Magnesia during pregnancy is prescribed to many expectant mothers. It is a well-known drug that has been in use for a long time. Many expectant mothers speak well of this drug, noting its effectiveness, even taking into account the significant discomfort with injections. However, some women have a natural fear of magnesium, worrying about themselves and their unborn baby. Doctor Olga Dmitrieva will help us learn more about magnesium during pregnancy.
what are the main indications for the appointment of magnesium during pregnancy?
During pregnancy, magnesium sulfate, or magnesia, is prescribed when threatened premature birth and with severe gestosis.
is it effective to use magnesium for edema?
Magnesia removes excess fluid from the tissues, increasing diuresis, that is, the amount of urine excreted. Therefore, when using magnesia, the swelling decreases. However, edema is not the main indication for magnesium sulfate during pregnancy.
is magnesium harmful during pregnancy?
Studies on the effect of magnesia on the fetus have not been conducted. But many years of world experience in its application did not show any obvious harm. In the second half of pregnancy, all the organs of the child are already formed, and hypertonicity of the uterus is much more dangerous for him than the introduction of magnesium.
is it really impossible to use magnesium during pregnancy if future mother low pressure?
Hypotension, or low blood pressure, is a contraindication to the appointment of magnesium, because it itself has a hypotensive effect, which is dangerous for the mother and fetus.
Can magnesium be prescribed in the first trimester of pregnancy?
In the first trimester of pregnancy, magnesia is not used to preserve it.
are magnesia shots really painful?
The injection of magnesium into the muscle is painful enough. During pregnancy, the intravenous route of administration is preferred. In this case, a burning sensation along the vein is possible.
what are the main side effects when magnesia is given intravenously, should the IV drip be continued when these symptoms appear?
Side effects of magnesia are weakness, drowsiness, flushing, sweating, anxiety, headache, and decreased blood pressure and heart rate. Droppers are canceled if the pregnant woman reacts to them with a sharp drop in pressure.
Are the droppers with magnesia really long lasting and are put on for several hours?
Magnesia is injected very slowly by drip to avoid a sharp drop in blood pressure.
is magnesia prescribed during pregnancy in tablets and does it have the same effect as injections and droppers?
Magnesium sulfate is not absorbed through the intestinal wall, therefore, when taken orally, it has no effect other than a laxative. There are other magnesium compounds that, when taken orally, enter the bloodstream and have a mild sedative effect, but do not significantly affect the tone of the uterus.
some expectant mothers are worried about whether the frequent prescription of magnesia will negatively affect, especially in the third trimester at childbirth, will there be problems with cervical dilatation?
Magnesia acts on the uterus while it is in the blood. After its removal, its effect ceases. Magnesia is canceled 2 hours before delivery, and cervical dilatation is normal.
Doctor Olga Dmitrieva answered questions
Magnesia during pregnancy - should you use a dropper? Can I refuse?
One of the most effective and common methods of treating pregnancy pathologies is magnesium. The drug magnesium sulfate is administered intramuscularly or intravenously, and the second method is preferable - it is less painful.
The use of magnesia is prescribed only under strict indications and in hospital conditions.
And although many experts are convinced that magnesium can have a somewhat negative effect on a woman and her unborn child, the use of magnesium sulfate is justified in case of pregnancy complications.
Magnesia intravenously during pregnancy, in what cases is it prescribed?
Intravenous administration of magnesium sulfate to pregnant women is always aimed at maintaining pregnancy and reducing the risk of serious pathologies in both the mother and the child.
The main indications for magnesia are as follows:
- increased uterine tone;
- blood pressure significantly higher than normal;
- predisposition to thrombophlembitis;
- gestosis (late toxicosis), accompanied by convulsions and kidney problems.
In some cases, magnesia is administered during several months of pregnancy, but always excluding the first trimester and the last days before childbirth. The fact is that at the beginning of pregnancy, all organs of the fetus are in the stage of formation, and magnesium can harm, and in the prenatal period, magnesia can provoke non-opening of the cervix.
Although, in a minimal amount, the introduction of magnesium before childbirth is permissible.
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Special studies on the effect of magnesium sulfate on a child have not been carried out, but long-term practice demonstrates the relative safety of magnesium during pregnancy and absence of pathologies in the baby further.
Magnesia during pregnancy - a dropper for the expectant mother
Intravenous magnesium sulfate is administered through a dropper. At the same time, a pregnant woman needs to be in a lying position and be in a calm, relaxed state. The magnesia procedure is very slow, the substance should enter the body gradually, in small portions. Although the sensations are still not pleasant.
If administered too quickly magnesium sulfate, heart palpitations, fever, shortness of breath, sweating are observed. Doctors, as a rule, calculate with great accuracy the required dose and frequency of the procedure, because if there is an excess of magnesium in the body of a pregnant woman, there may be breathing problems in a child after birth.
The amount of the injected substance is calculated based on the severity of the condition of the pregnant woman, as well as the body weight.
The standard dosage of magnesia for 1 time is a 25% magnesium solution in a volume of 20 ml. In severe gestosis with complications, the dose may be increased to 40 ml.
Magnesia leads to relaxation of muscles and blood vessels, reduces the tone of the uterus. This is a favorable condition for the fetus, because with hypertonicity of the uterus, the risk of miscarriage is quite high. To achieve the best effect, together with the procedures for introducing magnesium, a woman needs to be less nervous, because stress and anxiety often provoke an increase in the tone of the uterus.
Edema, which magnesium safely relieves, worsen well-being and appearance pregnant, and with the removal of excess fluid from the body, the general condition improves markedly. This is especially important in the presence of protein in the urine and kidney problems (prielonephritis).
Known positive effects of magnesium on blood pressure - it decreases and stabilizes. And maintaining stable pressure readings is extremely important during pregnancy, because this factor largely determines the successful completion of pregnancy.
Magnesia is a rather powerful therapy that preserves pregnancy and improves a woman's well-being, and its implementation is absolutely incompatible with the intake of dietary supplements and calcium-based drugs.
Contraindications: Magnesia during pregnancy
Despite the fact that magnesia is widespread in the departments of pregnancy pathology and is generally safe, its use has a number of contraindications. These include:
- Stably low blood pressure in a pregnant woman;
- Allergy to the active substance of the drug;
- Chronic kidney disease;
- The period of exacerbation of diseases of the digestive system;
- The presence of a malignant tumor;
- Slow heart rate;
- Prenatal period.
Also, if such unpleasant symptoms as arrhythmia, sweating, fever and weakness are observed with each procedure for the administration of magnesia, a single dose is minimized or completely eliminated this type of therapy in the treatment of pathological conditions of pregnancy. Usually this issue is resolved on an individual basis.
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Can you refuse to carry out magnesia?
If indicated, an observing gynecologist in antenatal clinic always prescribes a referral to the pathology department for magnesia procedures and general hospital observation. Any pregnant woman has the right to refuse - this is her health and her child. By the way, in case of refusal, doctors are not responsible for the possible negative consequences of this decision.
However, sometimes carrying out magnesium is the only way to prolong pregnancy until provided by nature term.
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Magnesia during pregnancy
Throughout the entire period of bearing a child, many situations can arise when a woman needs treatment. Moreover, they are associated not only with the health of the mother, but also with the state of the fetus and the pregnancy itself: often medical prescriptions are aimed specifically at preserving it.
Among the many drugs most often prescribed to pregnant women, magnesium is not the last. Moreover, if you are admitted to the hospital, it is almost certain that you will not be able to do without the administration of magnesium sulfate. It happens that the expectant mother is dripped or injected with magnesium for a sufficiently long period of time, and willy-nilly doubts creep in about the safety of such treatment.
Asking doctors whether it is dangerous and advisable to inject magnesium during pregnancy is at least silly, because once you have been prescribed it, then, of course, it is not without reason. Asking non-doctors about it is the same, because they can and should treat. You can only collect the information available to you about the purpose of magnesia during gestation and draw some conclusions of your own. But still, it is much better to find a doctor whom you will trust unconditionally.
Why is magnesium prescribed for pregnant women?
Magnesia, or magnesium sulfate, has a number of specific properties that help treat some diseases and conditions of a pregnant woman and prevent the development of complications and miscarriages. In particular, magnesium normalizes blood pressure, relaxes the walls of blood vessels, accelerates the excretion of fluid from the body, and relaxes muscle muscles. Thus, during pregnancy, magnesia is prescribed for eclampsia, gestosis with nephropathy and convulsions, with swelling, high blood pressure (hypertension), and a predisposition to thrombophlebitis. Also, magnesium is administered in case of an acute shortage of it in the body of a pregnant woman and with the existing threat of premature birth.
Magnesia treatment during pregnancy
You should know that such a broad effect of magnesium sulfate is possible only with its intravenous or intramuscular administration. If you take the powder internally, then apart from the laxative effect you will not feel anything else - from the intestinal tract, magnesium practically does not enter the bloodstream.
The amount and concentration of magnesium administered to a pregnant woman depends on the severity of her condition. Usually, 25% magnesium is prescribed with a single dose of 20 ml. In the first degree of nephropathy, for example, twice a day, in the second degree - four times.
Read also
Magnesia
Magnesia is nothing more than magnesium sulfate. So it is called for simplicity of convenience. Magnesium sulfate is a drug with a complex effect on the body. Magnesia during pregnancy is used to treat many pathological conditions.
However, the list of drugs containing magnesium ions is not limited to magnesia alone. It is with them that the positive effects of these drugs are associated.
The first drug to contain magnesium was magnesium sulfate. The clinical history of this drug dates back to 1906, when the drug was first used to treat seizures. The drug stopped the convulsions. Since then, intensive research has begun to study the effect of magnesium sulfate on the body, including the question of whether magnesium can be used during pregnancy.
Nowadays, not only inorganic magnesium compounds are presented on the pharmaceutical market. There are a large number of preparations consisting of organic magnesium salts. One of these drugs is Magne B6, which contains magnesium lactate and magnesium citrate. It is about these drugs that will be discussed in this article. You will know in which cases the use of these drugs is indicated, what is the differentiated approach when prescribing them. You will be able to understand your obstetrician-gynecologist at a glance, since magnesia therapy is very widely used in obstetrics.
Magnesia, use in pregnancy and effects on the fetus
Magnesia during pregnancy, its effect on the course of pregnancy and fetus was studied from the standpoint of evidence-based medicine, so the data are highly reliable.
It has been proven that magnesium for pregnant women in permissible doses does not have a negative effect on the fetus. One has only to exceed the permissible concentration by 2-3 times, as side effects develop. Therefore, whether magnesium preparations or magnesium during pregnancy, the dosage should always be correct.
Magnesia on later dates pregnancy helps to prevent the risk of intracranial hemorrhage in the fetus in the presence of risk factors, especially with gestosis. A proven fact is the ability of magnesium sulfate to prevent the development of cerebral palsy in the presence of eclampsia (a formidable complication of gestosis, manifested most often by convulsions). This is due to the fact that magnesium sulfate has a protective effect on the nervous tissue of the fetus. The positive metabolic effect of magnesium preparations on the fetus is also manifested in the fact that this drug helps prevent the birth of children with low body weight. The effectiveness of the drug is increased if magnesium is administered intramuscularly or intravenously during pregnancy. Those. you will either get an injection of magnesium during pregnancy or get an IV. The tablet form in such cases is not so effective.
Magnesia on early dates pregnancy is prescribed for problems with miscarriage, premature placental abruption, with a lack of magnesium in the body. In these cases, a dropper of magnesia can be supplied during pregnancy, injections are rarely given.
The use of tablet forms of magnesium (Magne B6 during pregnancy) reduces the severity of cramps in the calf muscles, which often appear in the second half of pregnancy. They are associated with high levels of calcium in the blood and a lack of its antagonist, magnesium. This condition most often occurs at night, so seizures also occur at night. Appointment of Magne B6 relieves convulsive syndrome.
Magnesia, instructions for pregnancy
The main indications for prescribing magnesium preparations during pregnancy are (the most preferred drug is given in brackets):
- therapy of preterm labor and late miscarriages (magnesium sulfate);
- prevention of miscarriage (magne B6);
- treatment of gestosis (magnesium sulfate) - a complication of pregnancy, which is accompanied by an increase in blood pressure, edema and the appearance of protein in the urine;
- prevention and treatment of convulsive syndrome (in acute cases it is magnesium sulfate, in chronic cases - magne B6);
- in the complex therapy of premature placental abruption (magnesium sulfate and magne-B6);
- in the complex therapy of fetal growth retardation syndrome (magnesium sulfate);
- correction of magnesium intake in case of its lack in the body (nutritional support is carried out with the help of the drug Magne B6).
Magnesia during pregnancy, side effects
As a rule, side effects when using magnesium are associated with its parenteral administration - intravenous or intramuscular. Oral (tablets, capsules) administration of magnesium preparations is not associated with any adverse reactions, therefore Magne B6 is very well tolerated.
Let's talk about the side reactions of magnesium sulfate that can occur during treatment with this drug. They can manifest with the following symptoms:
- lowering blood pressure (arterial hypotension); - headache and dizziness;
Magnesia during pregnancy
During pregnancy, situations may arise when a woman needs treatment. In addition, they are associated not only with the health of the woman, but also with the condition of the baby and the pregnancy itself. Often, medical prescriptions are aimed precisely at preserving it.
Among all the drugs that are prescribed to the expectant mother, magnesia is not the last. In addition, if you are in the hospital, there is a possibility that you will not do without magnesium sulfate. It may be that a woman in a position is pricked or dripped with magnesia very long time... And therefore, doubts arise about the safety of such treatment.
It would be very stupid if you ask your doctor if it is dangerous to inject magnesium during pregnancy. After all, if appointed, then it was done for a reason. The situation is the same if you don't ask doctors. You can only collect all the information regarding the appointment of magnesia during pregnancy, and then draw your own conclusions. Still, it's better to find a specialist whom you will completely trust.
Why is magnesium prescribed during pregnancy?
Magnesia, in other words magnesium sulfate, has many beneficial properties. It prevents the development of miscarriages and complications, treats the woman's condition and some diseases. In particular, magnesium sulfate relaxes muscle muscles and vascular walls, quickly removes fluid from the body, and improves blood pressure. Therefore, at the time of gestation, magnesia is prescribed with a predisposition to thrombophlebitis, high blood pressure, edema, gestosis, eclampsia. If there is a threat of miscarriage or there is a magnesium deficiency in the female body, magnesium is also prescribed.
Magnesia treatment during pregnancy
It must be remembered that magnesium should only be taken intramuscularly and intravenously. Yet it has a wide effect. If the powder is taken internally, then you will feel a laxative effect. Because magnesium from the intestinal tract practically does not enter the bloodstream.
The concentration and amount of injected magnesium depends on the condition of the pregnant woman. The most common dose is 25 percent magnesium in a single dose of twenty milliliters. For example, with the first degree of nephropathy - 2 times a day, with the second degree - 4.
The process of introducing magnesia is of great importance. He's very unpleasant. Also, if everything is not done correctly, then tissue death and inflammation can be observed. Before the injection, you need to warm up the liquid magnesium and use a long needle. The drug is administered very slowly. Intravenous administration also takes place slowly - magnesium is dripped for a very long time.
Magnesia risks
Now he will talk about whether magnesia is dangerous during pregnancy. Many experts argue that there is more harm than good from it. However, in many situations, it is magnesia that is prescribed. And although there have been no clinical studies of magnesia on an unborn baby, by default they say that its "rich" experience in using is an important argument in favor of this treatment. In addition, hypertonicity of the uterus poses a greater danger to pregnancy and the fetus than the drug itself.
It is forbidden to combine treatment with magnesia with biological food additives and calcium supplements.
Also, magnesia should not be administered with low blood pressure. Low blood pressure after administration of the drug is the reason for its withdrawal.
However, magnesium sulfate in the body can cause many side effects: blood pressure drops, speech is impaired, vomiting, drowsiness, anxiety, weakness, pain in the head, sweating, flushing of the face.
You need to be careful with the dose of the drug. Indeed, with an overdose of magnesium, it works like a drug and the activity of the brain is disrupted. In late pregnancy, short-term administration of the drug is harmless to the baby and mother. However, excess magnesium can cause breathing problems in the fetus.
Among all the contraindications to the administration of magnesium are prenatal conditions. Be sure to stop taking magnesium sulfate before giving birth. If it is completely removed from the blood, it ceases to act and does not affect the opening of the cervix.
Do not forget that at the time of gestation, magnesium treatment should be under the strict supervision of a doctor. It is completely contraindicated in the first trimester.
Not every drug can be used during pregnancy. A condition such as hypertension is difficult to treat during the gestation period, because almost all antihypertensive drugs are contraindicated at this time.
Obstetricians and gynecologists have long discovered the remarkable properties of a substance such as magnesium sulfate. Another, more popular name for this drug is magnesia. This medicine is used during gestation not only to reduce blood pressure, but also to treat late gestosis.
Mechanism
Magnesia during pregnancy can be prescribed for various therapeutic purposes. This is achieved due to the fact that the drug has many beneficial effects.
The mechanism of action of the drug can be represented as follows:
- Magnesium sulfate is inside the cell and displaces calcium ions from there.
- Calcium deficiency inside the cell leads to relaxation of muscle fibers inside the vascular wall and a decrease in blood pressure numbers.
- Relaxation of muscle fibers in the uterine wall leads to a decrease in the strength of the contractions.
- Magnesium sulfate is able to influence metabolic processes, neurochemical impulse transmission.
- Prevents the development of seizures by blocking neuromuscular transmission of impulses.
- Reduces heart rate by affecting the cardiac conduction system.
- It affects the work of various centers in the nervous system, magnesium during pregnancy causes drowsiness and sedation.
- Magnesium sulfate can bind heavy metal salts and render them harmless in case of poisoning.
As a result of all these effects, magnesium during pregnancy can realize the following effects:
- Anticonvulsant - used to treat eclampsia during pregnancy.
- Hypotensive - decrease in blood pressure numbers.
- Sedative - sedative, hypnotic effect.
- Antiarrhythmic - eliminates the phenomena of tachycardia.
- Tocolytic - relaxes the muscles of the uterus.
There are also adverse effects of magnesium sulfate, which lead to side effects.
Indications
Why is magnesium dripping during pregnancy? Instructions for use of the drug permits the introduction of the drug during pregnancy intravenously (dropper) and intramuscularly. Ingestion has other indications for use.
Most often, the drug is administered intravenously during pregnancy. A dropper with magnesium sulfate is indicated under the following conditions:
- A sudden strong increase in blood pressure. The drug is not suitable for the systemic treatment of hypertension.
- Eclampsia of pregnancy - convulsions.
- Low levels of magnesium in the body of a pregnant woman. It is often observed with poor nutrition.
- High requirement for a trace element during pregnancy.
- Threat of interruption - The medicine relaxes the muscles of the uterus and eliminates the threat of miscarriage.
- Ventricular tachyarrhythmias.
- For neutralization of salts of heavy metals in case of poisoning of various origins.
Sometimes magnesium sulfate is not dripped intravenously, but is used internally. Unlike a dropper, the systemic effect of the drug is somewhat less here, therefore, the indications mainly include diseases of the gastrointestinal tract. Why do they do it?
The choleretic effect of magnesium sulfate has a beneficial effect on the course of the following diseases: constipation, cholecystitis, biliary dyskinesia, cholangitis, bowel cleansing before diagnostic tests.
Contraindications
The instructions for use contain instructions not only for indications, but also for restrictions on taking the drug. Magnesium injections are contraindicated in the following cases:
- Hypersensitivity to the drug - systemic allergic reactions are possible with a threat to the patient's life.
- Increased levels of magnesium in the body.
- Low blood pressure - collapse is possible.
- Breathing disorder of the central type - oppression of the respiratory center.
- Low heart rate.
- Atriventricular heart block.
- Kidney disease with severe renal failure.
- The period before childbirth is a few hours.
These conditions limit the use of droppers and intramuscular injections.
Instructions for use prohibit the use of magnesium internally for appendicitis, gastrointestinal bleeding and intestinal obstruction.
Use during pregnancy
Although the product is approved for use during pregnancy, this therapy is only used when needed. Magnesia can have an adverse effect on the fetus because it crosses the placenta.
Features of use during pregnancy:
- In the first trimester, the drug is used to relieve hypertensive crises. In the early stages, the drug affects the fetus to a minimum. When administered in the first trimester, magnesium, blood pressure and respiratory rate must be monitored.
- In the early stages, any drug exposure is quite dangerous. In the second trimester, the risk of side effects is somewhat reduced. Compliance with the instructions for use of the medication is required.
- In the later stages, magnesia is used not only to relieve the crisis, but also to eliminate the phenomena of gestosis. In this case, the drug can cause hypotension, hyporeflexia and respiratory depression during childbirth. Therefore, before childbirth, they try not to prescribe the drug.
Monitoring maternal vitality and blood magnesium levels is recommended with any parenteral injection of magnesium during gestation.
Side effects
The instructions for use also contain instructions on the side effects of magnesium sulfate. This substance has a fairly large list of undesirable reactions, but not all of them occur frequently.
Adverse drug effects are:
- Marked decrease in heart rate.
- Flushing of the face and sweating.
- Decrease in blood pressure.
- Pronounced depression of the central nervous system and heart function.
- Doubling in the eyes.
- Suppression of deep reflexes from the tendons.
- Depression of the respiratory center with the development of respiratory arrest.
- Heart block.
- Anxiety and headache.
- Decreased body temperature.
- Nausea and vomiting.
- An increase in the amount of urine.
- Feeling of crawling, loss of skin sensitivity.
These effects are most often the result of magnesium overdose. Therefore, it is extremely important to control how much trace element is contained in the body.
Mode of application
How and how much the medicine should be used is decided by the attending physician. Specialists are guided by vital signs, indications, possible risks to the fetus and many other conditions.
For oral administration, magnesia is diluted in half a glass of water. A different concentration of the solution is recommended for each disease. For the treatment of poisoning with such a solution, it is better to rinse the stomach than to take it inside.
During pregnancy, intramuscular, intravenous slow administration or a dropper is prescribed. The drug is administered 1–2 times a day. How many days to drip the medicine, the doctor decides in each case, the hypertensive crisis is usually eliminated after a single injection, but the phenomenon of eclampsia has to be treated for several days.
They always monitor the indicators of the expectant mother. If necessary, the introduction of calcium salts, the injection is carried out into another vein.
Save pregnancy, reduce blood pressure and eliminate puffiness, relieve a woman from manifestations of gestosis, eliminate anxiety - this is why obstetricians-gynecologists prescribe a dropper with magnesium during pregnancy.
Unfortunately, a colossal load falls on the body of a woman in an “interesting position”. The main "targets" are: the cardiovascular system, kidneys and uterus. Health problems can occur at any time during the gestation period. The departments of pathology of pregnant women are well supplied with magnesium sulfate powder for the preparation of a "magic" solution.
It is a representative of vasodilators. The drug has a rich palette of therapeutic effects and is used both in obstetric practice and in hospitals of other profile. Magnesium sulfate powder is used to prepare a dropper solution during pregnancy, and is also taken orally. Pharmaceutical companies produce ampoules with a ready-made solution.
In order to quickly eliminate an overdose, a calcium gluconate solution should always be ready.
The system with magnesium during pregnancy is introduced slowly, and the woman should be in a supine position all the time.
Why do pregnant women need droppers with magnesia
The reservoir for the development and bearing of a child is a muscular organ - the uterus, the tone of which can increase. This situation can lead to the threat of miscarriage, placental abruption, premature birth.
Why are pregnant women prescribed a dropper with magnesia?
The main mineral involved in the contraction of any muscle is calcium. And magnesium is used as its antidote. It reduces the absorption of this trace element, binds and evenly distributes it in the muscle cells of the uterus, relaxing it. What other pathological conditions of a pregnant woman will help a dropper:
- Hypertension. The drug dilates blood vessels and helps to lower blood pressure.
- With edema. A common problem in pregnant women in late gestation. Magnesia has diuretic properties and is excellent for women with nephropathy, which is characterized by the presence of protein in the urine.
- With convulsions (in severe cases of gestosis). The drug suppresses and prevents the negative effect of high blood pressure on the central nervous system. Pathology is accompanied by edema and the appearance of protein in the urine. In extreme cases, this condition leads to acute renal failure, placental abruption, coma, and death.
- It is used to treat arrhythmias by reducing the excitability of heart cells.
- A magnesium dropper will help to cope with lead, mercury, cadmium poisoning. This is also possible during pregnancy. For this situation, an oral powder is also suitable, which goes directly into the stomach and binds harmful substances. The choice of the route of administration depends on the severity of the woman's condition.
- Anxiety and irritability. The drug has a sedative property, because it reduces the excitability of the central nervous system.
- Lack of magnesium, which is the cause of: rapid fatigue, tearfulness, depression, heart pain, sleep and stool disturbances, and seizures. The daily requirement increases 2-3 times when a woman is carrying a child.
- Magnesium has a moderate anticoagulant capacity and maintains normal clotting levels in all tissues of the human body.
The drug is prescribed by an obstetrician-gynecologist. To eliminate the threat of termination in the first 3 months, other groups of drugs are used that are necessary to maintain pregnancy. Because magnesium sulfate can disrupt the intrauterine development of the respiratory, nervous, and skeletal systems of the fetus.
The method of drug delivery is very important. With the intramuscular injection of a solution of magnesia, there is a risk of tissue necrosis, abscess. Such use is extremely painful and is used only in an ambulance, in dilution with an analgesic. The downside is also the slow development of the therapeutic effect.
Taken internally, the powder causes active bile formation, relieves constipation. For the purpose of gentle bowel movement, 20 g of dry matter dissolved in water are used. Drink half an hour before meals.
Using a solution of magnesium sulfate for electrophoresis. With the help of a weak current, the medicine penetrates the skin. This method is used for the prevention of gestosis, the treatment of thrombophlebitis. The method is considered the most gentle, because the effect on the body is minimal, but effective.
Dropper with magnesia during pregnancy
The drug should be taken very carefully, because there is a fine line between therapeutic and toxic effects. During the use of a dropper with magnesia during pregnancy, constant supervision of medical personnel is necessary. General condition, respiratory function, blood pressure indicators, blood electrolyte balance are assessed.
Treatment aspects and doses
It is best to administer magnesium intravenously during pregnancy. The benefits of magnesium sulfate treatment should be higher than the risk of negative effects.
A ready-made solution for a dropper with magnesia during pregnancy is injected slowly, observing the patient's reaction. The choice of dosage for magnesium sulfate is based on the expected therapeutic effect and the initial concentration of magnesium ions in the bloodstream.
What can a dropper with magnesia be used for in the second, third trimester of pregnancy:
- During the increased tone of the uterus and preeclampsia - start with the introduction of 16 ml (4 g) intravenously, after 20 minutes - drip. The maintenance dose is 4–8 ml / hour. The uterus gradually relaxes.
- In case of hypertensive crisis - 5–20 ml of solution is injected within 5 minutes. After the injection, the pressure quickly returns to normal.
- With edema - 4 ml slowly.
A dropper with magnesium for late pregnancy in some situations requires re-use, for example, in the case of preeclampsia. How much magnesium is dripped in time is determined by the doctor according to the woman's condition. Typically, a drip during pregnancy lasts about 24 hours. The course of treatment with magnesia can last up to 7 days.
Effects on the fetus and the course of labor
Numerous studies have found the consequences of the systematic use of magnesia. The substance freely crosses the barrier of the brain and placenta. At the same time, newborns can have a good Apgar score.
- The electrolyte balance is disturbed in the blood.
- Muscle tone in the limbs may be reduced.
- Lack of calcium and the development of rickets.
- There is a lot of magnesium in the child's blood.
- Respiratory failure. Resuscitation may be required.
- Reduced reflexes.
The short-term medicinal effect of magnesia does not have a detrimental effect on the development of the fetus and the health of the mother.
The drug can have a negative effect on the course of labor if it is introduced before it starts. Uterine atony and indications for prompt fetal extraction may occur. Prescribing a dropper requires careful analysis of all potential hazards. Magnesium sulfate is taken exclusively according to indications and with an assessment of the level of magnesium in the blood.
Side effects and overdose
Already during a dropper with magnesia during pregnancy, you can see side effects. The effects will appear as:
- sensations of heat;
- pressure drop;
- decrease in heart rate;
- cold sweat;
- nausea;
- sudden weakness;
- shortness of breath;
- confusion of speech.
You should always remember about the possible appearance of some side effectsbefore using the drug. You can hedge against the development of side effects by observing the dosage, administration regimen and constantly monitoring the woman's condition.
The resulting side effects require urgent help. Calcium chloride / gluconate solution is slowly injected intravenously. Oxygen therapy, hemodialysis (according to indications), symptomatic treatment are carried out.
In what situations should you give up magnesium
There are conditions when a dropper with magnesia during pregnancy can be harmful. The doctor must explain to the woman in an accessible way why she is prescribed droppers with magnesia. It is important to remember that the use of any medication in the first trimester of pregnancy is not only impractical, but also incomparable with the normal development of the fetus.
The list of contraindications for the use of magnesia:
- Data on drug intolerance.
- Critical pressure level (below 90).
- Rare pulse (less than 60).
- Respiratory failure.
- Atrioventricular block of any degree.
- Chronic kidney disease.
- Pathology of the gastrointestinal tract.
- Before giving birth. But on the other hand, if contractions have begun in the uterus, and there is a long road to the maternity hospital, you can enter a solution. This will hold back 2 hours of sleep. This will not be considered a contraindication.
- There is little calcium in the blood.
- Myasthenia gravis is muscle weakness.
The agent is used with caution to treat women under 18 years of age. Therapy involves the elimination of dietary supplements containing calcium - it neutralizes magnesium.
Conclusion
The use of magnesium sulfate during pregnancy is permitted if all risks are taken into account. It is important that during therapy with a dropper, the expectant mother is under the strict supervision of specialists. When any unpleasant sensations, the pregnant woman should immediately inform the doctor, protecting herself and her child from serious consequences.
Lingonberries (fruits and leaves), which have diuretic properties, will help to cope with edema during pregnancy.
