title: Effects of methyldopa and nifedipine on uteroplacental and fetal hemodynamics in gestational hypertension.
abstract: OBJECTIVE
  Investigation of methyldopa and nifedipine effects on maternal and fetal hemodynamics in women with mild gestational hypertension during the third pregnancy trimester.
  
  
  METHODS
  A prospective cohort study. Methyldopa effects were followed in 28 patients, and nifedipine effects in another 28 patients. There were also 28 healthy controls.
  
  
  RESULTS
  Uterine artery blood velocity waveform indices were improved only by nifedipine. Neither of the drugs affected the indices in umbilical and fetal middle cerebral artery. Both drugs normalized maternal blood pressure and pulse.
  
  
  CONCLUSIONS
  Methyldopa and nifedipine did not show clinically significant influence on umbilical artery and fetal cerebral blood flow.
authors.affiliation: Pharmacology Department, Medical Faculty, University of Kragujevac, Kragujevac, Serbia.
authors.forename: Marko M
authors.initials: MM
authors.lastname: Folic
authors.forename: Slobodan M
authors.initials: SM
authors.lastname: Jankovic
authors.forename: Mirjana R
authors.initials: MR
authors.lastname: Varjacic
authors.forename: Miroslav D
authors.initials: MD
authors.lastname: Folic
mesh_terms: D000328:Adult; D000959:Antihypertensive Agents / Q000494:pharmacology* / Q000627:therapeutic use; D005260:Female; D006439:Hemodynamics / Q000187:drug effects*; D006801:Humans; D046110:Hypertension, Pregnancy-Induced / Q000188:drug therapy*; D008750:Methyldopa / Q000494:pharmacology* / Q000627:therapeutic use; D009543:Nifedipine / Q000494:pharmacology* / Q000627:therapeutic use; D021041:Placental Circulation / Q000187:drug effects; D011247:Pregnancy; D011446:Prospective Studies
chemical_list: D000959:Antihypertensive Agents; D008750:Methyldopa; D009543:Nifedipine