Abstract | OBJECTIVE: DESIGN: A complete audit cycle including the first eight cases receiving therapy, an intervention with staff instruction and the re-audit of eight further consecutive cases. The issues for audit were compliance with the protocol and the achievement and maintenance of therapeutic magnesium concentrations. SETTING: Labour room, Glasgow Royal Maternity Hospital. SUBJECTS: RESULTS: Protocol violations resulted both in delays in achieving therapeutic magnesium concentrations and high magnesium concentrations in five of the eight initial cases. Following circulation of the results and staff education, the re-audit demonstrated near complete compliance with the protocol and a more consistent interval to achieving a therapeutic magnesium concentration. There were no cases of eclampsia or magnesium toxicity amongst women delivering at GRMH during the period of this audit. CONCLUSION: This audit has demonstrated that seizure prophylaxis with intravenous magnesium sulphate can be safely and effectively introduced to the obstetric management of women with severe pre-eclampsia.
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Authors | P Owen |
Journal | Health bulletin
(Health Bull (Edinb))
Vol. 58
Issue 5
Pg. 414-7
(Sep 2000)
ISSN: 0374-8014 [Print] Scotland |
PMID | 12813796
(Publication Type: Journal Article)
|
Chemical References |
- Anticonvulsants
- Magnesium Sulfate
|
Topics |
- Anticonvulsants
(therapeutic use)
- Delivery, Obstetric
(standards)
- Female
- Guideline Adherence
- Humans
- Magnesium Sulfate
(therapeutic use)
- Medical Audit
- Pre-Eclampsia
(complications, drug therapy)
- Pregnancy
- Premedication
- Scotland
- Seizures
(etiology, prevention & control)
- Treatment Outcome
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