A recent meta-analysis of the use of intravenous hydralazine in severe hypertension in pregnancy concluded that parenteral labetalol or oral nifedipine were preferable first-line agents, with hydralazine as a suitable second-line agent.
Which antihypertensive drugs are safe in pregnancy?
For emergency treatment in preeclampsia, IV hydralazine, labetalol and oral nifedipine can be used . The ACOG Practice Bulletins also recommend that methyldopa and labetalol are appropriate first-line agents and beta-blockers and angiotensin-converting enzyme inhibitors are not recommended [21, 17].
Are any blood pressure medications safe during pregnancy?
Is it safe to take blood pressure medication during pregnancy? Some blood pressure medications are considered safe to use during pregnancy, but angiotensin-converting enzyme (ACE) inhibitors, angiotensin II receptor blockers and renin inhibitors are generally avoided during pregnancy.
Which of these antihypertensive drugs should be avoided in gestational hypertension?
Some commonly prescribed antihypertensive drugs are contraindicated or best avoided before conception and during pregnancy (Table 1 ). These include ACE inhibitors, angiotensin receptor antagonists, diuretics and most beta blockers.
Which one of the antihypertensive is contraindicated in pregnancy?
ACE-Is and angiotensin receptor blockers should be avoided in all trimesters; when administered in the second and third trimesters, they are associated with a characteristic fetopathy, neonatal renal failure, and death, and, thus, are contraindicated.
Why is amlodipine not used in pregnancy?
Amlodipine falls into category C. There are no good studies in pregnant women. Amlodipine should be used during pregnancy only if the potential benefit justifies the potential risk to the fetus. It is not known if amlodipine will harm your unborn baby.
Are beta blockers safe in pregnancy?
β-Blockers are the most commonly used class of medication for treating cardiac conditions in pregnant women. Despite the common use of this class of medication, data that support its safety are limited. β-Blockers cross the placenta and potentially can cause physiological changes in the fetus.
What is chronic hypertension in pregnancy?
Chronic hypertension in pregnancy is defined by the American College of Obstetrics and Gynecology (ACOG) as blood pressure ≥140 mm Hg systolic and/or 90 mm Hg diastolic before pregnancy or, in recognition that many women seek medical care only once pregnant, before 20 weeks of gestation, use of antihypertensive …
How can I lower my blood pressure while pregnant?
Some ways to lower the risk of high blood pressure during pregnancy include:
- limiting salt intake.
- staying hydrated.
- eating a balanced diet that is rich in plant-based foods and low in processed foods.
- getting regular exercise.
- getting regular prenatal checkups.
- avoiding smoking cigarettes and drinking alcohol.
Can you have a natural birth with high blood pressure?
As long as your blood pressure remains within target levels, you should be able to have a natural vaginal birth. If you have severe hypertension, your blood pressure will be monitored every 15 to 30 minutes in labour.
Does labetalol affect baby?
Labetalol is not thought to harm an unborn baby. But there’s a small chance that when your baby’s born the medicine can affect their blood sugar levels. For this reason your baby may be monitored for the first 24 hours to make sure everything is OK.