A comparative study of intravenous hydralazine versus labetalol in the management of severe hypertension in pregnancy

Journal Title: The New Indian Journal of OBGYN - Year 2017, Vol 4, Issue 1

Abstract

Objective: The objective of this study is to compare the efficacy as well as safety profile of hydralazine and labetalol in severe hypertension of pregnancy. Methodology: Hundred (100) women with severe pregnancy induced hypertension were randomly allocated into two groups of 50 each. Study group was given intravenous hydralazine and control group was treated with labetalol. The efficacy of two drugs were noted in terms of time taken to achieve target blood pressure, number of doses required and number of patients developing severe persistent hypertension. Results: The average time taken to control blood pressure (BP) in hydralazine group was 32.66 ± 18.79 minutes and 30.70 ± 20.46 minutes in labetalol group and this was statistically significant (p<0.001).There was no statistical difference between the two drugs in terms of efficacy, perinatal outcome and adverse affect except headache which was significantly more in hydralazine group. Conclusion: Both hydralazine and labetalol can be used to treat hypertensive emergencies.

Authors and Affiliations

Shruti Singh, Swati Kochar, Santosh Khajotia, Suman Budania, Dr Anjana

Keywords

Related Articles

Impact of maternal serum calcium levels on severity of hypertensive disorder of pregnancy: A cross sectional study

Objectives: Assess relationship between maternal serum calcium levels, severity of disease and overall perinatal and maternal outcome in women with hypertensive disorders of pregnancy. Methods: Present prospective cross...

Pregnancy outcome after diagnosis of oligohydramnios at term

Objectives: The aim of the study was to evaluate the effects of oligohydramnios on maternal and fetal outcome at term pregnancy. Methodology: A case control study on pregnancy outcome in 100 women with AFI<5cm after 37 c...

Diagnostic value of pipelle endometrial sampling in comparison with dilatation and curettage among patients with abnormal uterine bleeding

Background : Dilatation and curettage (D and C) is the gold standard for endometrial sampling, but 60 percent of cases less than half of the uterine cavity is curetted, with the added risk of general anesthesia, infecti...

To study the efficacy of misoprostol compared with methyl ergometrine for prevention of postpartum haemorrhage

Objective: Present study was conducted to study the safety and efficacy of misoprostol and methyl ergometrine when used in the prevention of postpartum haemorrhage (PPH). Methodology: In a controlled trial, 100 pregnant...

Rupture uterus - a cause of concern in rural medical college hospital in Assam

Objective: The study is undertaken to find out the incidence, the cause of it, and the line of management and outcome of rupture uterus. Methodology: The entire patient diagnosed and treated from 1st January, 2016 to 31s...

Download PDF file
  • EP ID EP452405
  • DOI 10.21276/obgyn.2017.4.1.5
  • Views 123
  • Downloads 0

How To Cite

Shruti Singh, Swati Kochar, Santosh Khajotia, Suman Budania, Dr Anjana (2017). A comparative study of intravenous hydralazine versus labetalol in the management of severe hypertension in pregnancy. The New Indian Journal of OBGYN, 4(1), 22-26. https://europub.co.uk/articles/-A-452405