Oral nifedipine or intravenous labetalol for hypertensive emergency in pregnancy: a randomized controlled trial.

Abstract:

OBJECTIVE:To compare the effectiveness of orally administered nifedipine and intravenously administered labetalol for acute blood pressure control in hypertensive emergency of pregnancy. METHODS:In this double-blind, randomized, controlled trial, pregnant women with sustained increase in systolic blood pressure of 160 mm Hg or higher or diastolic blood pressure of 110 mm Hg or higher were randomized to receive nifedipine (10 mg tablet orally up to five doses) and intravenous placebo saline injection or intravenous labetalol injection in escalating doses of 20, 40, 80, 80, and 80 mg and a placebo tablet every 20 minutes until the target blood pressure of 150 mm Hg systolic and 100 mm Hg diastolic, or lower, was achieved. Crossover treatment was administered if the initial treatment failed. The primary endpoint of the study was time necessary to achieve target blood pressure. Secondary endpoints were number of dosages required, adverse maternal and neonatal effects, side effect profile, and perinatal outcome. RESULTS:From October 2012 to April 2013, we enrolled 60 patients. The median time taken to achieve target blood pressure was 40 minutes (interquartile range, 20-60 minutes) compared with 60 minutes (interquartile range 40-85 minutes) for nifedipine and labetalol, respectively (P=.008). The median dose required was two (interquartile range 1-3) compared with three (interquartile range 2-4.25) for nifedipine and labetalol, respectively (P=.008). No serious adverse maternal or perinatal side effects were witnessed in either group. CONCLUSION:As administered in this trial, oral nifedipine lowered blood pressure more quickly than did intravenous labetalol during hypertensive emergency in pregnancy. CLINICAL TRIAL REGISTRATION:Clinical Trials Registry-India, www.ctri.nic.in, CTRI/2013/02/003350. LEVEL OF EVIDENCE:I.

journal_name

Obstet Gynecol

authors

Shekhar S,Sharma C,Thakur S,Verma S

doi

10.1097/AOG.0b013e3182a9ea68

subject

Has Abstract

pub_date

2013-11-01 00:00:00

pages

1057-1063

issue

5

eissn

0029-7844

issn

1873-233X

pii

00006250-201311000-00018

journal_volume

122

pub_type

杂志文章,随机对照试验
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    abstract:OBJECTIVE:To describe the advising practices at medical schools and interview patterns among medical students pursuing obstetrics and gynecology residency training. METHODS:A voluntary, anonymous survey was distributed to all applicants interviewing for obstetrics and gynecology residency during the 2014-2015 cycle at...

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    pub_type: 杂志文章

    doi:10.1097/AOG.0000000000001573

    authors: Alston MJ,Autry AM,Wagner SA,Allshouse AA,Stephenson-Famy A

    更新日期:2016-10-01 00:00:00

  • Intestinal invasion by a dysgerminoma in a patient with Swyer syndrome.

    abstract::An unusual case is presented of advanced dysgerminoma in a patient with Swyer syndrome, 46,XY pure gonadal dysgenesis. Unexpected regional invasion necessitated bowel resection, total abdominal hysterectomy, and bilateral salpingogonadectomy for a complete en bloc excision of the primary tumor mass and the dysgenetic ...

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    pub_type: 杂志文章

    doi:

    authors: Parker M,Barnhill D,Teneriello M,O'Connor D,Park R

    更新日期:1992-09-01 00:00:00

  • Anal Cytology and Human Papillomavirus Genotyping in Women With a History of Lower Genital Tract Neoplasia Compared With Low-Risk Women.

    abstract:OBJECTIVE:To compare the prevalence of abnormal anal cytology and high-risk human papillomavirus (HPV) among women with a history of HPV-related genital neoplasia with women without a history of HPV-related genital neoplasia. METHODS:A cross-sectional cohort study was performed from December 2012 to February 2014. Wom...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0000000000001135

    authors: Robison K,Cronin B,Bregar A,Luis C,DiSilvestro P,Schechter S,Pisharodi L,Raker C,Clark M

    更新日期:2015-12-01 00:00:00

  • Great minds don't think alike: collaborative maternity care at San Francisco General Hospital.

    abstract::For more than 30 years the collaboration between obstetrician-gynecologists and certified nurse-midwives at San Francisco General Hospital has led to the provision of high-quality care to women and families. This enduring partnership has been sustained by shared goals and values, most notably a commitment to excellenc...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0b013e3182297d2d

    authors: Hutchison MS,Ennis L,Shaw-Battista J,Delgado A,Myers K,Cragin L,Jackson RA

    更新日期:2011-09-01 00:00:00

  • Adverse effects of antenatal glucocorticoids on cerebral myelination in sheep.

    abstract:OBJECTIVE:To determine in fetal sheep the effect of betamethasone on myelination in relation to stage of myelination, number of treatment courses, dose, and route of administration. METHODS:Fetal expression of myelin basic protein (MBP), a marker of mature oligodendrocytes and myelin, was determined between 0.27 and 0...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0b013e3181924d3b

    authors: Antonow-Schlorke I,Helgert A,Gey C,Coksaygan T,Schubert H,Nathanielsz PW,Witte OW,Schwab M

    更新日期:2009-01-01 00:00:00

  • Rizatriptan in the treatment of menstrual migraine.

    abstract:OBJECTIVE:To determine the efficacy of oral rizatriptan 10 mg and 5 mg for treating menstrually associated migraine attacks. METHODS:Data from two large clinical trials with identical designs were included in a retrospective analysis. The studies were randomized, double-masked, placebo-controlled, incomplete block, tw...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0029-7844(00)00880-2

    authors: Silberstein SD,Massiou H,Le Jeunne C,Johnson-Pratt L,McCarroll KA,Lines CR

    更新日期:2000-08-01 00:00:00

  • A new abortion technique: intravaginal and intramuscular prostaglandin.

    abstract::The 15-methyl analog of prostaglandin F2 alpha (15-ME-PGF2 alpha), administered in a 3-mg dose via a single vaginal suppository and supplemented at 24 hours by intramuscular injection(s) of 250 micrograms, successfully induced abortion in 80 of 81 patients in the midtrimester of pregnancy. The mean abortion time was 1...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Lauersen NH,Den T,Scher J,Iliescu C,Wilson KH

    更新日期:1981-07-01 00:00:00

  • Antenatal Corticosteroid Therapy Before 24 Weeks of Gestation: A Systematic Review and Meta-analysis.

    abstract:OBJECTIVE:To evaluate the effectiveness of antenatal corticosteroids compared with placebo or no treatment in neonates born before 24 weeks of gestation. DATA SOURCES:We searched MEDLINE, EMBASE, Cumulative Index to Nursing and Allied Health Literature (CINAHL), and Cochrane Central Register of Controlled Trials datab...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,meta分析,评审

    doi:10.1097/AOG.0000000000001355

    authors: Park CK,Isayama T,McDonald SD

    更新日期:2016-04-01 00:00:00

  • Clinical evaluation of tumor-associated mucin-type glycoprotein CA 54/61 in ovarian cancers: comparison with CA 125.

    abstract::Studies were conducted in 343 women on the clinical utility of the newly developed tumor-associated mucin-type glycoprotein, CA 54/61, as a tumor marker in serum for ovarian cancer. The overall positivity rate of the new marker was 60%, lower than the rate of 88% obtained with CA 125 measured concurrently. Concerning ...

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    pub_type: 杂志文章

    doi:

    authors: Suzuki M,Sekiguchi I,Tamada T

    更新日期:1990-09-01 00:00:00

  • Fetal femur length: a critical reevaluation of the relationship to menstrual age.

    abstract::This investigation has reexamined the measurement of the femur length and the use of this measurement as a growth and dating parameter. Straight-line measurements of shaft length were found to be smaller than measurements made along the bone curvature. However, the maximum difference did not exceed 2 mm. Thus, because...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Warda AH,Deter RL,Rossavik IK,Carpenter RJ,Hadlock FP

    更新日期:1985-07-01 00:00:00

  • Letter: Case of the "missing strings".

    abstract::A method of removing an IUD whose strings may be lost is discussed. Having identified the intrauterine location of the IUD by touch with probe, a second Lippes loop was placed and the long strings not trimmed at all. When the patient returned later the most recently placed loop was removed and the strings of the fir...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Evans GT

    更新日期:1974-07-01 00:00:00

  • Intravenous iron therapy for severe pregnancy anemia with high erythropoietin levels.

    abstract:BACKGROUND:To demonstrate that intravenous (IV) iron therapy rapidly can secure the physiologic correction of severe nonhemorrhagic anemia more safely than blood component therapy and recombinant erythropoietin treatment. CASE:An 18-year-old woman with beta-thalassemia in her 33rd week of gestation had a hemoglobin le...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0029-7844(97)00261-5

    authors: Carretti N,Paticchio MR,Eremita GA

    更新日期:1997-10-01 00:00:00

  • Cardiovascular outcomes after preeclampsia or eclampsia complicated by myocardial infarction or stroke.

    abstract:OBJECTIVE:To assess the relationship between preeclampsia or eclampsia and stroke, myocardial infarction (MI), subsequent cardiovascular outcomes, and long-term survival. METHODS:Using the Myocardial Infarction Data Acquisition System in New Jersey (1994-2009), we analyzed cardiovascular outcomes in women with and wit...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0b013e31826ae78a

    authors: Gastrich MD,Gandhi SK,Pantazopoulos J,Zang EA,Cosgrove NM,Cabrera J,Sedjro JE,Bachmann G,Kostis JB,Myocardial Infarction Data Acquisition System (MIDAS 17) Study Group.

    更新日期:2012-10-01 00:00:00

  • High compared with standard gentamicin dosing for chorioamnionitis: a comparison of maternal and fetal serum drug levels.

    abstract:OBJECTIVE:To compare umbilical cord and maternal serum peak gentamicin concentration, gentamicin elimination, and clinical outcomes between women who received once-daily compared with standard, thrice-daily dosing for clinical chorioamnionitis. METHODS:We randomly assigned 38 laboring women, at least 34 weeks gestatio...

    journal_title:Obstetrics and gynecology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/01.AOG.0000151106.87930.1a

    authors: Locksmith GJ,Chin A,Vu T,Shattuck KE,Hankins GD

    更新日期:2005-03-01 00:00:00

  • Prenatal sonographic findings of congenital duplication of the cecum.

    abstract:BACKGROUND:Alimentary tract duplications are rare congenital lesions that may arise at any location throughout the gastrointestinal tract. The most common site of enteric duplications is the ileum, with only 13% of cases occurring in the colon. CASE:Prenatal sonography at 39 weeks' gestation showed a cystic structure ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Haratz-Rubinstein N,Sherer DM

    更新日期:2003-05-01 00:00:00

  • Aggressive Angiomyxoma of the Vulva and Bladder.

    abstract:BACKGROUND:Aggressive angiomyxoma is a rare, locally infiltrative tumor, frequently occurring in female patients. Although wide local excision is considered standard therapy, radical surgery may be needed. CASE:A 49-year-old woman presented with an aggressive angiomyxoma involving the vulva and bladder. Given the horm...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0000000000002254

    authors: Song M,Glasgow M,Murugan P,Rivard C

    更新日期:2017-10-01 00:00:00

  • Neonatal outcomes after gestational exposure to nitrofurantoin.

    abstract:OBJECTIVE:To estimate whether first-trimester exposure to nitrofurantoin is associated with increased malformation rates and, secondarily, to estimate whether exposure to nitrofurantoin is associated with increased rates of negative pregnancy outcomes and perinatal complications. METHODS:We conducted a population-base...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0b013e31827c5f88

    authors: Nordeng H,Lupattelli A,Romøren M,Koren G

    更新日期:2013-02-01 00:00:00

  • Differences in postpartum weight retention between black and white mothers.

    abstract:OBJECTIVE:To determine whether the overall retention of weight gained during pregnancy and the factors affecting postpartum weight retention differ by race. METHODS:Data from the 1988 National Maternal and Infant Health Survey were analyzed to examine postpartum weight retention of 20 lb or more among 990 black and 11...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Parker JD,Abrams B

    更新日期:1993-05-01 00:00:00

  • Pregnancy success after hysteroscopic sterilization reversal.

    abstract:OBJECTIVE:To evaluate the effectiveness of hysteroscopic sterilization reversal by assessing pregnancy rates and identifying surgical complications. METHODS:All patients at a single center undergoing elective reversal of hysteroscopic sterilization for fertility were followed from January 2009 to May 2014. Eligible pa...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0000000000000543

    authors: Monteith CW,Berger GS,Zerden ML

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  • Deceleration/contraction ratios as an index of fetal health during labor.

    abstract::Internal FHR tracings of 259 patients with variable decelerations and 49 with late decelerations were analyzed for frequency and severity of the pattern in an attempt to correlate with fetal pH or Apgar score at 1 minute. A significant increase in the risk of fetal acidosis was associated with a frequency of greater t...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Lin CC,Schulman H,Saldana LR

    更新日期:1978-06-01 00:00:00

  • Effect of birth order on intraventricular hemorrhage in very low birth weight twins.

    abstract::We evaluated the effect of birth order on the incidence and severity of intraventricular hemorrhage in 29 sets of very low birth weight twins (1500 g or less). Intraventricular hemorrhage occurred in 55% of first-presenting twins and 62% of second-presenting twins. The incidence of minor intraventricular hemorrhage (g...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Pearlman SA,Batton DG

    更新日期:1988-03-01 00:00:00

  • Increased erythrocyte adhesiveness and aggregation in peripheral venous blood of women with pregnancy-induced hypertension.

    abstract:OBJECTIVE:To study the state of erythrocyte adhesiveness/aggregation in the peripheral blood of women with pregnancy-induced hypertension as well as in matched controls using a simple slide test and image analysis. METHODS:We recruited 25 women with pregnancy-induced hypertension. Twenty-five age- and gestational age-...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0029-7844(01)01458-2

    authors: Gamzu R,Rotstein R,Fusman R,Zeltser D,Berliner AS,Kupferminc MJ

    更新日期:2001-08-01 00:00:00

  • The negative prognostic implications of thrombocytosis in women with stage IB cervical cancer.

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    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Rodriguez GC,Clarke-Pearson DL,Soper JT,Berchuck A,Synan I,Dodge RK

    更新日期:1994-03-01 00:00:00

  • Obstetric-gynecologic academic manpower--1986.

    abstract::Full-time faculty numbers in academic departments of obstetrics-gynecology have resumed growth in the last three years, and now average 18.3 per department. Women are represented in a larger proportion than among practicing specialists. Faculty subspecialists are increasing in numbers, but their trend is toward practi...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Pearse WH,Fielden JG,Sherline DM

    更新日期:1987-09-01 00:00:00

  • Hysteroscopic endometrial ablation with the Nd:Yag laser using a nontouch technique.

    abstract::Thirty-six patients with menorrhagia were treated with a technique for laser destruction of the endometrium in which the end of the fiberoptic guide of the Nd:Yag laser is not allowed to come in contact with the endometrium. The results were excellent in 93.9% of the 33 patients followed over three months. Amenorrhea ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Loffer FD

    更新日期:1987-04-01 00:00:00

  • Chlorhexidine-alcohol compared with povidone-iodine for surgical-site antisepsis in cesarean deliveries.

    abstract:OBJECTIVE:To estimate the incidence of surgical-site infection with use of chlorhexidine-alcohol compared with povidone-iodine among women undergoing cesarean deliveries. METHODS:This was a retrospective cohort review of 1,000 consecutive cases in women who underwent cesarean delivery over a 1-year interval. The prima...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/aog.0b013e31826f3bd9

    authors: Menderes G,Athar Ali N,Aagaard K,Sangi-Haghpeykar H

    更新日期:2012-11-01 00:00:00

  • Diagnosis and Management of Hymenal Variants: ACOG Committee Opinion Summary, Number 780.

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    pub_type: 评论,杂志文章

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    authors:

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  • Uterine sarcoidosis potentially associated with interferon-alpha use for chronic hepatitis C infection.

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    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/01.AOG.0000157764.44292.aa

    authors: Tsiodras S,Drimala P,Stavreas N,Dachlythras M,Alamani AM,Naoum G

    更新日期:2005-05-01 00:00:00

  • Magnetic resonance imaging in human pregnancy.

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    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Lowe TW,Weinreb J,Santos-Ramos R,Cunningham FG

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  • Single- versus three-dose cefotaxime prophylaxis for cesarean section.

    abstract::A prospective randomized study was undertaken in 100 patients undergoing cesarean section to evaluate the efficacy of cefotaxime when given as a single-dose versus the more traditional triple-dose regimen for prophylaxis. Analysis of the results demonstrated no significant differences in febrile morbidity (14 versus 2...

    journal_title:Obstetrics and gynecology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Gonik B

    更新日期:1985-02-01 00:00:00