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10.1055/s-0034-1387930

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C4369158!4369158 !25241107
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suck abstract from ncbi


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pmid25241107
      Am+J+Perinatol 2015 ; 32 (4 ): 387-92
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  • 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.
  • |Adult [MESH]
  • |Cerebral Palsy/prevention & control [MESH]
  • |Delivery, Obstetric [MESH]
  • |Female [MESH]
  • |Fetal Membranes, Premature Rupture/*drug therapy [MESH]
  • |Gestational Age [MESH]
  • |Humans [MESH]
  • |Infant, Newborn [MESH]
  • |Infant, Premature [MESH]
  • |Infant, Premature, Diseases/prevention & control [MESH]
  • |Magnesium Sulfate/*therapeutic use [MESH]
  • |Neuroprotective Agents/*therapeutic use [MESH]
  • |Obstetric Labor, Premature/prevention & control [MESH]
  • |Pregnancy [MESH]
  • |Tocolytic Agents/*therapeutic use [MESH]
  • |Treatment Outcome [MESH]


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