Effects of maternal magnesium sulfate treatment on newborns.

eclampsia enteral nutrition magnesium sulfate neonate pregnancy-induced hypertension

Journal

Pediatrics international : official journal of the Japan Pediatric Society
ISSN: 1442-200X
Titre abrégé: Pediatr Int
Pays: Australia
ID NLM: 100886002

Informations de publication

Date de publication:
Jan 2022
Historique:
revised: 03 03 2021
received: 16 10 2020
accepted: 09 04 2021
pubmed: 28 4 2021
medline: 27 1 2022
entrez: 27 4 2021
Statut: ppublish

Résumé

Antenatal magnesium sulfate (MgSO The clinical data of 77 infants born to mothers treated with MgSO The serum Mg level of the infants correlated with that of the mothers but not with the duration of Mg treatment or the cumulative dose of Mg. There were no significant differences in the infants' clinical variables according to either the duration of Mg treatment or the cumulative dose of Mg. By contrast, enteral feeding tolerance began at a significantly later age and the heart rate on admission was significantly lower in infants with a serum Mg level ≥4.0 mmol/L than in those with a serum Mg level <4.0 mmol/L. Modest effects on the clinical variables of infants with higher serum Mg levels were determined, whereas neither the duration of Mg treatment nor the cumulative Mg dose correlated with the clinical variables of the infants. Thus, in newborns with only moderately elevated serum Mg levels, serious adverse effects are unlikely.

Sections du résumé

BACKGROUND BACKGROUND
Antenatal magnesium sulfate (MgSO
METHODS METHODS
The clinical data of 77 infants born to mothers treated with MgSO
RESULTS RESULTS
The serum Mg level of the infants correlated with that of the mothers but not with the duration of Mg treatment or the cumulative dose of Mg. There were no significant differences in the infants' clinical variables according to either the duration of Mg treatment or the cumulative dose of Mg. By contrast, enteral feeding tolerance began at a significantly later age and the heart rate on admission was significantly lower in infants with a serum Mg level ≥4.0 mmol/L than in those with a serum Mg level <4.0 mmol/L.
CONCLUSIONS CONCLUSIONS
Modest effects on the clinical variables of infants with higher serum Mg levels were determined, whereas neither the duration of Mg treatment nor the cumulative Mg dose correlated with the clinical variables of the infants. Thus, in newborns with only moderately elevated serum Mg levels, serious adverse effects are unlikely.

Identifiants

pubmed: 33904213
doi: 10.1111/ped.14747
doi:

Substances chimiques

Magnesium Sulfate 7487-88-9

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

e14747

Subventions

Organisme : Japan Agency for Medical Research and Development
ID : 18ek0109265h0002
Organisme : JSPS KAKENHI
ID : JP18K07890
Organisme : JSPS KAKENHI

Informations de copyright

© 2021 Japan Pediatric Society.

Références

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Auteurs

Shingo Numoto (S)

Department of Pediatrics, Aichi Medical University, Nagakute, Japan.

Hiroki Kakita (H)

Department of Perinatal and Neonatal Medicine, Aichi Medical University, Nagakute, Japan.

Satoru Takeshita (S)

Department of Perinatal and Neonatal Medicine, Aichi Medical University, Nagakute, Japan.

Hiroko Ueda (H)

Department of Perinatal and Neonatal Medicine, Aichi Medical University, Nagakute, Japan.

Tomoko Kondo (T)

Department of Perinatal and Neonatal Medicine, Aichi Medical University, Nagakute, Japan.

Hirokazu Kurahashi (H)

Department of Pediatrics, Aichi Medical University, Nagakute, Japan.

Akihiko Wakatsuki (A)

Department of Obstetrics and Gynecology, Aichi Medical University, Nagakute, Japan.

Yasumasa Yamada (Y)

Department of Perinatal and Neonatal Medicine, Aichi Medical University, Nagakute, Japan.

Akihisa Okumura (A)

Department of Pediatrics, Aichi Medical University, Nagakute, Japan.

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