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Gynaecology & Obstetrics Hypertensive Disorders in Pregnancy 0ffe8f1f

A primigravida 32-year-old female is admitted to the antenatal ward at 35 weeks is found to BP of 160/110. Her urine does not contain albumin. Which of the following drugs should not be used in her management?

A
Frusemide
B
Hydralazine
C
Labetalol
D
Methyldopa
High-Yield Explanation
Ans. is a, i.e. FrusemideIn a PIH patient, furosemide is contraindicated as an anti-hypertensive because in PIH, the intravascular volume is low, giving a diuretic would further decrease it, which reduce placental perfusion.Remember: Diuretics are not contraindicated in pregnancy.In a pregnant female with CHF, diuretics are used, then it is not contraindicated. Also diuretics can be used if there is pulmonary edema.

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