About this trial
There is still no evidence of the appropriate dose to be used. Serum magnesium sulfate concentration is not measured regularly, thus we may be using sub-therapeutic level or reaching a toxic level.Overweight and obese women have different pharmacokinetics and different drug distribution, therefore, they may need higher doses of magnesium sulfate to reach therapeutic level.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age 20-40 years
BMI >25kg/m2
Gestational age > 28 weeks
Disqualifiers
Intrauterine Fetal Death (IUFD)
Hemolysis - Elevated liver enzymes - Low platelets syndrome (HELLP)
Contraindication to Magnesium Sulfate such as myasthenia gravis, severe renal failure, cardiac ischemia, and heart block
Serum creatinine levels greater than 1.1 mg/dL.
Trial design
Parallel
Treatments tested in this trial
maintenance magnesium sulphate1g/h
DrugWomen will receive a routine loading infusion of 5 g of MgSO4 over 20 minutes, followed by a maintenance dose rate of 1 g/h.
maintenance magnesium sulphate2g/h
DrugWomen will receive a routine loading infusion of 5 g of MgSO4 over 20 minutes, followed by a maintenance dose rate of 2 g/h.
Treatment groups
Trial outcomes
Primary outcomes
serum magnesium level
Maternal Serum Magnesium Level after 24 hours of magnesium sulphate infusion
Locations
Sponsors and contacts
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