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Magnesium Sulfate Versus Nifedipine for the Acute Tocolysis of Preterm Labor: A Prospective, Randomized Trial

Not Applicable
Completed
Conditions
Obstetric Labor, Premature
Interventions
Registration Number
NCT00185900
Lead Sponsor
Stanford University
Brief Summary

To compare intravenous magnesium sulfate to oral nifedipine for acute tocolysis of preterm labor

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
Female
Target Recruitment
192
Inclusion Criteria

:- Uterine contractions and cervical change or ruptured membranes in a preterm gestation

Exclusion Criteria
  • placental abruption, fetal distress, placenta previa, maternal medical contraindication to tocolysis

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Magnesium SulfateMagnesium SulfatePreterm labor treatment with Magnesium Sulfate.
NifedipineNifedipinePreterm labor treatment with Nifedipine.
Primary Outcome Measures
NameTimeMethod
Number of Participants With Prevention of Preterm Delivery for 48 Hours With Attainment of Uterine Quiescence48 hours after administration of study medication.

Uterine quiescence defined by 12 hours of six or fewer contractions per hour and no further cervical change within 48 hours of tocolytic initiation.

Secondary Outcome Measures
NameTimeMethod
Gestational Age at DeliveryUntil delivery, up to 42 weeks of gestation

Presented as weeks

Serious Maternal Adverse EffectFrom study enrollment until discharge from delivery hospital, up to 30 days after delivery.

A composite of any of the following: chest pain, pulmonary edema, shortness of breath or hypotension.

Time to Uterine QuiescenceUntil delivery, up to 42 weeks of gestation

Uterine quiescence was defined by 12 hours of six of fewer contractions per hour and no further cervical change.

Neonatal Birth WeightUntil delivery, up to 42 weeks of gestation

Presented as grams

Composite Neonatal MorbidityFrom delivery until discharge from the hospital, up to 30 days of age

Defined as any of the following: respiratory distress syndrome, intraventricular hemorrhage, necrotizing enterocolitis, sepsis or fetal/neonatal death.

Trial Locations

Locations (1)

Stanford University School of Medicine

🇺🇸

Stanford, California, United States

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