Intrapartum Hypomagnesemic Tetany: A Manifestation of an Ignored Element
- 12 Downloads
Respected Editor,
We came across a very interesting case of intrapartum hypomagnesemic tetany, which encouraged us to go into the biochemistry of this usually forgotten mineral and understand the essential role it plays in the normal physiology of pregnancy. I would hence like to share this acquired information and highlight the need to monitor and supplement magnesium during routine antenatal period.
A 30-year-old fullterm primigravida was admitted for pain in abdomen. She was a registered patient with no comorbidities and was regular in taking her routine antenatal supplements [including calcium carbonate (1000 mg) daily]. After 4 h of active labor, she suddenly started feeling tingling sensation in the oro-facial region along with bilateral carpopedal spasm. She did not have history of any similar episode in the past. The attending neurologist gave empirical calcium gluconate therapy (loading and maintenance) after ordering the routine blood investigations i.e. serum calcium and...
Notes
Compliance with Ethical Standards
Conflict of interest
There is no conflict of interest involved in view of the content/authorship of this manuscript.
Human and Animal Rights Statement
There was no research done involving human participants and/or animals.
Informed Consent
Informed consent of the patient was taken before each and every step of evaluation and management.
References
- 1.Abbassi-Ghanavati M, Greer LG, Cunningham FG. Pregnancy and laboratory studies: a reference table for clinicians. Obstet Gynecol. 2009;114(6):1326–31.CrossRefPubMedGoogle Scholar
- 2.Sujatha R, Madhuri CH, Sudhamadhuri KV, et al. Serum magnesium levels in mild and severe preeclampsia and normal pregnant women. J Evol Med Dent Sci. 2015;4(21):3693–700.CrossRefGoogle Scholar
- 3.Mahmoud S, Saleh I, Khalaf H. The correlation between maternal hypomagnesemia and preterm labour. Int J Reprod Contracept Obstet Gynecol. 2016;5(8):2571–5.CrossRefGoogle Scholar
- 4.Spatling L, Classen HG, Kisters K, et al. Supplementation of magnesium in pregnancy. J Pregnancy Child Health. 2017;04(01):2.CrossRefGoogle Scholar