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The purpose of this study is to determine whether postpartum administration of furosemide to women with antepartum hypertensive disorders (gestational hypertension, preeclampsia) or elevated blood pressure in the first 24 hours following delivery reduces severe postpartum hypertension.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Furosemide/Potassium chloride | Experimental | 40 mg furosemide; 20 meq potassium chloride |
|
| Placebo | Placebo Comparator | Placebo #1, Placebo #2 |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Furosemide | Drug | 40 mg furosemide on postpartum day 1-6 |
|
| Measure | Description | Time Frame |
|---|---|---|
| Composite maternal morbidity | Requiring antihypertensive medication at discharge, readmission for blood pressure, end-organ damage from hypertension | 0-6 weeks following delivery |
| Measure | Description | Time Frame |
|---|---|---|
| Adverse events associated with furosemide | Hypokalemia | 0-6 weeks following delivery |
| Adverse events associated with furosemide | hyperglycemia |
| Measure | Description | Time Frame |
|---|---|---|
| Cardiovascular changes following delivery | Maternal echocardiogram, renin, aldosterone, B-natriuretic peptide levels | 0-1 week following delivery |
Inclusion Criteria:
Women > 18 years of age or emancipated minors
Women undergoing vaginal or cesarean delivery at > 23 weeks gestation with:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Methodius G Tuuli, MD, MPH | Indiana University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Indiana University School of Medicine | Indianapolis | Indiana | United States | |||
| Washington University School of Medicine |
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| ID | Term |
|---|---|
| D006973 | Hypertension |
| D011225 | Pre-Eclampsia |
| D046110 | Hypertension, Pregnancy-Induced |
| ID | Term |
|---|---|
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D011248 | Pregnancy Complications |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
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| ID | Term |
|---|---|
| D005665 | Furosemide |
| D011189 | Potassium Chloride |
| ID | Term |
|---|---|
| D013424 | Sulfanilamides |
| D013449 | Sulfonamides |
| D000577 | Amides |
| D009930 | Organic Chemicals |
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| Potassium chloride | Drug | 20 meq potassium chloride on postpartum day 1-6 |
|
|
| Placebo #1 | Drug | Placebo (for furosemide) |
|
| Placebo #2 | Drug | Placebo (for KCl) |
|
| 0-6 weeks following delivery |
| Adverse events associated with furosemide | oliguria | 0-6 weeks following delivery |
| Adverse events associated with furosemide | hypotension | 0-6 weeks following delivery |
| Adverse events associated with furosemide | elevated serum creatinine | 0-6 weeks following delivery |
| St Louis |
| Missouri |
| 63110 |
| United States |
| D000091642 | Urogenital Diseases |
| D000814 |
| Aniline Compounds |
| D000588 | Amines |
| D013450 | Sulfones |
| D013457 | Sulfur Compounds |
| D002712 | Chlorides |
| D006851 | Hydrochloric Acid |
| D017606 | Chlorine Compounds |
| D007287 | Inorganic Chemicals |
| D017680 | Potassium Compounds |