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SHAISTA TABUSUM ABRO, FOUZIA KASHIF, IRUM LAGHARI, AFSHAN BHATTI, SHAZIA SHAIKH

ABSTRACT | Full Text PDF

OBJECTIVE : The purpose of study was to analyze the effects of Magnesium sulphate(MgS04) by compare the number of patients develop fits before and after giving MgS04 and how this is safe at recommended doses for eclamptic patients by monitor the maternal mortality due to MgS04 complications

STUDY DESIGN : Descriptive cross sectional study based on observation of effects of MgS04

SETTING : Department of obstetrics/gynecology unit III Civil hospital Karachi

DURATION : Collection of data over one year period between Nov: 2002 to Oct: 2003

SUBJECT : 32 Eclamptic patients

METHOD : All eclamptic patients whether booked or un-booked admitted through out patient department or emergency were giving MgS04 and no of patients developed fits after giving MgS04 evaluated, patients monitored for drugs related complications.MgS04 administered for 24hour after last fit or delivery, while patient’s Blood pressure, pulse, respiratory rate, tendon reflexes and urine output monitored half hourly. Recorded all complications related to MgS04.

RESULTS : Our period of one year eclamptic patients  registered were 32 (1.76%). A patients either with antepartum, intrapartum or postpartum eclampsia managed acutely by emergency measures.75% patients were unbooked while 25% booked.out of 32 patients 30 received MgS04 and maternal morbidity were observed in 12% of cases. During the period of study one maternal death(6.66%) occurred, Cause of death was cardio pulmonary arrest.Non of the patients developed fits after receiving MgSO4. The P value <.001 considereed as significant.

CONCLUSION  : We come to conclusion that using MgS04 found to be effective for fits control and decreased both maternal and fetal mortality.

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