Page last updated: 2024-11-01

nitroglycerin and Placenta, Retained

nitroglycerin has been researched along with Placenta, Retained in 19 studies

Nitroglycerin: A volatile vasodilator which relieves ANGINA PECTORIS by stimulating GUANYLATE CYCLASE and lowering cytosolic calcium. It is also sometimes used for TOCOLYSIS and explosives.
nitroglycerol : A nitrate ester that is glycerol in which nitro group(s) replace the hydrogen(s) attached to one or more of the hydroxy groups.
nitroglycerin : A nitroglycerol that is glycerol in which the hydrogen atoms of all three hydroxy groups are replaced by nitro groups. It acts as a prodrug, releasing nitric oxide to open blood vessels and so alleviate heart pain.

Placenta, Retained: A placenta that fails to be expelled after BIRTH of the FETUS. A PLACENTA is retained when the UTERUS fails to contract after the delivery of its content, or when the placenta is abnormally attached to the MYOMETRIUM.

Research Excerpts

ExcerptRelevanceReference
" Nitroglycerin administration was not associated with an increase in headaches (RR 1."4.91Nitroglycerin for management of retained placenta. ( Abdel-Aleem, H; Abdel-Aleem, MA; Shaaban, OM, 2015)
"Currently, the only effective treatments for a retained placenta are the surgical procedures of manual removal of placenta (MROP) and uterine curettage, which are not universally available, particularly in low- and middle-income countries."2.90Nitroglycerin for treatment of retained placenta: A randomised, placebo-controlled, multicentre, double-blind trial in the UK. ( Brewin, J; Carruthers, KF; Chua, GN; Denison, FC; Hallowell, N; Hudson, J; Lawton, J; McPherson, G; Norman, JE; Norrie, J; Peace, M; Scotland, G, 2019)
"The only way to treat a retained placenta is for a trained doctor to remove it by an operation in theatre."2.90Glyceryl trinitrate to reduce the need for manual removal of retained placenta following vaginal delivery: the GOT-IT RCT. ( Brewin, J; Brook-Smith, S; Carruthers, KF; Chua, GN; Clarkson, C; Denison, FC; Hallowell, N; Hudson, J; Lawton, J; McPherson, G; Norman, JE; Norrie, J; Peace, M; Scotland, G, 2019)
"A retained placenta is diagnosed when the placenta is not delivered following delivery of the baby."2.84A pragmatic group sequential, placebo-controlled, randomised trial to determine the effectiveness of glyceryl trinitrate for retained placenta (GOT-IT): a study protocol. ( Brewin, J; Brook-Smith, S; Carruthers, KF; Clarkson, C; Denison, FC; Forrest, M; Hallowell, N; Hodges, L; Hudson, J; Lawton, J; McDonald, A; McPherson, GC; Morrow, S; Norman, JE; Norrie, J; Peace, M; Scotland, G, 2017)
"The rates of successful removal of the retained placenta in the study (n=20) and control (n=20) groups were compared, as were blood pressure, pulse rate, blood loss, and adverse effects."2.76Intravenous nitroglycerin for controlled cord traction in the management of retained placenta. ( Permpolprasert, L; Prechapanich, J; Suksopee, P; Suwanvichai, S; Visalyaputra, S; Yimyam, S, 2011)
"A common approach in the management of retained placenta is administration of oxytocin followed by controlled cord traction."2.73Sublingual nitroglycerin seems to be effective in the management of retained placenta. ( Bullarbo, M; Ekerhovd, E, 2008)
"Sublingual nitroglycerin for treatment of retained placenta seems to be effective without causing serious adverse effects."2.71Sublingual nitroglycerin for management of retained placenta. ( Bullarbo, M; Ekerhovd, E; Tjugum, J, 2005)
"Retained placenta affects 0."2.47Tocolysis for management of retained placenta. ( Abdel-Aleem, H; Abdel-Aleem, MA; Shaaban, OM, 2011)
"A nitroglycerin tablet was used to relax the lower uterine segment and cervix, which allowed the placenta to pass through the cervix for delivery."1.39A novel treatment for management of a trapped placenta using intracervical nitroglycerin tablets. ( Gray, R; Pasternak, A; Rodgers, BC, 2013)
"The incidence and importance of retained placenta (RP) varies greatly around the world."1.35The retained placenta. ( Weeks, AD, 2008)
"Postpartum haemorrhage due to retained placenta is one of the commonest life-threatening conditions during the third stage of labour."1.32Intravenous nitro-glycerine versus general anaesthesia for placental extraction--a sequential comparison. ( Chiu, JW; Jha, S; Yeo, IS, 2003)
"Nitroglycerin (NTG) has been demonstrated to provide uterine relaxation in the management of various obstetric complications."1.29Alternating nitroglycerin and syntocinon to facilitate uterine exploration and removal of an adherent placenta. ( Ananthanarayan, C; Chan, AS; Rolbin, SH, 1995)

Research

Studies (19)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's4 (21.05)18.2507
2000's6 (31.58)29.6817
2010's9 (47.37)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Denison, FC3
Carruthers, KF3
Hudson, J3
McPherson, G2
Chua, GN2
Peace, M3
Brewin, J3
Hallowell, N3
Scotland, G3
Lawton, J3
Norrie, J3
Norman, JE3
Brook-Smith, S2
Clarkson, C2
McPherson, GC1
McDonald, A1
Forrest, M1
Morrow, S1
Hodges, L1
Rodgers, BC1
Pasternak, A1
Gray, R1
Duffy, JM1
Wilson, MJ1
Khan, KS1
Abdel-Aleem, H2
Abdel-Aleem, MA2
Shaaban, OM2
Kashanian, M1
Hasankhani, S1
Sheikhansari, N1
Bahasadri, S1
Homam, H1
Weeks, AD1
Visalyaputra, S1
Prechapanich, J1
Suwanvichai, S1
Yimyam, S1
Permpolprasert, L1
Suksopee, P1
Jha, S1
Chiu, JW1
Yeo, IS1
Chedraui, PA1
Insuasti, DF1
Bullarbo, M2
Tjugum, J1
Ekerhovd, E2
Chan, AS1
Ananthanarayan, C1
Rolbin, SH1
Lowenwirt, IP1
Zauk, RM1
Handwerker, SM1
Dufour, P1
Vinatier, D1
Puech, F1
Axemo, P1
Fu, X1
Lindberg, B1
Ulmsten, U1
Wessén, A1
Harnett, MJ1
Segal, S1

Clinical Trials (2)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
GOT-IT Trial: A Pragmatic Group Sequential Placebo Controlled Randomised Trial to Determine the Effectiveness of Glyceryl Trinitrate for Retained Placenta.[NCT02085213]Phase 41,107 participants (Actual)Interventional2014-09-30Completed
Maternal Outcomes Following Manual Lysis of the Placenta After Fifteen Compared to Thirty Minutes. A Randomized Controlled Trial.[NCT03626844]100 participants (Anticipated)Interventional2018-11-20Suspended (stopped due to Insufficient resources.)
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Reviews

4 reviews available for nitroglycerin and Placenta, Retained

ArticleYear
What is the optimal pharmacological management of retained placenta?
    BMJ (Clinical research ed.), 2014, Jul-28, Volume: 349

    Topics: Drug Administration Routes; Drug Therapy, Combination; Female; Humans; Nitroglycerin; Oxytocics; Oxy

2014
Nitroglycerin for management of retained placenta.
    The Cochrane database of systematic reviews, 2015, Nov-12, Issue:11

    Topics: Administration, Sublingual; Female; Headache; Humans; Nitroglycerin; Oxytocics; Oxytocin; Placenta,

2015
Tocolysis for management of retained placenta.
    The Cochrane database of systematic reviews, 2011, Jan-19, Issue:1

    Topics: Administration, Sublingual; Female; Humans; Nitroglycerin; Oxytocics; Oxytocin; Placenta, Retained;

2011
The use of intravenous nitroglycerin for cervico-uterine relaxation: a review of the literature.
    Archives of gynecology and obstetrics, 1997, Volume: 261, Issue:1

    Topics: Breech Presentation; Cervix Uteri; Cesarean Section; Female; Humans; Infusions, Intravenous; Muscle

1997

Trials

7 trials available for nitroglycerin and Placenta, Retained

ArticleYear
Nitroglycerin for treatment of retained placenta: A randomised, placebo-controlled, multicentre, double-blind trial in the UK.
    PLoS medicine, 2019, Volume: 16, Issue:12

    Topics: Administration, Sublingual; Adult; Cost-Benefit Analysis; Delivery, Obstetric; Double-Blind Method;

2019
Glyceryl trinitrate to reduce the need for manual removal of retained placenta following vaginal delivery: the GOT-IT RCT.
    Health technology assessment (Winchester, England), 2019, Volume: 23, Issue:70

    Topics: Administration, Sublingual; Adolescent; Adult; Blood Transfusion; Cost-Benefit Analysis; Double-Blin

2019
A pragmatic group sequential, placebo-controlled, randomised trial to determine the effectiveness of glyceryl trinitrate for retained placenta (GOT-IT): a study protocol.
    BMJ open, 2017, 09-18, Volume: 7, Issue:9

    Topics: Administration, Sublingual; Blood Volume; Cost Savings; Cost-Benefit Analysis; Double-Blind Method;

2017
The effects of sequential use of oxytocin and sublingual nitroglycerin in the cases of retained placenta.
    The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians, 2016, Volume: 29, Issue:20

    Topics: Administration, Sublingual; Adult; Female; Humans; Nitroglycerin; Oxytocics; Oxytocin; Placenta, Ret

2016
Intravenous nitroglycerin for controlled cord traction in the management of retained placenta.
    International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics, 2011, Volume: 112, Issue:2

    Topics: Adult; Blood Pressure; Female; Heart Rate; Humans; Injections, Intravenous; Nitroglycerin; Placenta,

2011
Sublingual nitroglycerin for management of retained placenta.
    International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics, 2005, Volume: 91, Issue:3

    Topics: Administration, Sublingual; Adult; Blood Pressure; Delivery, Obstetric; Double-Blind Method; Female;

2005
Sublingual nitroglycerin seems to be effective in the management of retained placenta.
    Acta obstetricia et gynecologica Scandinavica, 2008, Volume: 87, Issue:2

    Topics: Administration, Sublingual; Adult; Drug Therapy, Combination; Female; Humans; Injections, Intramuscu

2008

Other Studies

8 other studies available for nitroglycerin and Placenta, Retained

ArticleYear
A novel treatment for management of a trapped placenta using intracervical nitroglycerin tablets.
    BMJ case reports, 2013, Sep-06, Volume: 2013

    Topics: Administration, Intravaginal; Adult; Female; Humans; Nitroglycerin; Placenta, Retained; Pregnancy; T

2013
The retained placenta.
    Best practice & research. Clinical obstetrics & gynaecology, 2008, Volume: 22, Issue:6

    Topics: Female; Humans; Labor Stage, Third; Nitroglycerin; Oxytocics; Oxytocin; Placenta, Retained; Pregnanc

2008
Intravenous nitro-glycerine versus general anaesthesia for placental extraction--a sequential comparison.
    Medical science monitor : international medical journal of experimental and clinical research, 2003, Volume: 9, Issue:7

    Topics: Anesthesia, General; Anesthesia, Intravenous; Anesthetics, Intravenous; Female; Fentanyl; Hemodynami

2003
Intravenous nitroglycerin in the management of retained placenta.
    Gynecologic and obstetric investigation, 2003, Volume: 56, Issue:2

    Topics: Adult; Blood Pressure; Female; Humans; Nitroglycerin; Placenta, Retained; Pregnancy; Pulse

2003
Alternating nitroglycerin and syntocinon to facilitate uterine exploration and removal of an adherent placenta.
    Canadian journal of anaesthesia = Journal canadien d'anesthesie, 1995, Volume: 42, Issue:4

    Topics: Adult; Blood Pressure; Calcium; Ephedrine; Female; Humans; Infusions, Intravenous; Myosins; Nitrogly

1995
Safety of intravenous glyceryl trinitrate in management of retained placenta.
    The Australian & New Zealand journal of obstetrics & gynaecology, 1997, Volume: 37, Issue:1

    Topics: Adult; Analgesia, Obstetrical; Female; Hemodynamics; Humans; Injections, Intravenous; Nitroglycerin;

1997
Intravenous nitroglycerin for rapid uterine relaxation.
    Acta obstetricia et gynecologica Scandinavica, 1998, Volume: 77, Issue:1

    Topics: Cesarean Section; Dose-Response Relationship, Drug; Female; Humans; In Vitro Techniques; Injections,

1998
Presence of placental tissue is necessary for TNG to provide uterine relaxation.
    Anesthesia and analgesia, 2000, Volume: 91, Issue:4

    Topics: Adult; Delivery, Obstetric; Female; Humans; Nitroglycerin; Oxytocics; Oxytocin; Placenta; Placenta,

2000