Skip to main content

Table 2 Details of 1512 women who received MgSO4 for fetal NP administration and adverse effects during MAG-CP (N (%) women unless otherwise specified)

From: MAGnesium sulphate for fetal neuroprotection to prevent Cerebral Palsy (MAG-CP)—implementation of a national guideline in Canada

 

N (%) or median [IQR]

Gestational age at time of MgSO4 therapy (week)

27.1 [25.6, 28.4]

Cervical dilatation at time of therapy (cm)

3 [1.5,4.5]

 Cervical dilatation ≥ 4 cm

570 (37.7%)

 Cervical dilatation ≥ 4 cm among women with PTL

384/728 (52.7%)

 Missing/unknown

227 (15.0%)

N treatment courses/woman

1 [1,1]

 Received more than one course

110 (7.3%)

 Received only loading dose

222 (14.7%)

 Received only maintenance dose

44 (2.9%)

 Received both loading and maintenance doses

1246 (82.4%)

Loading dose details

Route of administration

 IV only

1464 (96.8%)

 IM only

2 (0.1%)

Initial dose (g)

4 [4,4]

Duration of therapy (min)

25 [20, 30]

 Missing

95 (6.5%)

Adverse maternal effects (one/more)

6 (0.4%)

 Maternal hypotension

5 (0.3%)

 Respiratory depression

0

 Pulmonary oedema

1 (0.1%)

Loading dose stopped early

45 (3.1%)

 Stopped because woman delivered

38 (2.6%)

 Stopped because patient refused treatment or further treatment

1 (0.1%)

 Stopped because of maternal side effects

0

 Stopped because woman was no longer in imminent preterm birth

1 (0.1%)

 Other*

4 (0.3%)

Calcium gluconate administered

0

Maintenance dose details

Route of administration

 IV only

1290 (85.3%)

 IM only

0

Initial dose (g/h)

1 [1,1]

Duration of therapy (h)

7.4 [3.1, 17.5]

Adverse maternal effects (one/more)

13 (0.9%)

 Maternal hypotension

3 (0.2%)

 Respiratory depression

0

 Pulmonary oedema

10 (0.7%)

Reasons for stopping maintenance dose

 Stopped because woman delivered

738 (57.2%)

 Stopped because 24 h of therapy had been administered

81 (6.3%)

 Stopped because woman was no longer in imminent preterm birth

163 (12.6%)

 Stopped because of maternal side effects

0

 Other†

29 (2.2%)

 No reason indicated or missing

279 (21.6%)

Calcium gluconate administered

1 (0.1%)

  1. CPN Canadian Perinatal Network
  2. *Other reasons for stopping the loading dose of MgSO4 for fetal NP early were emergency caesarean (N = 1), patient in extreme pain from IV (N = 1), patient felt burning/flushing (N = 1) and unknown (N = 1)
  3. †Other reasons for stopping the maintenance dose of MgSO4 for fetal NP were as per protocol or other orders (e.g. 12 h of therapy administered) (N = 9), dosage change (N = 7), patient transferred (N = 4), MgSO4 continued postpartum for pre-eclampsia prevention (N = 3), fetal demise (N = 2), emergency caesarean (N= 2) or patient experienced side effects (N = 2)