Induced labour best for women with hypertension: study


Hugely_pregnant_woman_574584352.jpgAugust -5 – (PARIS-AFP)

Pregnant women with disorders that cause high blood pressure should have labour induced once pregnancy reaches the 37-week mark, according to a study released Tuesday.

The new recommendations apply in particular to patients with mild pre-eclampsia, a condition that causes hypertension, swelling and sudden weight gain in expectant mothers.

The only way to relieve the symptoms — which in extreme cases can lead to death — is to give birth.

About seven percent of all pregnancies are complicated by hypertension disorders, including pre-eclampsia, which can contribute to health problems during pregnancy.

But it has remained unclear whether it was better for the well-being of the woman to systematically induce delivery in case of consistent high blood pressure, or to allow such pregnancies to continue until labour occurs spontaneously.

To find out, a team of researchers in the Netherlands led by Corine Koopmans of University Medical Centre in Groningen set up a clinical trial with 756 women past the 36th week of their pregnancy — all with mild hypertension or pre-eclampsia — divided into two, randomly selected groups.

One underwent induced labour, while the other was monitored during the final phase of pregnancy, reported the study, published in the British medical journal The Lancet.

Nearly 30 percent fewer women in the first group experienced any of the severe problems that researchers identified as constituting a “poor maternal outcome,” such as full-fledged eclampsia, severe blood pressure or fluid accumulation in the lungs.

No cases of maternal or newborn deaths occurred in either group.

“Induction of labour at 37 weeks’ gestation and beyond seems to improve obstetric outcomes in patients with hypertension and pre-eclampsia,” Donna Johnson, a researcher at the Medical University of South Carolina, said in a commentary, also in The Lancet.

“This approach should be incorporated into clinical practice.”



Agence France-Presse is a global news agency delivering fast, in-depth coverage of the events shaping our world from wars and conflicts to politics, sports, entertainment and the latest breakthroughs in health, science and technology.

  • Bw. Ochieng, your obsession to impress by throwing unnecessary complex jargon into your writing is your Achilles heel. What I always tell my Ph.D. students is that their writing has to be understood. Any form of writing is like telling a story. Any good story must be comprehensible to the listener/reader. For example you say:

    “Police Reforms, it is important to note, constituted a critical plank of the reform agenda especially noting the fact that police reforms are largely predicated upon national values and principles and the corpus of citizen rights and responsibilities in accordance with the collective aspirations as enunciated in the Supreme Law of the Land”

    What kind of twisted crap is that? You could simply say: “Police reforms are an important part of the reform agenda. It is hoped that a reformed police force will respect citizens rights in line with the new constitution.”

    If simplicity is possible in explaining a concept, go for it. I find it rather sad, that some people will spend sleepless nights desperate to complicate a piece of writing beyond comprehension. I know such people get a kick being told “mseja, hiyo article umeichora na kizungu tough” but this also underlies a dangerous weakness: lack of self-worth or confidence.

You may also like...