Magnesium Sulphate in Perinatal Asphyxia (Magsulf)
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Purpose
Magnesium sulphate has been shown to be neuroprotective. The investigators hypothesize that magnesium sulphate infusion given to babies with perinatal asphyxia should improve outcome in the immediate neonatal period.
| Condition | Intervention | Phase |
|---|---|---|
|
Perinatal Asphyxia |
Drug: Magnesium sulphate |
Phase 3 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Single Group Assignment Masking: Double Blind (Caregiver, Investigator) Primary Purpose: Treatment |
| Official Title: | Magnesium Sulphate in Perinatal Asphyxia: A Randomized Placebo Controlled Trial. |
- good short term out come [ Time Frame: at discharge ]
- abnormal neurological examination and abnormal CT Head [ Time Frame: at discharge ]
| Enrollment: | 40 |
| Study Start Date: | September 2004 |
| Study Completion Date: | August 2006 |
Magnesium sulphate has a neuroprotective potential as has been shown by many studied in pregnant ladies with eclampsia where it helped neonates also and in mothers with preterm labour where the incidence of cerebral palsy was less. We designed a randomised controlled trial on 40 neonates with severe perinatal asphyxia to see whether it helps in the short term outcome of these neonates.
Eligibility| Ages Eligible for Study: | up to 6 Hours |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
Babies eligible for the study were:
- Term or post term
- Less than 6 hours of age and had
severe perinatal asphyxia as manifested by any three of the following criteria.
- History of fetal distress (late deceleration, Loss of beat to beat variability, fetal bradycardia, meconium stained amniotic fluid)
- Need for immediate neonatal ventilation with bag and mask or through endotracheal intubation for 2 minutes or more after delivery
- A 5-minute Apgar score of < 6
- Base deficit 15 mEq/L in cord blood or admission arterial or cord blood pH 4.Moderate to severe encephalopathy
Exclusion Criteria:
- Patients with severe IUGR
- Any condition unrelated to asphyxia
- Maternal prenatal magnesium administration
- Metabolic disorder
- Chromosomal anomalies; and
- Congenital malformations were excluded from the study
Contacts and Locations| India | |
| Sheri-Kashmir Institute of Medical Scienceds | |
| Srinagar, Jammu and Kashmir, India | |
| Principal Investigator: | Dr.Mushtaq A Bhat, M.D. | SKIMS |
| Study Chair: | Dr.Javeed I Bhat, M.D. | SKIMS |
More Information
No publications provided by Sheri Kashmir Institute of Medical Sciences
Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
| ClinicalTrials.gov Identifier: | NCT00553072 History of Changes |
| Other Study ID Numbers: | SKIMS-001 |
| Study First Received: | November 2, 2007 |
| Last Updated: | January 26, 2009 |
| Health Authority: | India: Institutional Review Board |
Keywords provided by Sheri Kashmir Institute of Medical Sciences:
|
Asphyxia perinatal magnesium sulphate |
Additional relevant MeSH terms:
|
Asphyxia Death Pathologic Processes Wounds and Injuries Magnesium Sulfate Analgesics Sensory System Agents Peripheral Nervous System Agents Physiological Effects of Drugs Pharmacologic Actions Central Nervous System Agents |
Therapeutic Uses Anesthetics Central Nervous System Depressants Anti-Arrhythmia Agents Cardiovascular Agents Anticonvulsants Calcium Channel Blockers Membrane Transport Modulators Molecular Mechanisms of Pharmacological Action Tocolytic Agents Reproductive Control Agents |
ClinicalTrials.gov processed this record on May 22, 2013