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Effectiveness Study of Short Course of Magnesium Sulfate for Severe Preeclamsia

Phase 4
Completed
Conditions
Severe Preeclampsia
Interventions
Drug: Magnesium sulfate 12 hours
Drug: Magnesium sulfate 24 hours
Registration Number
NCT01408979
Lead Sponsor
Instituto Materno Infantil Prof. Fernando Figueira
Brief Summary

Magnesium sulfate is the ideal drug for seizures prophilaxis in preeclampsia. The ideal duration of this treatment after delivery is still to be established. The hypothesis is that in stable patients a shorter course of treatment is possible without prejudice to the mother.

Detailed Description

Magnesium sulfate (MgSO4) is certainly the ideal drug for prevention and control of eclamptic seizures. However, there is no consensus on the appropriate duration of prophylaxis with this anticonvulsant postpartum.The objective of the present study is to compare effectiveness of 12 hours of magnesium sulfate versus 24 hours (standard treatment) in stable patients with preeclampsia.

Recruitment & Eligibility

Status
COMPLETED
Sex
Female
Target Recruitment
120
Inclusion Criteria
  • Pre-eclampsia;
  • Puerperium.
Exclusion Criteria
  • Associated maternal diseases;
  • Use of illicit drugs or other medications that might interfere with maternal hemodynamics;
  • Contraindications to the use of magnesium sulfate: drug hypersensitivity, oliguria with urine output below 25ml/h; anuria (absent urine output), myasthenia gravis.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
12 hours of magnesium sulfateMagnesium sulfate 12 hoursPatients in this group will have magnesium sulfate administered for 12 hours after delivery
24 hours of magnesium sulfateMagnesium sulfate 24 hoursPatients in this group will have magnesium sulfate administered for 24 hours after delivery
Primary Outcome Measures
NameTimeMethod
Need to continue therapy for another 12 hours.24 hours

Defined as the need to continue therapy for another 12 hours, this will occur when after the first 12 hours of magnesium sulfate therapy the patient has severe hypertension, unsatisfactory diureses or has signs or symptoms of iminent eclampsia.

Secondary Outcome Measures
NameTimeMethod
Satisfaction24 hours

Patients satisfaction with the duration of therapy

Trial Locations

Locations (1)

IMIP

🇧🇷

Recife, Pernambuco, Brazil

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