hypertensive disorders in pregnancy
Conditions
Interventions
Control group:After the delivery of the placenta, epidural analgesia was administered and the epidural catheter was removed after routine monitoring and observation for 2 hours.
extension group:Continue to maintain epidural blockade until 6-8 hours postpartum after delivery of the placenta
Sponsors
Anesthesia Department of Guangdong Women and Children Hospital
Eligibility
Sex/Gender
Female
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: Age >= 18 years old, gestational age >= 37 weeks, live birth, planned vaginal delivery, admitted with diagnosis of "gestational hypertension" or "preeclampsia", voluntarily accepting EA delivery analgesia.
Exclusion criteria
Exclusion criteria: Chronic hypertension; Chronic kidney disease; Congenital heart disease; Serious complications (heart failure, pulmonary arterial hypertension, HELLP syndrome, etc.); Prenatal TVR is normal; Emergency production; Incomplete epidural block or explosive pain; Transfer cesarean section; Postpartum bleeding (bleeding greater than 500ml within 24 hours postpartum); The postpartum analgesic effect is unsatisfactory; Severe complications in pregnant women or transfer to MICU; Postpartum hospitalization time5 days.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| PPHTN incidence rate within 48 hours postpartum; | — |
Secondary
| Measure | Time frame |
|---|---|
| PPHTN onset time;PPHTN occurrence frequency;The usage rate of postpartum antihypertensive drugs;Time of first use of antihypertensive medication;Dosage of labetalol for Postpartum Use;Dosage of Nifedipine for Postpartum Use; | — |
Countries
China
Contacts
Public ContactZurong Hu
Guangdong Women and Children Hospital
Outcome results
None listed