pregnancy induced hypertension
Conditions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1) Age>=20 2) sBP>=140 or dBP>=90 or proteinuria>=300mg/day 3) Gestational age between 20 + 0 and 33 + 6 weeks. 4) Singleton pregnancy 5) Written informed consent.
Exclusion criteria
Exclusion criteria: 1)uncontrolled hypertension 2)Delivery should be attempted because of severe preeclampsia 3) A result from antepartum fetal tests consisted of ultrasonography including Doppler imaging and fetal heart rate monitoring at eligibility indicates that delivery should be attempted. 4) A history of allergy to tadalafil 5) Concurrent medications that interact adversely with tadalafil 6) Relative contraindication of tadalafil treatment due to renal disease. 7) Relative contraindication of tadalafil treatment due to liver disease. 8) Relative contraindication of tadalafil treatment due to uncontrolled arrhythmia, hypertension (BP >170/110 mmHg), and hypotension (BP <80/40 mmHg). 9) Fetus with suspected chromosomal disorder and/or multiple congenital anomalies. 10) Relative contraindication of tadalafil treatment due to retinitis pigmentosa, coagulation defect, active gastric and/or intestinal ulcer, and venous obstructive disease. 11) Attending physician decides to entry inappropriate.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Enrollment-to-delivery interval (days) | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Completion rate of the treatment regimen. 2. Efficacy monitoring. 2.1 Incidence rate of severe preeclampsia 2.2 Incidence rate of liver dysfunction 2.3 Incidence rate of Eclampsia 2.4 Incidence rate of pulmonary edema 2.5 Incidence rate of FGR 2.6 Birth weight (g). 2.7 Gestational age at birth. 2.8 Apgar score. 2.9 Umbilical artery pH and base excess values. 2.10 Neonatal morbidity. 2.11 Offspring outcome until 1.5 years of age. 3. Safety monitoring. 3.1 Incidence rate of obstetric complications. 3.2 Perinatal mortality. 3.3 Neonatal mortality. | — |
Countries
Japan
Contacts
Mie University Faculty of Medicine Department of Obstetrics & Gynecology