Okunade Kehinde S, Oluwole Ayodeji A, Adegbesan-Omilabu Maymunah A
Department of Obstetrics & Gynaecology, Lagos University Teaching Hospital, Lagos, Nigeria.
Adv Med. 2014;2014:704875. doi: 10.1155/2014/704875. Epub 2014 Apr 13.
Objectives. The study was aimed to assess the association between low maternal serum magnesium levels and preterm labour. Methods. It is a cross-sectional case-control study in which eligible participants were pregnant women admitted in labour within the labour ward complex of a Lagos tertiary hospital. Relevant data were extracted from the case records of these women and blood samples were obtained from all participants and serum magnesium levels measured. Results. The study showed that 36% of the study patients had varying degrees of hypomagnesaemia. The relative risk indicates that preterm labour is 1.83 times higher among the patients with low serum magnesium (less than 1.6 mg/dL). The mean difference in serum magnesium levels in both groups was statistically significant (P<0.05). Conclusion. We can infer that low serum magnesium (hypomagnesaemia) is associated with preterm onset of labour. We can, also from this finding, formulate a proposition that would help in preventing preterm labour and birth with the use of prophylactic oral magnesium supplementation among patients with higher risk for development of preterm labour.
目的。本研究旨在评估孕妇血清镁水平低与早产之间的关联。方法。这是一项横断面病例对照研究,符合条件的参与者为在拉各斯一家三级医院产科病房综合体住院分娩的孕妇。从这些妇女的病例记录中提取相关数据,并采集所有参与者的血样,测量血清镁水平。结果。研究表明,36%的研究患者有不同程度的低镁血症。相对风险表明,血清镁水平低(低于1.6mg/dL)的患者早产发生率高1.83倍。两组血清镁水平的平均差异具有统计学意义(P<0.05)。结论。我们可以推断,血清镁水平低(低镁血症)与早产有关。基于这一发现,我们还可以提出一个建议,即通过对早产风险较高的患者使用预防性口服镁补充剂来预防早产和分娩。