Magnesium sulfate and risk of postpartum uterine atony and hemorrhage: A meta-analysis.

Published
November 28, 2020
Journal
European journal of obstetrics, gynecology, and reproductive biology
PICOID
20c85401
DOI
Citations
9
Keywords
Hemorrhage, Magnesium sulfate, Meta-analysis, MgSO(4), Neuroprotection, Preeclampsia, Uterine atony
Copyright
Copyright © 2020 Elsevier B.V. All rights reserved.
Patients/Population/Participants

women

Intervention

MgSO4

Comparison

-

Outcome

delivery before completion of elimination half-life, postpartum hemorrhage

Abstract

P
I
C
O

Magnesium sulfate (MgSO We searched the Medline, Scopus, EMBASE, Cochrane Central Register of Controlled Trials CENTRAL, Clinicaltrials.gov and Google Scholar databases for randomized trials and observational studies. Statistical analysis was performed with the Hartung-Knapp-Sidik-Jonkman model in RStudio using the meta package. Twelve studies fitted the predetermined criteria and these involved 41,190 women of whom 10,565 (25.6 %) received MgSO The results of our meta-analysis suggest that it is reasonable to consider MgSO4 in women at risk of delivering before the completion of its elimination half-life. However, physicians should be vigilant in cases at risk of postpartum hemorrhage as current data are very heterogeneous and should not be considered as definitive.

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