A randomised controlled trial of intravenous magnesium sulphate versus placebo in the management of women with severe pre‐eclampsia

Objective To determine whether the administration of prophylactic intravenous magnesium sulphate reduces the occurrence of eclempsia in women with severe pre‐eclampsia. Design Randomised controlled trial. Setting A tertiary referral obstetric unit. Population Eight hundred and twenty‐two women with...

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Veröffentlicht in:BJOG : an international journal of obstetrics and gynaecology 1998-03, Vol.105 (3), p.300-303
Hauptverfasser: Coetzee, E. J., Dommisse, J., Anthony, J.
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container_title BJOG : an international journal of obstetrics and gynaecology
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creator Coetzee, E. J.
Dommisse, J.
Anthony, J.
description Objective To determine whether the administration of prophylactic intravenous magnesium sulphate reduces the occurrence of eclempsia in women with severe pre‐eclampsia. Design Randomised controlled trial. Setting A tertiary referral obstetric unit. Population Eight hundred and twenty‐two women with severe pre‐eclampsia requiring termination of pregnancy by induction of labour or caesarean section. Methods The women were randomised to receive either placebo (saline) or magnesium sulphate intravenously. The investigators were blinded to the contents of the pre‐mixed solutions. Main outcome measure The occurrence of eclampsia in the two groups. Results The data of 699 women were evaluated. Fourteen were withdrawn after randomisation. The overall incidence of eclampsia was 1.8%. Of 345 women who received magnesium sulphate, one developed eclampsia (0.3%); in the placebo group, 11/340 women (3.2%) developed eclampsia (relative risk 0.09; 95% confidence interval 0.01–0.69; P= 0.003). Conclusion The use of intravenous magnesium sulphate in the management of women with severe pre‐eclampsia significantly reduced the development of eclampsia.
doi_str_mv 10.1111/j.1471-0528.1998.tb10090.x
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J. ; Dommisse, J. ; Anthony, J.</creator><creatorcontrib>Coetzee, E. J. ; Dommisse, J. ; Anthony, J.</creatorcontrib><description>Objective To determine whether the administration of prophylactic intravenous magnesium sulphate reduces the occurrence of eclempsia in women with severe pre‐eclampsia. Design Randomised controlled trial. Setting A tertiary referral obstetric unit. Population Eight hundred and twenty‐two women with severe pre‐eclampsia requiring termination of pregnancy by induction of labour or caesarean section. Methods The women were randomised to receive either placebo (saline) or magnesium sulphate intravenously. The investigators were blinded to the contents of the pre‐mixed solutions. Main outcome measure The occurrence of eclampsia in the two groups. Results The data of 699 women were evaluated. Fourteen were withdrawn after randomisation. The overall incidence of eclampsia was 1.8%. Of 345 women who received magnesium sulphate, one developed eclampsia (0.3%); in the placebo group, 11/340 women (3.2%) developed eclampsia (relative risk 0.09; 95% confidence interval 0.01–0.69; P= 0.003). Conclusion The use of intravenous magnesium sulphate in the management of women with severe pre‐eclampsia significantly reduced the development of eclampsia.</description><identifier>ISSN: 1470-0328</identifier><identifier>ISSN: 0306-5456</identifier><identifier>EISSN: 1471-0528</identifier><identifier>EISSN: 1365-215X</identifier><identifier>DOI: 10.1111/j.1471-0528.1998.tb10090.x</identifier><identifier>PMID: 9532990</identifier><identifier>CODEN: BJOGAS</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Abortion, Induced ; Adolescent ; Adult ; Anticonvulsants - administration &amp; dosage ; Biological and medical sciences ; Cesarean Section ; Eclampsia - prevention &amp; control ; Female ; Genital system. Reproduction ; Humans ; Infusions, Intravenous ; Labor, Induced ; Magnesium Sulfate - administration &amp; dosage ; Medical sciences ; Pharmacology. 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J.</creatorcontrib><creatorcontrib>Dommisse, J.</creatorcontrib><creatorcontrib>Anthony, J.</creatorcontrib><title>A randomised controlled trial of intravenous magnesium sulphate versus placebo in the management of women with severe pre‐eclampsia</title><title>BJOG : an international journal of obstetrics and gynaecology</title><addtitle>Br J Obstet Gynaecol</addtitle><description>Objective To determine whether the administration of prophylactic intravenous magnesium sulphate reduces the occurrence of eclempsia in women with severe pre‐eclampsia. Design Randomised controlled trial. Setting A tertiary referral obstetric unit. Population Eight hundred and twenty‐two women with severe pre‐eclampsia requiring termination of pregnancy by induction of labour or caesarean section. Methods The women were randomised to receive either placebo (saline) or magnesium sulphate intravenously. The investigators were blinded to the contents of the pre‐mixed solutions. Main outcome measure The occurrence of eclampsia in the two groups. Results The data of 699 women were evaluated. Fourteen were withdrawn after randomisation. The overall incidence of eclampsia was 1.8%. Of 345 women who received magnesium sulphate, one developed eclampsia (0.3%); in the placebo group, 11/340 women (3.2%) developed eclampsia (relative risk 0.09; 95% confidence interval 0.01–0.69; P= 0.003). Conclusion The use of intravenous magnesium sulphate in the management of women with severe pre‐eclampsia significantly reduced the development of eclampsia.</description><subject>Abortion, Induced</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Anticonvulsants - administration &amp; dosage</subject><subject>Biological and medical sciences</subject><subject>Cesarean Section</subject><subject>Eclampsia - prevention &amp; control</subject><subject>Female</subject><subject>Genital system. Reproduction</subject><subject>Humans</subject><subject>Infusions, Intravenous</subject><subject>Labor, Induced</subject><subject>Magnesium Sulfate - administration &amp; dosage</subject><subject>Medical sciences</subject><subject>Pharmacology. 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J.</creator><creator>Dommisse, J.</creator><creator>Anthony, J.</creator><general>Blackwell Publishing Ltd</general><general>Blackwell</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>199803</creationdate><title>A randomised controlled trial of intravenous magnesium sulphate versus placebo in the management of women with severe pre‐eclampsia</title><author>Coetzee, E. J. ; Dommisse, J. ; Anthony, J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4270-407bc93e2c9b907d9650846bffd0d301030ea7e74524e6950b1279ba88e676403</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1998</creationdate><topic>Abortion, Induced</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Anticonvulsants - administration &amp; dosage</topic><topic>Biological and medical sciences</topic><topic>Cesarean Section</topic><topic>Eclampsia - prevention &amp; control</topic><topic>Female</topic><topic>Genital system. Reproduction</topic><topic>Humans</topic><topic>Infusions, Intravenous</topic><topic>Labor, Induced</topic><topic>Magnesium Sulfate - administration &amp; dosage</topic><topic>Medical sciences</topic><topic>Pharmacology. Drug treatments</topic><topic>Pre-Eclampsia - prevention &amp; control</topic><topic>Pregnancy</topic><topic>Pregnancy Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Coetzee, E. J.</creatorcontrib><creatorcontrib>Dommisse, J.</creatorcontrib><creatorcontrib>Anthony, J.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>BJOG : an international journal of obstetrics and gynaecology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Coetzee, E. J.</au><au>Dommisse, J.</au><au>Anthony, J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A randomised controlled trial of intravenous magnesium sulphate versus placebo in the management of women with severe pre‐eclampsia</atitle><jtitle>BJOG : an international journal of obstetrics and gynaecology</jtitle><addtitle>Br J Obstet Gynaecol</addtitle><date>1998-03</date><risdate>1998</risdate><volume>105</volume><issue>3</issue><spage>300</spage><epage>303</epage><pages>300-303</pages><issn>1470-0328</issn><issn>0306-5456</issn><eissn>1471-0528</eissn><eissn>1365-215X</eissn><coden>BJOGAS</coden><abstract>Objective To determine whether the administration of prophylactic intravenous magnesium sulphate reduces the occurrence of eclempsia in women with severe pre‐eclampsia. Design Randomised controlled trial. Setting A tertiary referral obstetric unit. Population Eight hundred and twenty‐two women with severe pre‐eclampsia requiring termination of pregnancy by induction of labour or caesarean section. Methods The women were randomised to receive either placebo (saline) or magnesium sulphate intravenously. The investigators were blinded to the contents of the pre‐mixed solutions. Main outcome measure The occurrence of eclampsia in the two groups. Results The data of 699 women were evaluated. Fourteen were withdrawn after randomisation. The overall incidence of eclampsia was 1.8%. Of 345 women who received magnesium sulphate, one developed eclampsia (0.3%); in the placebo group, 11/340 women (3.2%) developed eclampsia (relative risk 0.09; 95% confidence interval 0.01–0.69; P= 0.003). Conclusion The use of intravenous magnesium sulphate in the management of women with severe pre‐eclampsia significantly reduced the development of eclampsia.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>9532990</pmid><doi>10.1111/j.1471-0528.1998.tb10090.x</doi><tpages>4</tpages></addata></record>
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source MEDLINE; Access via Wiley Online Library; Alma/SFX Local Collection
subjects Abortion, Induced
Adolescent
Adult
Anticonvulsants - administration & dosage
Biological and medical sciences
Cesarean Section
Eclampsia - prevention & control
Female
Genital system. Reproduction
Humans
Infusions, Intravenous
Labor, Induced
Magnesium Sulfate - administration & dosage
Medical sciences
Pharmacology. Drug treatments
Pre-Eclampsia - prevention & control
Pregnancy
Pregnancy Outcome
title A randomised controlled trial of intravenous magnesium sulphate versus placebo in the management of women with severe pre‐eclampsia
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