USE OF MAGNESIUM IN OBSTETRICS: MYTHS AND FACTS

Aim: to elucidate the role of magnesium deficiency in obstetric complications and to characterize the ways to prevent them by using oral administration of organic magnesium salts.Materials and methods. We analyzed publications of the Cochrane society, recommendations of obstetrics communities, clini...

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Main Author: G. B. Dikke
Format: Article
Language:Russian
Published: IRBIS LLC 2017-12-01
Series:Акушерство, гинекология и репродукция
Subjects:
Online Access:https://www.gynecology.su/jour/article/view/427
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author G. B. Dikke
author_facet G. B. Dikke
author_sort G. B. Dikke
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description Aim: to elucidate the role of magnesium deficiency in obstetric complications and to characterize the ways to prevent them by using oral administration of organic magnesium salts.Materials and methods. We analyzed publications of the Cochrane society, recommendations of obstetrics communities, clinical studies published in official websites and other information available to the public.Results.According to two multicenter studies conducted in Russia in 2012 and 2013 (MAGIC and MAGIC 2), magnesium deficiency was diagnosed in 81.2% and 80.9% of pregnant women, respectively. Meta-analyzes of the data published by the Cochrane society showed that an oral administration of organic magnesium salts for 3 weeks caused a significant decrease or disappearance of leg cramps in 65.5% of pregnant women (vs 5.7% with placebo). Treatment with magnesium during the period before the 25th week of pregnancy reduced the risk of complications as follows: premature births – by 27%; births of low weight babies – by 33%; mother hospitalization – by 34%; risk of spontaneous abortion – by 62%. In all the studies where pregnant women took oral magnesium medications, there was a low incidence of side effects.Conclusion.Measures to prevent magnesium deficiency both at the stage of preparation for pregnancy and during gestation, starting from the first weeks, help avoid some complications and improves the outcomes for the fetus and the newborn.
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spelling doaj.art-e5a4c6aa144740f59d79de2d4d43ac3c2025-03-02T10:43:03ZrusIRBIS LLCАкушерство, гинекология и репродукция2313-73472500-31942017-12-01113596810.17749/2313-7347.2017.11.3.059-068403USE OF MAGNESIUM IN OBSTETRICS: MYTHS AND FACTSG. B. Dikke0Peoples' Friendship University of RussiaAim: to elucidate the role of magnesium deficiency in obstetric complications and to characterize the ways to prevent them by using oral administration of organic magnesium salts.Materials and methods. We analyzed publications of the Cochrane society, recommendations of obstetrics communities, clinical studies published in official websites and other information available to the public.Results.According to two multicenter studies conducted in Russia in 2012 and 2013 (MAGIC and MAGIC 2), magnesium deficiency was diagnosed in 81.2% and 80.9% of pregnant women, respectively. Meta-analyzes of the data published by the Cochrane society showed that an oral administration of organic magnesium salts for 3 weeks caused a significant decrease or disappearance of leg cramps in 65.5% of pregnant women (vs 5.7% with placebo). Treatment with magnesium during the period before the 25th week of pregnancy reduced the risk of complications as follows: premature births – by 27%; births of low weight babies – by 33%; mother hospitalization – by 34%; risk of spontaneous abortion – by 62%. In all the studies where pregnant women took oral magnesium medications, there was a low incidence of side effects.Conclusion.Measures to prevent magnesium deficiency both at the stage of preparation for pregnancy and during gestation, starting from the first weeks, help avoid some complications and improves the outcomes for the fetus and the newborn.https://www.gynecology.su/jour/article/view/427physiological pregnancyhypomagnesemiamagnesium deficiencycomplications of pregnancyimpact on fetus
spellingShingle G. B. Dikke
USE OF MAGNESIUM IN OBSTETRICS: MYTHS AND FACTS
Акушерство, гинекология и репродукция
physiological pregnancy
hypomagnesemia
magnesium deficiency
complications of pregnancy
impact on fetus
title USE OF MAGNESIUM IN OBSTETRICS: MYTHS AND FACTS
title_full USE OF MAGNESIUM IN OBSTETRICS: MYTHS AND FACTS
title_fullStr USE OF MAGNESIUM IN OBSTETRICS: MYTHS AND FACTS
title_full_unstemmed USE OF MAGNESIUM IN OBSTETRICS: MYTHS AND FACTS
title_short USE OF MAGNESIUM IN OBSTETRICS: MYTHS AND FACTS
title_sort use of magnesium in obstetrics myths and facts
topic physiological pregnancy
hypomagnesemia
magnesium deficiency
complications of pregnancy
impact on fetus
url https://www.gynecology.su/jour/article/view/427
work_keys_str_mv AT gbdikke useofmagnesiuminobstetricsmythsandfacts