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Abbreviated MgSO4 Therapy in Post-Partum Preeclampsia
This study has been completed.
Sponsored by: Case Western Reserve University
Information provided by: Case Western Reserve University
ClinicalTrials.gov Identifier: NCT00344058
  Purpose

Magnesium sulfate is used for seizure prophylaxis in pregnancies complicated by preeclampsia. There is debate as to how long to continue this therapy after delivery of the pregnancy. Different schemes have been offered to shorten the exposure to magnesium sulfate after delivery, with little data. We seek to investigate the effect of shortened magnesium sulfate therapy on the post-partum recovery phase of mild preeclampsia. Our hypothesis was that shortened therapy (12 hours versus the traditional 24 hours post-partum) has no effect on disease course, and will result in significantly shorter exposure to magnesium sulfate.


Condition Intervention
Pregnancy
Preeclampsia
Drug: abbreviation of magnesium sulfate therapy (12 hours versus the traditional 24 hours after delivery)

Genetics Home Reference related topics: pyridoxine-dependent epilepsy
MedlinePlus related topics: Seizures
Drug Information available for: Magnesium Magnesium sulfate
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Randomized, Open Label, Active Control, Parallel Assignment
Official Title: Abbreviated Post-Partum Magnesium Sulfate Seizure Prophylaxis in Preeclampsia: A Comparison of 12 and 24 Hour Regimens

Further study details as provided by Case Western Reserve University:

Primary Outcome Measures:
  • Time of magnesium sulfate therapy (minutes)
  • Blood pressure
  • Maternal symptoms (headaches, blurred vision, chest pain, shortness of breath)

Estimated Enrollment: 200
Study Start Date: January 2001
Estimated Study Completion Date: August 2004
Detailed Description:

The study has been completed at this time.

Consenting women with suspected mild preeclampsia (new onset/exacerbated hypertension with proteinuria) were randomly assigned 12 (12-hour) or 24-hours (24-hour) of postpartum MgSO4. Treatment was continued beyond the initially assigned time period for new findings of severe preeclampsia. Clinical and laboratory data were collected. Analysis was by intent to treat, utilizing Fisher’s exact, chi-square, and Student’s t-tests where appropriate

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Female
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Women with suspected mild preeclampsia diagnosed antepartum, intrapartum, or post-partum were eligible for inclusion after delivery at term (≥ 34 weeks’ gestational age).

Exclusion Criteria:

  • Inability to give informed consent, preterm delivery, severe preeclampsia
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00344058

Locations
United States, Ohio
MetroHealth Medical Center, Labor and Delivery
Cleveland, Ohio, United States, 44109
Sponsors and Collaborators
Case Western Reserve University
Investigators
Principal Investigator: Hugh M Ehrenberg, MD MetroHealth Medical Center at Case Western Reserve School of Medicine
  More Information

Study ID Numbers: IRB 01001-OBG-01
Study First Received: June 23, 2006
Last Updated: June 23, 2006
ClinicalTrials.gov Identifier: NCT00344058  
Health Authority: United States: Institutional Review Board

Keywords provided by Case Western Reserve University:
pregnancy
preeclampsia
treatment

Study placed in the following topic categories:
Calcium, Dietary
Hypertension, Pregnancy-Induced
Pregnancy Complications
Eclampsia
Magnesium Sulfate
Seizures
Pregnancy toxemia /hypertension
Pre-Eclampsia
Preeclampsia
Hypertension

Additional relevant MeSH terms:
Molecular Mechanisms of Pharmacological Action
Physiological Effects of Drugs
Anesthetics
Central Nervous System Depressants
Calcium Channel Blockers
Reproductive Control Agents
Cardiovascular Agents
Pharmacologic Actions
Membrane Transport Modulators
Tocolytic Agents
Sensory System Agents
Therapeutic Uses
Analgesics
Peripheral Nervous System Agents
Anti-Arrhythmia Agents
Central Nervous System Agents
Anticonvulsants

ClinicalTrials.gov processed this record on January 13, 2009