Page last updated: 2024-11-03

propranolol and Labor, Premature

propranolol has been researched along with Labor, Premature in 7 studies

Propranolol: A widely used non-cardioselective beta-adrenergic antagonist. Propranolol has been used for MYOCARDIAL INFARCTION; ARRHYTHMIA; ANGINA PECTORIS; HYPERTENSION; HYPERTHYROIDISM; MIGRAINE; PHEOCHROMOCYTOMA; and ANXIETY but adverse effects instigate replacement by newer drugs.
propranolol : A propanolamine that is propan-2-ol substituted by a propan-2-ylamino group at position 1 and a naphthalen-1-yloxy group at position 3.

Research Excerpts

ExcerptRelevanceReference
"Two women with preeclampsia treated with pindolol and propranolol became profoundly hypertensive when indomethacin was added because of premature contractions."5.28Antagonism of antihypertensive drug therapy in pregnancy by indomethacin? ( Freedman, S; Hod, M; Ovadia, Y; Schoenfeld, A, 1989)
"Two women with preeclampsia treated with pindolol and propranolol became profoundly hypertensive when indomethacin was added because of premature contractions."1.28Antagonism of antihypertensive drug therapy in pregnancy by indomethacin? ( Freedman, S; Hod, M; Ovadia, Y; Schoenfeld, A, 1989)

Research

Studies (7)

TimeframeStudies, this research(%)All Research%
pre-19907 (100.00)18.7374
1990's0 (0.00)18.2507
2000's0 (0.00)29.6817
2010's0 (0.00)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Maughan, GB1
Shabanah, EH1
Toth, A1
Fiorentini, L1
Aragona, F1
Hahn, DW1
McGuire, JL1
Vanderhoof, M1
Ericson, E1
Pasquale, SA1
Serup, J1
Pruyn, SC1
Phelan, JP1
Buchanan, GC1
Anderson, KE1
Bengtsson, LP1
Gustafson, I1
Ingemarsson, I1
Schoenfeld, A1
Freedman, S1
Hod, M1
Ovadia, Y1

Clinical Trials (3)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Propranolol Versus Placebo for Induction of Labor in Nulliparous Patients: a Double-blind Randomized Controlled Trial[NCT03348683]Phase 2240 participants (Actual)Interventional2017-12-11Completed
Propranolol for Prolonged Labor: A Randomized Controlled Trial (PRO-Labor Trial)[NCT04741698]Phase 180 participants (Actual)Interventional2021-07-27Completed
Effect of Non-steroidal Anti-inflammatory Use on Blood Pressure in Women With Hypertensive Disorders of Pregnancy: A Randomized Open Label Trial[NCT03824119]Phase 4200 participants (Anticipated)Interventional2018-12-11Recruiting
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Duration of Latent

Time of latent labor defined as <6cm of cervical dilation. (NCT03348683)
Timeframe: average of 24 hours

Interventionhours (Mean)
Propranolol11.0
Placebo11.2

Number of Fetus With Fetal Bradycardia

Count of fetus with fetal bradycardia (<110bpm for >10 minutes within 30 minutes of study drug administration) (NCT03348683)
Timeframe: 30 minutes from drug administration

InterventionParticipants (Count of Participants)
Propranolol1
Placebo0

Number of Fetus With Heart Rate Decelerations

Count of fetus with fetal heart rate decelerations within 30 minutes of study drug administration (NCT03348683)
Timeframe: 30 minutes from drug administration

InterventionParticipants (Count of Participants)
Propranolol15
Placebo13

Number of Neonates With Hypoglycemia

"Neonatal outcome - Number of neonates with hypoglycemia (blood glucose <50).~This population includes only the neonates who had heelsticks to check their blood glucose, which is not a universal practice and was not required by the protocol or IRB. The neonates included were those who met the nursery's risk-based protocol to check blood glucose after birth (ex: infants of diabetic mothers, fetal growth restriction, macrosomia, or symptoms suggestive of hypoglycemia)" (NCT03348683)
Timeframe: Day 1

InterventionParticipants (Count of Participants)
Propranolol11
Placebo8

Number of Neonates With Neonatal Outcome Composite Score = 1

"Composite neonatal outcome score was for any of the following morbidity: Neonatal Intensive Care Unit (NICU) admission, respiratory support (CPAP, nasal cannula, intubation), culture proven sepsis, radiographically proven intracranial hemorrhage, necrotizing enterocolitis, hypoglycemia (for those infants who had sugar checked), and neonatal death.~The composite score was computed as a score of 1 for any indication of neonatal morbidity - neonates who experienced at least one morbidity and the components are given equal weights. Patients who had no evidence of the predefined neonatal morbidities are subsequently given a score of 0. The minimum is 0 and maximum is 1." (NCT03348683)
Timeframe: Day 1

InterventionParticipants (Count of Participants)
Propranolol21
Placebo28

Number of Participants With Maternal Morbidity Composite Score = 1

"Composite maternal morbidity score consists of a count of postpartum hemorrhage, transfusion, hysterectomy, placental abruption, chorioamnionitis, shoulder dystocia, episiotomy, higher order laceration, and ICU admission.~The composite score was computed as a score of 1 for any indication of maternal morbidity, that is the participant experienced at least one maternal morbidity, and the components are given equal weights. Participants who had no evidence of the predefined maternal morbidities are subsequently given a score of 0. The minimum is 0 and maximum is 1." (NCT03348683)
Timeframe: average of 24 hours

InterventionParticipants (Count of Participants)
Propranolol35
Placebo49

Number of Participants With Postpartum Hemorrhage

Greater than 500cc of blood expelled during a vaginal delivery or greater than 1000cc of blood expelled during a cesarean section (NCT03348683)
Timeframe: 30 minutes from drug administration

InterventionParticipants (Count of Participants)
Propranolol15
Placebo26

Time From Beginning of Induction to Delivery

The time of induction (based on time of foley balloon placement for cervical ripening or misoprostol administration) to the time of delivery of the infant. (NCT03348683)
Timeframe: average of 24 hours

Interventionhours (Mean)
Propranolol13.8
Placebo14.3

Number of Participants With Various Mode of Delivery

Number of various mode of delivery - count of Vaginal delivery, vacuum assisted vaginal delivery, forceps assisted vaginal delivery, cesarean section (NCT03348683)
Timeframe: average of 24 hours

,
InterventionParticipants (Count of Participants)
Spontaneous vaginal deliveryVacuum assisted vaginal deliveryForceps assisted vaginal deliveryCesarean section
Placebo6110840
Propranolol643846

Reviews

1 review available for propranolol and Labor, Premature

ArticleYear
[Thyrotoxicosis in connection with pregnancy and delivery. Review of obstetric, medical and pediatric aspects].
    Ugeskrift for laeger, 1978, Jul-31, Volume: 140, Issue:31

    Topics: Antithyroid Agents; Female; Fetal Diseases; Humans; Hyperthyroidism; Infant, Newborn; Infant, Newbor

1978

Other Studies

6 other studies available for propranolol and Labor, Premature

ArticleYear
Experiments with pharmacologic sympatholysis in the gravid.
    American journal of obstetrics and gynecology, 1967, Mar-15, Volume: 97, Issue:6

    Topics: Adult; Animals; Dogs; Female; Guanethidine; Humans; Hydrochlorothiazide; Methyldopa; Obstetric Labor

1967
[Urinary retention following the use of beta-stimulating agents in obstetrics: physiopathological considerations and description of a case].
    Rivista italiana di ginecologia, 1980, Volume: 59, Issue:2-3

    Topics: Adrenergic beta-Agonists; Adult; Female; Humans; Metaproterenol; Obstetric Labor, Premature; Pregnan

1980
Evaluation of drugs for arrest of premature labor in a new animal model.
    American journal of obstetrics and gynecology, 1984, Mar-15, Volume: 148, Issue:6

    Topics: Albuterol; Animals; Calcium Channel Blockers; Disease Models, Animal; Dose-Response Relationship, Dr

1984
Long-term propranolol therapy in pregnancy: maternal and fetal outcome.
    American journal of obstetrics and gynecology, 1979, Oct-15, Volume: 135, Issue:4

    Topics: Asphyxia Neonatorum; Bradycardia; Female; Fetal Growth Retardation; Fetus; Humans; Hypertension; Hyp

1979
Long-term propranolol therapy in pregnancy: maternal and fetal outcome.
    American journal of obstetrics and gynecology, 1979, Oct-15, Volume: 135, Issue:4

    Topics: Asphyxia Neonatorum; Bradycardia; Female; Fetal Growth Retardation; Fetus; Humans; Hypertension; Hyp

1979
Long-term propranolol therapy in pregnancy: maternal and fetal outcome.
    American journal of obstetrics and gynecology, 1979, Oct-15, Volume: 135, Issue:4

    Topics: Asphyxia Neonatorum; Bradycardia; Female; Fetal Growth Retardation; Fetus; Humans; Hypertension; Hyp

1979
Long-term propranolol therapy in pregnancy: maternal and fetal outcome.
    American journal of obstetrics and gynecology, 1979, Oct-15, Volume: 135, Issue:4

    Topics: Asphyxia Neonatorum; Bradycardia; Female; Fetal Growth Retardation; Fetus; Humans; Hypertension; Hyp

1979
The relaxing effect of terbutaline on the human uterus during term labor.
    American journal of obstetrics and gynecology, 1975, Mar-01, Volume: 121, Issue:5

    Topics: Abortion, Threatened; Adult; Blood Pressure; Drug Evaluation; Female; Heart Rate; Humans; Infusions,

1975
Antagonism of antihypertensive drug therapy in pregnancy by indomethacin?
    American journal of obstetrics and gynecology, 1989, Volume: 161, Issue:5

    Topics: Adult; Antihypertensive Agents; Blood Pressure; Female; Humans; Indomethacin; Obstetric Labor, Prema

1989