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Comparison of antihypertensive efficacy and perinatal safety of labetalol and methyldopa in the treatment of hypertension in pregnancy: a randomized controlled trial.
Br J Obstet Gynaecol. 1988 Sep; 95(9):868-76.BJ

Abstract

Labetalol was compared with methyldopa in a randomized controlled trial involving 176 pregnant women with mild to moderate hypertension. Diastolic blood pressure below 86 mmHg was obtained in a similar proportion of women given labetalol or methyldopa. Intrauterine death occurred in four women treated with methyldopa, and the one neonatal death on day 1 occurred in the labetalol group. The average birthweight and the proportion of preterm or small-for-gestational-age babies were similar in both groups. Heart rate, blood pressure, blood glucose, respiratory rate, and Silverman score of the babies did not differ between the two treatment groups, whether the comparison was made for all the infants, or only for those that were preterm or small-for-gestational-age. These data indicate that maternal beta-blockade with labetalol is as safe as methyldopa for the fetus and the newborn.

Authors+Show Affiliations

Service d'Hypertension, Hôpital Broussais, Paris, France.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Clinical Trial
Comparative Study
Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

3056503

Citation

Plouin, P F., et al. "Comparison of Antihypertensive Efficacy and Perinatal Safety of Labetalol and Methyldopa in the Treatment of Hypertension in Pregnancy: a Randomized Controlled Trial." British Journal of Obstetrics and Gynaecology, vol. 95, no. 9, 1988, pp. 868-76.
Plouin PF, Breart G, Maillard F, et al. Comparison of antihypertensive efficacy and perinatal safety of labetalol and methyldopa in the treatment of hypertension in pregnancy: a randomized controlled trial. Br J Obstet Gynaecol. 1988;95(9):868-76.
Plouin, P. F., Breart, G., Maillard, F., Papiernik, E., & Relier, J. P. (1988). Comparison of antihypertensive efficacy and perinatal safety of labetalol and methyldopa in the treatment of hypertension in pregnancy: a randomized controlled trial. British Journal of Obstetrics and Gynaecology, 95(9), 868-76.
Plouin PF, et al. Comparison of Antihypertensive Efficacy and Perinatal Safety of Labetalol and Methyldopa in the Treatment of Hypertension in Pregnancy: a Randomized Controlled Trial. Br J Obstet Gynaecol. 1988;95(9):868-76. PubMed PMID: 3056503.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Comparison of antihypertensive efficacy and perinatal safety of labetalol and methyldopa in the treatment of hypertension in pregnancy: a randomized controlled trial. AU - Plouin,P F, AU - Breart,G, AU - Maillard,F, AU - Papiernik,E, AU - Relier,J P, PY - 1988/9/1/pubmed PY - 1988/9/1/medline PY - 1988/9/1/entrez SP - 868 EP - 76 JF - British journal of obstetrics and gynaecology JO - Br J Obstet Gynaecol VL - 95 IS - 9 N2 - Labetalol was compared with methyldopa in a randomized controlled trial involving 176 pregnant women with mild to moderate hypertension. Diastolic blood pressure below 86 mmHg was obtained in a similar proportion of women given labetalol or methyldopa. Intrauterine death occurred in four women treated with methyldopa, and the one neonatal death on day 1 occurred in the labetalol group. The average birthweight and the proportion of preterm or small-for-gestational-age babies were similar in both groups. Heart rate, blood pressure, blood glucose, respiratory rate, and Silverman score of the babies did not differ between the two treatment groups, whether the comparison was made for all the infants, or only for those that were preterm or small-for-gestational-age. These data indicate that maternal beta-blockade with labetalol is as safe as methyldopa for the fetus and the newborn. SN - 0306-5456 UR - https://www.unboundmedicine.com/medline/citation/3056503/Comparison_of_antihypertensive_efficacy_and_perinatal_safety_of_labetalol_and_methyldopa_in_the_treatment_of_hypertension_in_pregnancy:_a_randomized_controlled_trial_ DB - PRIME DP - Unbound Medicine ER -