August 5, 2009
Induction of Labor Recommended for Women With High Blood Pressure
Inducing a pregnancy at 37 weeks, may be healthier for some women and their babies.
About six percent of pregnancies are affected by gestational hypertension, also known as high blood pressure, mild preeclampsia, and other hypertensive disorders. A recent HYPITAT study, found women with these disorders should have their labor induced once they reach 37 weeks, in an effort to reduce death in mother or baby.
"The results of our trial are important for both developed countries in which induction of labor in women with hypertensive disease beyond 36 weeks' gestation has been controversial, and for developing countries in which maternal morbidity and motility rates are substantially increased. Our finding that induction of labor was associated with a reduced risk of severe hypertension and subsequent reduced need for caesarean section, emphasized the importance of frequent blood pressure monitoring during the concluding weeks of pregnancy," Dr. Corine M. Koopmans, Departments of Obstetrics and Gynecology, University Medical Centre Groningen, Netherlands, and colleagues, were quoted saying.
SOURCE: The Lancet, August 2009