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A new research revealed that the infusion of magnesium
sulfate, better known as Epsom salt, given to pregnant women who were at high
risk for preterm birth cut the rate of cerebral palsy in the children born by
half.
The term cerebral palsy refers to any one of a number of
neurological disorders that appear in infancy or early childhood and
permanently affect body movement and muscle coordination but don’t worsen over
time. The cerebral palsy is caused by abnormalities in parts of the brain
that control muscle movements. The majority of children with cerebral
palsy are born with it, although it may not be detected until months or years
later. The early signs of cerebral palsy usually appear before a child
reaches 3 years of age. The most common sign is a lack of muscle coordination
when performing voluntary movements (ataxia).
According to the United Cerebral Palsy, about 2 or 3
children in 1,000 over the age of 3 are diagnosed with cerebral palsy every
year in the U.S.
The study, which was conducted by Dr. Dwight J. Rouse of the
University of Alabama at Birmingham, examined 2,241 women who had been
diagnosed at high risk for giving birth prematurely, between 24 and 31 weeks
into their pregnancies. They were randomized to receive an intravenous infusion
of magnesium sulfate solution or an identically appearing placebo.
The magnesium sulfate infusions were administered when delivery
seemed imminent. The women received 6 grams infused over 20-30 minutes followed
by a maintenance infusion of 2 grams per hour. If delivery did not occur within
12 hours, the infusion was stopped and resumed later, when delivery once again
appeared at hand.
The scientists examined the infants examined for signs of
cerebral palsy at birth and over the next two years.
According to their findings, of the babies who survived,
moderate or severe cerebral palsy occurred in about 2 percent of those in the
treatment group compared to about 4 percent of those whose mothers didn't get
the compound.
“This is one of the most promising breakthroughs in the
management of high-risk pregnancies in more than 30 years,” said Dr. John
Thorp, a study co-author and McAllister distinguished professor of obstetrics
and gynecology at the University of North Carolina at Chapel Hill.
“And virtually every delivery room in the United States is
already stocked with magnesium sulfate solutions that are given to pregnant
women during childbirth for other reasons,” he explained.
The US researchers
said that an earlier study conducted in Australia, which included more than
3,000 women, reached similar results. Viewing both studies together, the
researchers in the U.S.
study concluded that the use of magnesium sulfate to prevent cerebral palsy in
the children of women at imminent risk of early preterm delivery “should be
strongly considered.”
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