Randomized controlled trials comparing HBB vs. placebo regarding labor duration. Data Collection and Analysis: After screening and data extraction, mean difference with 95% confidence interval (CI) for continuous data and odds ratio with 95% CI for categorical data were calculated. Main Results: Fourteen articles (2287 patients) were included. HBB shortens durations of first stage (MD = -60.86, 95% CI [-82.89 to -38.84]), second stage (MD = -3.18, 95% CI [-5.12 to -1.24]) and third stage of labor (MD = -0.84, 95% CI [-1.19 to -0.50]). Indeed, overall rate of cervical dilatation was greater in HBB group (MD= 0.65-minute, 95% CI, 0.51 to 0.80). However, HBB does not affect the rate of vaginal or cesarean deliveries. Conclusions: Hyoscine Butylbromide shortens the duration of all stages of labor and increases the rate of cervical dilatation. However, it does not affect the mode of delivery
产时给予丁基溴莨菪碱对产程和分娩方式的影响:一项系统回顾和荟萃分析
背景:丁基溴海莨菪碱(HBB)是一种有效的副交感神经溶解药物,具有很强的抗痉挛作用,有助于分娩时宫颈扩张。目的:我们旨在确定分娩时使用丁基溴海莨菪碱(HBB)是否与缩短分娩时间有关。搜索策略:从成立到2019年3月,我们使用各种搜索词搜索了多个电子数据库。选择标准:随机对照试验比较HBB和安慰剂对分娩持续时间的影响。资料收集与分析:经筛选和资料提取后,计算连续资料的95%置信区间均值差(mean difference with 95% confidence interval, CI),分类资料的95%置信区间比值比(odds ratio with 95% CI)。主要结果:纳入文献14篇(2287例)。HBB缩短了第一阶段(MD = -60.86, 95% CI[-82.89至-38.84])、第二阶段(MD = -3.18, 95% CI[-5.12至-1.24])和第三产程(MD = -0.84, 95% CI[-1.19至-0.50])的持续时间。事实上,HBB组总体宫颈扩张率更高(MD= 0.65分钟,95% CI, 0.51 ~ 0.80)。然而,HBB并不影响阴道分娩或剖宫产的比率。结论:丁基溴莨菪碱能缩短产程,提高宫颈扩张率。但是,这并不影响交付方式
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