Abstract
Midodrine is a sympathomimetic agent with an alpha1-receptor agonist effect. This agent increases arteriolar and venous tone resulting in a rise in systolic and diastolic blood pressure in standing, sitting, and supine positions. It is used in treating patients with orthostatic hypotension and hypotension resulting from various etiologies. Its use in pregnancy falls into category C. We are presenting a case of twin pregnancy with midodrine use throughout pregnancy and a good fetal outcome.
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