Abstract
Prolonged maternal magnesium sulphate infusion therapy for tocolysis of premature labour may result in secondary fetal hypermagnesaemia, which has been associated with bony abnormalities in the newborn. We report on four infants, members of two twin pregnancies, who were exposed to prolonged fetal hypermagnesaemia. Three of the infants, all appropriate for gestational age, showed abnormal radiological findings consisting of abnormal mineralisation of long-bone metaphyses owing to fetal hypermagnesaemia. The fourth infant, who was growth retarded, had normal bones. Intrauterine growth restriction appears to be protective against magnesium sulphate-induced abnormal bone mineralisation in the newborn.
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Cumming WA, Thomas VJ (1989) Hypermagnesemia: a cause of abnormal metaphysis in the neonate. AJR 152:1071–1072
Santi MD, Henry GW, Douglas GL (1994) Magnesium sulfate treatment of preterm labor as a cause of abnormal neonatal bone mineralization. J Pediatr Orthop 14:249–253
Lamm CI, Norton KI (1998) Congenital rickets associated with magnesium sulfate infusion for tocolysis. J Pediatr 113:1078–1082
Holcomb WL, Shackelfod GD, Petri RH (1991) Magnesium tocolysis and neonatal bone abnormalities—a controlled study. Obstet Gynecol 78:611–614
Cruickshank DP, Pitkin RM, Reynolds WA, et al (1980) Effects of magnesium sulfate treatment on perinatal calcium metabolism. Am J Obstet Gynecol 136:621–625
Aikawa JK, Burns PD (1960) Placental transfer and fetal uptake of Mg 28 in the rabbit. Proc Soc Exp Biol Med 105:95–98
Myatt L (2002) Role of placenta in preeclampsia. Endocrine 19:103–111
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Malaeb, S.N., Rassi, A.I., Haddad, M.C. et al. Bone mineralization in newborns whose mothers received magnesium sulphate for tocolysis of premature labour. Pediatr Radiol 34, 384–386 (2004). https://doi.org/10.1007/s00247-004-1148-1
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DOI: https://doi.org/10.1007/s00247-004-1148-1