Perinatal Outcomes of Magnesium sulphate and Diazepam use in Severe Pre-eclamptic and Eclamptic Mothers, Jimma University Specialized Hospital, Southwest Ethiopia

Authors

  • Gizat Molla Kassie Jimma University
  • Dereje Negussie Jimma University
  • Jemal Hussein Jimma University

Keywords:

Magnesium sulphate, diazepam, Severe pre-eclampsia, Eclampsia, perinatal outcome

Abstract

Currently the preferred anticonvulsant used to treat and prevent fits in eclampsia is magnesium sulphate. The main objective of this study was to evaluate the perinatal outcomes of magnesium sulphate and diazepam use in the management of severe pre-eclampsia and eclampsia in Jimma University Specialized Hospital. A retrospective hospital based cross-sectional comparative study was conducted using data collection format. Data was collected from the hospital delivery care register and patient chart records of all mothers who presented with the diagnosis of severe pre-eclampsia and eclampsia in two years and three months period from January, 2010 to April, 2012.

Descriptive analysis such as frequency and percentage, Chi-square test, binary logistic regression and non parametric tests were analyzed by SPSS version 16.0. A P-value of <0.05 was considered statistically significant in all tests.

A total data of 343 births were included in this study. Two hundred seventeen from magnesium sulphate and one hundred forty from diazepam treated mothers group, were reviewed and analyzed.

Author Biographies

Gizat Molla Kassie, Jimma University

Clinical Pharmacist and Lecturer, Department of Pharmacy, College of Public Health and Medical Sciences, Jimma University, Ethiopia

Dereje Negussie, Jimma University

Consultant Obstetrician and Gynecologist , Department of Gynecology and obstetrics, College of Public Health and Medical Science, Jimma University, Ethiopia

Jemal Hussein, Jimma University

Assistant professor of Medicinal Chemistry, PhD scholar,

References

. Mizutani S, Wright J, Kobayashi H. A new approach regarding the treatment of preeclampsia and preterm labor. Life sciences 2011; 88 (1):17-23.

. Mundle S, Regi A, Easterling T. Treatment approaches for preeclampsia in low-resource settings: A randomized trial of the Springfusor pump for delivery of magnesium sulfate. Pregnancy Hypertension: An International Journal of Women's Cardiovascular Health 2011.

. Gracia VD. Maternal deaths due to eclampsia and HELLP syndrome. International Journal of Gynecology & Obstetrics 2009; 104(2):90-4.

. Ministry of Health FDRE. Management Protocol on Selected Obstetrics Topics. Addis Ababa 2010. p. 181-2.

. Tannirandorn Y. Is magnesium sulfate for prevention or only therapeutic in preeclampsia. J Med Assoc Thai 2005; 88(7):1003.

. Kayode OO, Olusimbo KI. Public Health Perspectives of Preeclampsia in Developing Countries: Implication for Health System Strengthening. Journal of pregnancy; 2011.

. Duley L, Gulmezoglu AM, Henderson-Smart DJ, Chou D. Magnesium sulphate and other anticonvulsants for women with pre-eclampsia. Cochrane Database Syst Rev; 11.

. Duley L, Gulmezoglu AM. Magnesium sulphate versus lytic cocktail for eclampsia. The Cochrane Library (1).

. Khan I. Magnesium Sulfate Versus Diazepam Infusion in Eclampsia. Annals of King Edward Medical University 2009; 15(3):149-51.

. Roberts JM, Villar J, Arulkumaran S. Preventing and treating eclamptic seizures. BMJ 2002; 325(7365):609.

.Tukur J. The use of magnesium sulphate for the treatment of severe pre-eclampsia and eclampsia. Annals of African Medicine 2009; 8(2).

. Drug Aministration and Control Authority E. Standard treatment guidelines for zonal hospitals. Obstetrics and gynecological conditions. Addis Ababa 2010: 265-66.

. C.P.Kingdom PNBJ. Pre-Eclampsia, Current Perspectives on Management. London, New York, Washington D.C: The Parthenon Publishing Group; 2004.

. Abate M, Lakew Z. Eclampsia a 5 years retrospective review of 216 cases managed in two teaching hospitals in Addis Ababa. Ethiopian medical journal 2006; 44(1):27.

. Abdella A. Maternal mortality trend in Ethiopia. Ethiopian Journal of Health Development 2010; 24(1):115-22.

. Wolde Z, Segni H, Woldie M. hypertensive disorders of pregnancy in Jimma University Specialized Hospital. Ethiopian Journal of Health Sciences 2011; 21 (3):147-54.

. ESOG. Magnesium Sulphate use for prevention of Preeclampsia and Eclampsia related mortality in Ethiopia 2011 [updated 31/03/2011; cited 2012 February 3]; Available from: http://www.esog.org.et/Projects.htm.

. Office JUER. Jimma University Specialized Hospital and Existing medical services 2012 [updated Thu, 2012-02-02 12:07; cited 2012 February 03]; Available from: http://www.ju.edu.et/jimma-university-specialized-hospital-jush.

. Crowther C. Magnesium sulphate versus diazepam in the management of eclampsia: a randomized controlled trial. Br j obstet gynaecol 1990; 97(2):110-17.

. Tukur J. Management of eclampsia at AKTH: before and after magnesium sulphate. Niger j med 2010; 19(1):104-7.

. Ikramullah H. Magnesium Sulfate versus Diazepam Infusion in Eclampsia. ANNALS 2009; 15 (3):149-51.

. Duley L, Walker G, Chou D. Magnesium sulphate versus diazepam for eclampsia (Review). The Cochrane Library 2010 (12):1-59.

. Greenberg PA, Thomas LJ, El-Sayed YY, Caughey AB, Lyell DJ. Neonatal medical admission in a term and late-preterm cohort exposed to magnesium sulfate. American journal of obstetrics and gynecology 2011; 204(6):515.e1-7.

. Lelia Duley BF, Patsy S, Barbara R. Do women with pre-eclampsia, and their babies, benefit from magnesium sulphate? The Magpie Trial: a randomised placebo controlled trial. The Lancet 2002; 359: 1877-90.

. Thapa JR. Magnesium sulphate: A Life Saving Drug. Journal of Nepal Medical Association 2008; 47(171):104-8.

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Published

2014-03-26

How to Cite

Kassie, G. M., Negussie, D., & Hussein, J. (2014). Perinatal Outcomes of Magnesium sulphate and Diazepam use in Severe Pre-eclamptic and Eclamptic Mothers, Jimma University Specialized Hospital, Southwest Ethiopia. International Journal of Sciences: Basic and Applied Research (IJSBAR), 13(1), 426–436. Retrieved from https://www.gssrr.org/index.php/JournalOfBasicAndApplied/article/view/1879

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