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Review Article

Oral nifedipine may be a preferential option for treating acute severe hypertension during pregnancy: a meta-analysis

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Article: 2209637 | Received 21 Mar 2023, Accepted 27 Apr 2023, Published online: 11 Jul 2023
 

ABSTRACT

Aim

To compare oral nifedipine and intravenous labetalol in the treatment of acute severe hypertension in pregnancy (SHP).

Methods

The primary outcomes were the required time to achieve target blood pressure (RTATBP), systolic blood pressure (SBP) and diastolic BP (DBP) after treatment, secondary outcomes were the number of doses (NoD) and adverse events (AEs).

Results

There was no difference between oral nifedipine and intravenous labetalol in SBP, DBP, and AE. However, oral nifedipine provided less RTATBP and NoD.

Conclusion

Oral nifedipine was associated with less RTATBP and NoD and otherwise did not differ from intravenous labetalol.

Disclosure statement

The authors declare that the research was conducted without any commercial or financial relationships that could be construed as a potential conflict of interest.

Author contributions

Minghui Ou and Yan Yu conceived and supervised the study; Yan Yu and Futao Zhang designed experiments; Shichao Cui and Shibo Zhao performed experiments; Minghui Ou and Futao Zhang analyzed data; Minghui Ou Yu and Futao Zhang wrote the manuscript; Yan Yu made the manuscript revisions. All authors reviewed the results and approved the final version of the manuscript.

Data availability statement

No datasets were generated for this study

Contribution to the field statement

These findings showed that nifedipine and labetalol have similar clinical effects, while nifedipine is more efficient than labetalol for treating pregnancy-induced hypertension.

Supplementary Material

Supplemental data for this article can be accessed online at https://doi.org/10.1080/10641955.2023.2209637.

Additional information

Funding

The study supported by the National Natural Science Foundation of China (2018) (No. 81871187), National Natural Science Foundation of China (2014) (No. 81460239), Ningxia Natural Science Foundation Project (No. NZ17195) and Qingdao Outstanding Health Professional Development Fund.