A pregnant woman at 32 weeks gestation presents to OPD for routine antenatal checkup and an examination she has pedal edema and her BP on repeated recordings is 150/100 mm of Hg. Her urine protein is 2+. Which of the following will be the first line drug of choice in the patient?
Ans. is d, i.e. NifedipineThis patient came for antenatal checkup and was detected with high BP at 32 weeks which indicates that it is PIH. In PIH Metoprolol and Losartan is contraindicated. Now the choice is between Methyldopa and Nifedipine. Between the two, methyldopa is used for the management of chronic hypertension and Nifedipine is used for the management of PIH.
Metoprolol
Methyl dopa
Losartan
Nifedipine
Hypertensive Disorders in Pregnancy