Preventing and treating eclamptic seizures

BMJ 2003; 326 doi: https://doi.org/10.1136/bmj.326.7379.50 (Published 04 January 2003) Cite this as: BMJ 2003;326:50

Will magnesium sulphate for pre-eclampsia really help?

  1. Neil F Moran, consultant obstetrician (973195674@nu.ac.za)
  1. Mahatma Gandhi Memorial Hospital, Private bag X13, Mount Edgecombe, KwaZulu-Natal 4300, South Africa
  2. 15 St Margaret's Road, Hereford HR1 1TS
  3. Hospitali Teule, Muheza, Tanga Province, Tanzania

    EDITOR—I agree with Roberts et al that the evidence from the eclampsia trial published in 1995 justifies the use of magnesium sulphate for eclampsia. 1 2 However, I am not yet convinced by the results of the Magpie study3 that treating all patients with severe pre-eclampsia will have a clinically significant benefit in the setting in which I work.

    We have a very busy unit and are critically understaffed, a situation that is probably the norm in many developing countries. We …

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