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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Am+J+Perinatol
2015 ; 32
(4
): 387-92
Nephropedia Template TP
gab.com Text
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English Wikipedia
Effect of magnesium sulfate administration for neuroprotection on latency in
women with preterm premature rupture of membranes
#MMPMID25241107
Horton AL
; Lai Y
; Rouse DJ
; Spong CY
; Leveno KJ
; Varner MW
; Mercer BM
; Iams JD
; Wapner RJ
; Sorokin Y
; Thorp JM
; Ramin SM
; Malone FD
; O'Sullivan MJ
; Hankins GD
; Caritis SN
Am J Perinatol
2015[Mar]; 32
(4
): 387-92
PMID25241107
show ga
OBJECTIVE: This study aims to evaluate whether magnesium sulfate administration
for neuroprotection prolongs latency in women with preterm premature rupture of
membranes (PPROM) between 24 and 31(6/7) weeks' gestation. STUDY DESIGN: This is
a secondary analysis of a randomized controlled trial of magnesium sulfate for
prevention of cerebral palsy. Gravid women with a singleton pregnancy between 24
and 31(6/7) weeks' gestation with PPROM without evidence of labor were randomized
to receive magnesium sulfate, administered intravenously as a 6-g bolus followed
by a constant infusion of 2 g per hour up to 12 hours, or placebo. Maternal
outcomes for this analysis were delivery in less than 48 hours and in less than 7
days from randomization. Neonatal outcomes included a composite of respiratory
distress syndrome, interventricular hemorrhage grades 3 or 4, periventricular
leukomalacia, sepsis, necrotizing enterocolitis, retinopathy of prematurity, or
death. RESULTS: A total of 1,259 women were included. The rate of delivery < 48
hours was not different in the magnesium sulfate and the placebo groups (22.2 and
20.7%, p = 0.51). Delivery < 7 days was similar between groups (55.4 and 51.4%, p
= 0.16). Median latency was also similar between groups (median [interquartile
range], 6.0 days [range, 2.4-13.8 days] and 6.6 days [range, 2.4-15.1 days], p =
0.29). Composite neonatal outcomes did not differ between groups. CONCLUSION:
Magnesium sulfate administration given for neuroprotection in women with a
singleton gestation with PPROM and without labor before 32 weeks does not impact
latency.