Fetal bradycardia secondary to magnesium sulfate therapy for preterm labor: A case report

S. L. Hamersley, H. J. Landy, M. J. O'Sullivan

Research output: Contribution to journalArticle

7 Scopus citations

Abstract

BACKGROUND: Alterations in fetal heart rate variability and baseline may be seen with maternal administration of magnesium sulfate. In this case, a dose-related decrease in the baseline fetal heart rate was observed in association with magnesium sulfate administration. CASE: A primiparous woman was given parenteral magnesium sulfate for preterm labor. After tocolytic administration, the fetal heart rate baseline decreased to 110 beats per minute (bpm) from its initial rate of 140 bpm, although good variability was maintained. Increasing the dosage was accompanied by a further drop in the baseline heart rate, to 100 bpm. Fetal echocardiography was normal except for sinus bradycardia. Stopping magnesium sulfate administration was accompanied by a return to the pretherapy baseline heart rate. The pregnancy progressed without any further complications, and a healthy infant was delivered three weeks later. CONCLUSION: Maternal administration of magnesium sulfate may be associated with a profound decrease in the baseline fetal heart rate, resulting in fetal sinus bradycardia.

Original languageEnglish (US)
Pages (from-to)206-210
Number of pages5
JournalJournal of Reproductive Medicine for the Obstetrician and Gynecologist
Volume43
Issue number3 SUPPL.
StatePublished - Apr 27 1998

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Keywords

  • Bradycardia
  • Fetus
  • Labor
  • Magnesium sulfate
  • Premature

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Reproductive Medicine

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