Management of @entity101 emergencies of pregnancy by XXXX bolus injection vs continuous drip--a comparative study.

@entity1 @entity101 @entity2514 @entity2143 @entity3036 @entity551
This prospective study was conducted at Dhaka Medical College and Hospital, Bangladesh. The objective was to identify the time required to control high blood pressure levels in @entity2143 @entity1 by injection of @entity2514 in a bolus intravenous dose vs continuous drip. Seventy-seven @entity1 with @entity3036 and @entity101 emergencies comprised the target population. @entity1 were managed either by @entity2514 drip in normal saline (existing official protocol, n = 33) or @entity2514 bolus injection (as experiment, n = 44) until diastolic blood pressure fell to 90-95 mmHg. Results were compared. Student's t-test was done for statistical significance, and a P value of <.05 was considered as significant. The groups were similar with respect to maternal age and their mean systolic and diastolic blood pressure at the time of enrollment. @entity1 who received bolus injection required less time to achieve the therapeutic goal (65.23 +/- 23.38 minutes) than continuous drip (186.36 +/- 79.77 minutes; P <.001). The experimental group also required significantly lower doses (6.68 +/- 1.66 mg) in comparison to that required by control group (20.07 +/- 11.38 mg; P <.001). There was no overshoot @entity551 in either group. The data suggest that @entity2514 bolus dose is equally safe and more effective than continuous drip in the management of @entity101 emergencies in pregnancy.
