Preeclampsia Clinical Trial
Official title:
Effect of Administering Intravenous Magnesium Sulfate Heptahydrate (MgSO4•7H2O) on Fetal Cardiotocography and Neonatal Outcome in Preeclamptic Patients in 3rd Trimester of Pregnancy
Admission CTG for 20 minutes Settings on a CTG machine was standardised to enable a
consistent approach of interpretation of traces. Paper speed of 3cm per minute will be
adopted. Maternal heart rate was recorded and noted on CTG. Following birth date, time and
mode of delivery will be labelled on CTG.
Magnesium sulphate was administered by continuous intravenous infusion according to our
hospital protocol as follows:
- Loading dose: 4-6 gm of magnesium sulphate diluted in 100 mL of IV fluid administered
over 15-20 min.
- Maintenance dose: 2 gm/hr in 100 mL of IV infusion to be continued for 24 hours after
delivery.
Another 20 minutes CTG strip will be performed 20 minutes after administration of IV loading
MgSO4, 7H2O and thus ensuring that MgSO4 has reached peak serum levels
Admission CTG:
Admission CTG will be performed for 20 minutes
I-Settings:
1. Settings on a CTG machine will be standardised to enable a consistent approach of
interpretation of traces.
2. Paper speed of 3cm per minute will be adopted.
3. CTGs will be labelled with mother's name, hospital number.
4. Date and time settings on machines will be labelled at commencement of tracing.
5. Maternal heart rate will be recorded and noted on CTG.
6. Following birth date, time and mode of delivery will be labelled on CTG.
Magnesium Sulphate hepatahydrate administration:
Magnesium sulphate will be administered by continuous intravenous infusion according to our
hospital protocol as follows:
- Loading dose: 4-6 gm of magnesium sulphate diluted in 100 mL of IV fluid administered
over 15-20 min.
- Maintenance dose: 2 gm/hr in 100 mL of IV infusion to be continued for 24 hours after
delivery.
- Magnesium toxicity was monitored by hourly assessment of:
1. Patellar reflexes should be present.
2. Respiratory rate not < 16/min.
3. Urine output not < 100ml / hr. Another 20 minutes CTG strip will be performed 20
minutes after administration of IV loading MgSO4, 7H2O and thus ensuring that MgSO4
has reached peak serum levels
;
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