Oral Nifidepine versus IV labetalol in severe preeclampsia: A randomized control trial

  • Tayyiba Wasim Services Institute of Medical sciences, Lahore
  • Shazia Agha Services Institute of Medical sciences, Lahore
  • Kanwal Saeed Services Institute of Medical sciences, Lahore
  • Anam Riaz Services Institute of Medical sciences, Lahore
Keywords: Severe preeclampsia, Labetalol, Nifidepine

Abstract

Objective: To compare oral Nifidepine and IV labetalol in terms of rapidity of BP control in severe preeclampsia.

Methods: All patients coming to Services Hospital from March 2017 to February 2019 with diagnosis of severe preeclampsia ≥ 24 weeks gestation were randomized to either receive Nifidepine or Labetalol. Primary outcome measure was time taken to control BP and number of doses required. Secondary outcome measures were side effects of drugs, APGAR score, NICU admission and perinatal mortality.

Results: Two hundred four patients were included in trial with 102 patients in each group. Labetalol took 22.6± 13.5minutes and Nifidepine took 22.09± 11.7 minutes to achieve target BP (p>0.05). Labetalol required 2.3± 1.58 doses and Nifidepine 2.2± 1.58 doses to control BP ( p>0.05). No maternal side effects were seen in 86 (84.31%) and 92(90.19%) patients in both groups (p>0.05). Mean gestational age at birth was 34.8 ±2.73weeks in Labetalol and 35.2±2.48 weeks in Nifidepine group (p>0.05). In labetalol group, 43 (42.15%) babies had APGAR Score < 7/10 and 23(22.54%) babies required admission to NICU while in Nifidepine group 42 (41.17%) babies had Apgar score < 7/10 & 30(29.4%) babies were admitted to NICU(p>0.05). There were 21(20.5%) perinatal deaths in labetalol Group-And 19(18.6%) in Nifidepine group (p>0.05)

Conclusion: Oral Nifidepine and IV labetalol are equally efficacious in controlling BP in patients with severe pre eclampsia without any significant side effects.

doi: https://doi.org/10.12669/pjms.36.6.2591

How to cite this:
Wasim T, Agha S, Saeed K, Riaz A. Oral Nifidepine versus IV labetalol in severe preeclampsia: A randomized control trial. Pak J Med Sci. 2020;36(6):1147-1152. doi: https://doi.org/10.12669/pjms.36.6.2591

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Published
2020-08-18
How to Cite
Wasim, T., Agha, S., Saeed, K., & Riaz, A. (2020). Oral Nifidepine versus IV labetalol in severe preeclampsia: A randomized control trial. Pakistan Journal of Medical Sciences, 36(6). https://doi.org/10.12669/pjms.36.6.2591
Section
Original Articles

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