Efficacy of Labetolol in Women with Pre-Eclampsia at Tertiary Care Hospital of Upper Sindh
Shahida Magsi, Basma Zia Isran, Ayesha Jalbani, Afshan Khokhar, Inayat Magsi
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ABSTRACT
Background:
When
pre-eclampsia (PE) occurs, it is a multi-organ condition with an unknown cause
that is classified as a high-risk pregnancy marked by hypertension and
proteinuria. Many antihypertensive medications are utilised, but they have
drawbacks, whereas the use of labetalol to treat hypertension in women with
pre-eclampsia has shown to be effective. Our findings may aid in underlining the
importance of adequate treatment for pre-eclamptic patients who are in danger.
Objective: To
evaluate the effectiveness of intravenous labetalol in the treatment of
pre-eclampsic pregnant women who presented to a public service tertiary
hospital.
Study
Design:
Descriptive study.
Place
and Duration of Study: Department of Obstetrics and Gynecology, Shaikh
Zaid Women Hospital, Larkana from 1st June to 30th November
2020.
Methodology:
One
hundred women with pre-eclampsia who had a singleton pregnancy on ultrasonography.
Then intravenous labetalol 20mg, 40mg, 80mg, then 80mg every 15 minutes until
goal blood pressure was obtained. Every 30 minutes, blood pressure was taken.
Results: The mean
age was 31.25±5.30 years. There were 24% patients with pre-eclampsia achieved
target blood pressure (150/100 mmHg) with one dose of intravenous labetalol,
another 55% achieved target blood pressure with a second dose, and the
remaining 21% achieved target blood pressure with a third dose.
Conclusion:
Labetalol
was found to be an effective treatment for women suffering from pre-eclampsia.
Keywords:
Pre-eclampsia,
Blood pressure, Intravenous labetalol