Nifedipine or labetalol for hypertensive emergency in pregnancy

For acute blood pressure control in pregnancy, different hospitals often have different guidelines. Hydralazine used to be all the rage but fell out of favour after a concerning safety profile was highlighted. Intravenous labetalol is commonly used, but many also consider nifedipine first line. This double blind randomised controlled trial from India aims to settle the issue.

60 patients were reviewed, with systolic blood pressures over 160. On average, nifedipine got you to target in 40 minutes, and labetalol got you there in an hour, with just two doses of nifedipine required on average.

Read the full article here. Feel free to update yourself on the whole topic at UpToDate here.

 

source | Obstetrics and Gynecology

image | Jasleen Kaur

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