Health Condition 1: O169- Unspecified maternal hypertension,unspecified trimester Health Condition 2: O169- Unspecified maternal hypertension,unspecified trimester
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Singleton pregnancy with gestational age more than or equal to 28 weeks. Diagnosed with hypertension during pregnancy (gestational hypertension, preeclampsia, or eclampsia). Presenting with an acute rise in blood pressure more than or equal to 160/110 mmHg, regardless of prior antihypertensive treatment. Informed consent will be obtained from all participants (or relatives, if unconscious) to ensure ethical and voluntary participation
Exclusion criteria
Exclusion criteria: Pre-existing renal or liver disease (possible secondary hypertension). Pulmonary oedema (risk worsened by nifedipine). Asthma, obstructive lung disease, or cardiac conditions (contraindicated with labetalol). Known allergy to nifedipine or labetalol.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Time taken to achieve the target blood pressure less than or equal to 140 by 90 mmHg or a 20 to 25 percent reduction in mean arterial pressure from baselineTimepoint: Maternal monitoring of blood pressure post intervention every 30 minutes till the target BP or MAP is achieved and thereafter for a period of 48 hrs blood pressure will be checked before intervention after 30 minutes after 60 minutes after 90 minutes after 120 minutes after 180 minutes after intervention | — |
Secondary
| Measure | Time frame |
|---|---|
| To compare the efficacy of oral nifedipine & intravenous labetalol in lowering blood pressure during acute hypertensive crisis during pregnancy.Timepoint: blood pressure will be checked before intervention after 30 minutes after 60 minutes after 90 minutes after 120 minutes afte 180 minutes of intervention | — |
Countries
India
Contacts
S Nijalingappa medical college and HSK hospital and research centre Bagalkot