Comparative study of safety and efficacy of labetalol and nifedipine in the management of hypertensive disorders of pregnancy: A prospective observational study

Background: Hypertensive disorders of pregnancy is a leading cause of maternal and fetal morbidity and mortality. Antihypertensive agents such as labetalol and nifedipine are commonly used, but comparative data on their effectiveness and safety are still being evaluated. Objectives: To compare the e...

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Main Authors: Syed Sujat Pasha, Shifa Roohi
Format: Article
Language:English
Published: Al Ameen Medical College 2025-07-01
Series:Al Ameen Journal of Medical Sciences
Subjects:
Online Access:https://ajms.alameenmedical.org/ArticlePDFs/11%20AJMS%20V18.N3.2025%20p%20221-224.pdf
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author Syed Sujat Pasha
Shifa Roohi
author_facet Syed Sujat Pasha
Shifa Roohi
author_sort Syed Sujat Pasha
collection DOAJ
description Background: Hypertensive disorders of pregnancy is a leading cause of maternal and fetal morbidity and mortality. Antihypertensive agents such as labetalol and nifedipine are commonly used, but comparative data on their effectiveness and safety are still being evaluated. Objectives: To compare the efficacy and safety of labetalol and nifedipine in the management of hypertensive disorders in pregnancy. Methods: This prospective observational study included 120 pregnant women with hypertensive disorders of pregnancy divided into two groups: group A (n=60) received oral labetalol, and group B (n=60) received oral nifedipine. Blood pressure, maternal outcomes, and fetal outcomes were monitored over 7 days and until delivery. Results: Both drugs significantly reduced systolic and diastolic blood pressure. labetalol showed slightly faster control (mean BP normalization in 3.2 days vs 3.6 days for nifedipine,p<0.05). Maternal side effects were minimal and similar in both groups. Fetal outcomes (birth weight, Apgar scores, NICU admissions) were comparable. Conclusion: Both labetalol and nifedipine are effective and safe in managing hypertensive disorders of pregnancy. Labetalol provides slightly faster control of blood pressure with comparable maternal-fetal outcomes.
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spelling doaj-art-788a2fef9bf148fbbf1cf3b991c6f3e52025-07-08T11:16:30ZengAl Ameen Medical CollegeAl Ameen Journal of Medical Sciences0974-11432025-07-011803221224Comparative study of safety and efficacy of labetalol and nifedipine in the management of hypertensive disorders of pregnancy: A prospective observational studySyed Sujat Pasha0Shifa Roohi1Department of Pharmacology, Al Ameen Medical College, Athani Road, Vijayapur-586108, Karnataka, IndiaDepartment of Obstetrics & Gynecology, Al Ameen Medical College Hospital, Athani Road, Vijayapur-586108, Karnataka, IndiaBackground: Hypertensive disorders of pregnancy is a leading cause of maternal and fetal morbidity and mortality. Antihypertensive agents such as labetalol and nifedipine are commonly used, but comparative data on their effectiveness and safety are still being evaluated. Objectives: To compare the efficacy and safety of labetalol and nifedipine in the management of hypertensive disorders in pregnancy. Methods: This prospective observational study included 120 pregnant women with hypertensive disorders of pregnancy divided into two groups: group A (n=60) received oral labetalol, and group B (n=60) received oral nifedipine. Blood pressure, maternal outcomes, and fetal outcomes were monitored over 7 days and until delivery. Results: Both drugs significantly reduced systolic and diastolic blood pressure. labetalol showed slightly faster control (mean BP normalization in 3.2 days vs 3.6 days for nifedipine,p<0.05). Maternal side effects were minimal and similar in both groups. Fetal outcomes (birth weight, Apgar scores, NICU admissions) were comparable. Conclusion: Both labetalol and nifedipine are effective and safe in managing hypertensive disorders of pregnancy. Labetalol provides slightly faster control of blood pressure with comparable maternal-fetal outcomes.https://ajms.alameenmedical.org/ArticlePDFs/11%20AJMS%20V18.N3.2025%20p%20221-224.pdfpregnancy-induced hypertensionlabetalolnifedipineantihypertensivesmaternal outcomes.
spellingShingle Syed Sujat Pasha
Shifa Roohi
Comparative study of safety and efficacy of labetalol and nifedipine in the management of hypertensive disorders of pregnancy: A prospective observational study
Al Ameen Journal of Medical Sciences
pregnancy-induced hypertension
labetalol
nifedipine
antihypertensives
maternal outcomes.
title Comparative study of safety and efficacy of labetalol and nifedipine in the management of hypertensive disorders of pregnancy: A prospective observational study
title_full Comparative study of safety and efficacy of labetalol and nifedipine in the management of hypertensive disorders of pregnancy: A prospective observational study
title_fullStr Comparative study of safety and efficacy of labetalol and nifedipine in the management of hypertensive disorders of pregnancy: A prospective observational study
title_full_unstemmed Comparative study of safety and efficacy of labetalol and nifedipine in the management of hypertensive disorders of pregnancy: A prospective observational study
title_short Comparative study of safety and efficacy of labetalol and nifedipine in the management of hypertensive disorders of pregnancy: A prospective observational study
title_sort comparative study of safety and efficacy of labetalol and nifedipine in the management of hypertensive disorders of pregnancy a prospective observational study
topic pregnancy-induced hypertension
labetalol
nifedipine
antihypertensives
maternal outcomes.
url https://ajms.alameenmedical.org/ArticlePDFs/11%20AJMS%20V18.N3.2025%20p%20221-224.pdf
work_keys_str_mv AT syedsujatpasha comparativestudyofsafetyandefficacyoflabetalolandnifedipineinthemanagementofhypertensivedisordersofpregnancyaprospectiveobservationalstudy
AT shifaroohi comparativestudyofsafetyandefficacyoflabetalolandnifedipineinthemanagementofhypertensivedisordersofpregnancyaprospectiveobservationalstudy