Severe Preeclampsia
Conditions
Keywords
Severe preeclampsia, magnesium sulfate, anticonvulsivant
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.
Interventions
Magnesium sulfate, 1g/h, (10% solution), for 12 hours
Magnesium sulfate, 1g/h, (10% solution), for 24 hours
Sponsors
Study design
Eligibility
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.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| 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
| Measure | Time frame | Description |
|---|---|---|
| Satisfaction | 24 hours | Patients satisfaction with the duration of therapy |
Countries
Brazil