Mg Sulphate is routinely used in Hospitals at least
in Washington state and California in the USA for PE. It is one of the drugs I
was licensed to carry in case of PE. I don't know of any midwife who ever used
it but we all carried it. We did have one mum who we transferred for exhaustion
and prolonged labour who ended up with HELLP syndrome a couple of hours after
admission. She had Mag sulphate IV and went on to have a spontaneous
vaginal birth and the mag suphate made her feel yucky but really managed the
complication well. marilyn ps with hindsight, we were very glad we had all
decided to make the transfer, she had no signs of rising BP until we got to the
hospital, and still it wasn't bad, the OB on call just did some liver
function tests to be sure (and apologised for doing them) and was very surprised
with the results.
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