Meta AnalysisID 7855

硝苯地平、拉贝洛尔和甲基多巴不同剂量方案治疗妊娠期轻中度高血压的结局比较:系统评价和网状Meta分析

CRD42023447162

Comparison of outcomes of different dose regimens of of nifedipine, labetalol, and methyldopa in mild to moderate hypertension during pregnancy: a systematic review and network meta-analysis

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Record Fields

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Meta Analysis Id
7855
Evidence Id
16413
Core Evidence Id
16413
Source Meta Analysis Id
7852
Herb2 Meta Analysis Id
HBMA007852
Crd Id
CRD42023447162
Title
Comparison of outcomes of different dose regimens of of nifedipine, labetalol, and methyldopa in mild to moderate hypertension during pregnancy: a systematic review and network meta-analysis
Review Question
Comparison of outcomes of different dose regimens of of nifedipine, labetalol, and methyldopa in mild to moderate hypertension during pregnancy: a systematic review and network meta-analysis
Study Type Included
All studies that met the following criteria were included :1) Randomized controlled trials; 2) The subjects were women who had mild to moderate gestational hypertension during pregnancy and required immediate treatment; 3) ①Oral labetalol versus nifedipine ② oral labetalol versus methyldopa ③ oral labetalol versus placebo ④Oral nifedipine versus methyldopa ⑤ oral nifedipine versus placebo/no meditation ⑥ oral methyldopa versus placebo; 4) Provide a clear dosage plan; 5) Outcome measures included information on maternal-fetal safety assessment.
Condition Being Studied
we conducted a systematic review and network meta-analysis to compare maternal-fetal outcomes of different dosing regimens of nifedipine, labetalol, and methyldopa to determine the optimal treatment regimen for mild to moderate gestational hypertension. Mild to moderate gestational hypertension is defined as SBP 140-159mmHg and/or DBP 90-109mmHg during pregnancy.
Participant
All studies that met the following criteria were included :1) Randomized controlled trials; 2) The subjects were women who had mild to moderate gestational hypertension during pregnancy and required immediate treatment; 3) ①Oral labetalol versus nifedipine ② oral labetalol versus methyldopa ③ oral labetalol versus placebo ④Oral nifedipine versus methyldopa ⑤ oral nifedipine versus placebo/no meditation ⑥ oral methyldopa versus placebo; 4) Provide a clear dosage plan; 5) Outcome measures included information on maternal-fetal safety assessment.
Animal
Human Disease Modelled
Intervention
Oral labetalol
Comparator Control
oral methyldopa,oral placebo,Oral nifedipine,no meditation
Main Outcome
The outcome indicators were mainly safety indicators of pregnant women: hospital admissions, cesarean section, maternal death.
Outcome Measure
Additional Outcome
Neonatal safety indexes: perinatal death, Apgar Score <7 at 5 min, Small for gestational age, NICU Admissions, Perinatal mortality.
Study Method
Network meta-analysis, Systematic review
Keyword
Antihypertensive Agents; Female; Humans; Hypertension; Labetalol; Methyldopa; Nifedipine; Pregnancy
Contact
Gideon Chan [email protected]
Organisational Affiliation
Guangzhou Medical University
Funding Source
Guangzhou Medical University
Other Selection Criteria
Final Publication
Same Topic Review
Published Protocol
Review Type
Language
English
Country
China
Review Stage
Review Ongoing
First Submission Date
2023-07-20
Registration Date
2023-07-31
Anticipated Start Date
2023-07-20
Anticipated Completion Date
2023-08-25
Title Cn
硝苯地平、拉贝洛尔和甲基多巴不同剂量方案治疗妊娠期轻中度高血压的结局比较:系统评价和网状Meta分析
Title En
Comparison of outcomes of different dose regimens of of nifedipine, labetalol, and methyldopa in mild to moderate hypertension during pregnancy: a systematic review and network meta-analysis
Bilingual Status
complete