TY - JOUR T1 - Labetalol vs. methyldopa in the treatment of pregnancy-induced hypertension. AU - el-Qarmalawi,A M, AU - Morsy,A H, AU - al-Fadly,A, AU - Obeid,A, AU - Hashem,M, PY - 1995/5/1/pubmed PY - 1995/5/1/medline PY - 1995/5/1/entrez SP - 125 EP - 30 JF - International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics JO - Int J Gynaecol Obstet VL - 49 IS - 2 N2 - OBJECTIVE: To assess the efficacy and safety of labetalol compared with methyldopa in the management of mild and moderate cases of pregnancy-induced hypertension (PIH). METHODS: One hundred four primigravidas with PIH were randomly allocated to receive either labetalol (group A) or methyldopa (group B). The dose of the drugs was doubled every 48 h to maintain a mean arterial blood pressure < or = 103.6 mmHg. Clinico-biochemical effects and frequency of side effects were studied. The statistical level of significance was taken at P < 0.05. RESULTS: Ten patients in group B (18.5%) developed significant proteinuria (> 30 mg/dl) whereas none developed proteinuria in group A. Labetalol was quicker and more efficient at controlling blood pressure, having a beneficial effect on renal functions and causing fewer side effects compared with methyldopa. The rate of induction of labor and rate of cesarean section for uncontrolled PIH was less in group A (48% and 1%, respectively) compared with group B (63.0% and 5.6%, respectively). Moreover a higher Bishop score at induction of labor was noticed in group A. CONCLUSIONS: Labetalol is better tolerated than methyldopa, gives more efficient control of blood pressure and may have a ripening effect on the uterine cervix. SN - 0020-7292 UR - https://www.unboundmedicine.com/medline/citation/7649315/Labetalol_vs__methyldopa_in_the_treatment_of_pregnancy_induced_hypertension_ L2 - https://linkinghub.elsevier.com/retrieve/pii/002072929502351C DB - PRIME DP - Unbound Medicine ER -