severe hypertension in pregnancy
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Consenting pregnant women with viable fetus at estimated gestational age =28 weeks with systolic BP=160mmHg and/or diastolic BP=110mmHg measured on 2 occasions 15 minutes apart, which a decision has been made to terminate the pregnancy.
Exclusion criteria
Exclusion criteria: 1. History of allergy to nifedipine and/or labetalol. 2. Maternal heart rate 120beats per minute 3. History of heart rhythm abnormality 4. Women who cannot take oral medication 5. Active phase of labour 6. Chronic medical disorders including asthma, chronic liver disease, congestive heart failure and cardiac disease in pregnancy 7. Eclampsia 8. Patient who declines participation in the study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The time taken and the minimum number of doses of antihypertensive required to attain target blood pressure (systolic blood pressure 120-150 mmHg and diastolic blood pressure 70-100 mmHg) | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Agent failure (refers to a condition in which a patient's blood pressure remains elevated above the desired target level, even after taking at least five doses of the trial drug) 2. The occurrence of significant side effects associated with drug administration (nausea, vomiting, diarrhea, headaches, flushing, dizziness, muscle/joint pains, palpitations, shortness of breath, chest pain, paresthesia, skin rash, pruritus, tachycardia, bradycardia and hypotension). 3. Urine output. 4. Maternal outcomes (absence of further complications, eclampsia, acute pulmonary edema, hemolytic anemia, acute kidney injury, HELLP syndrome, disseminated intravascular coagulopathy, cerebrovascular accident and placental abruption). 5. Perinatal outcomes (fetal demise, preterm delivery, first and fifth-minute APGAR scores, low birth weight, admission to the neonatal intensive care unit and early neonatal death) | — |
Countries
Nigeria
Contacts
Supervisor