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Magnesium Sulfate and Eclampsia

Magnesium Sulfate and Eclampsia Abstract To the Editor. —As a neurologist who, throughout his career, has written and lectured about the use of magnesium sulfate for eclamptic convulsions, I have voted early and often against the use of magnesium sulfate.1-4 What I have learned is that no one likes to hear that what has been considered to be gospel for 60 years should go the way of bloodletting,5 and the obstetricians control access to toxemic patients. American physicians should know that obstetricians in much of the world, including Scandinavia, the United Kingdom, and Australia, rarely use magnesium sulfate for eclampsia.6,7Neurology shares by inaction the blame for the continued use of magnesium sulfate in the United States. Obstetrical and neurological societies do not send representatives to one another. Descriptions of eclampsia in neurology textbooks went out with the turn of the century. How many neurologists have ever heard a discussion of the References 1. Donaldson J O Neurology of Pregnancy . Philadelphia, Pa: WB Saunders Co; 1978:211-234. 2. Donaldson JO Does magnesium sulfate treat eclamptic convulsions? Clin Neuropharmacol . 1986;9:37-45.Crossref 3. Donaldson JO. Eclamptic hypertensive encephalopathy . Semin Neurol . 1988;8:230-233.Crossref 4. Donaldson JO. Neurology of Pregnancy . 2nd ed. London, England: Bailliere Tindall Ltd; 1989;269-310. 5. Pritchard JA, MacDonald PC. Williams Obstetrics . 16th ed. East Norwalk, Conn: Appleton & Lange; 1980:693. 6. Lindberg BS, Sandstrom B. How Swedish obstetricians manage hypertension in pregnancy . Acta Obstet Gynecol Scand . 1981;60:327-331.Crossref 7. Chamberlain CVP, Lewis PJ, DeSwiet M, Bulpitt CJ. How obstetricians manage hypertension in pregnancy . Br Med J . 1978;1:626-629.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Neurology American Medical Association

Magnesium Sulfate and Eclampsia

Archives of Neurology , Volume 46 (9) – Sep 1, 1989

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Publisher
American Medical Association
Copyright
Copyright © 1989 American Medical Association. All Rights Reserved.
ISSN
0003-9942
eISSN
1538-3687
DOI
10.1001/archneur.1989.00520450015005
Publisher site
See Article on Publisher Site

Abstract

Abstract To the Editor. —As a neurologist who, throughout his career, has written and lectured about the use of magnesium sulfate for eclamptic convulsions, I have voted early and often against the use of magnesium sulfate.1-4 What I have learned is that no one likes to hear that what has been considered to be gospel for 60 years should go the way of bloodletting,5 and the obstetricians control access to toxemic patients. American physicians should know that obstetricians in much of the world, including Scandinavia, the United Kingdom, and Australia, rarely use magnesium sulfate for eclampsia.6,7Neurology shares by inaction the blame for the continued use of magnesium sulfate in the United States. Obstetrical and neurological societies do not send representatives to one another. Descriptions of eclampsia in neurology textbooks went out with the turn of the century. How many neurologists have ever heard a discussion of the References 1. Donaldson J O Neurology of Pregnancy . Philadelphia, Pa: WB Saunders Co; 1978:211-234. 2. Donaldson JO Does magnesium sulfate treat eclamptic convulsions? Clin Neuropharmacol . 1986;9:37-45.Crossref 3. Donaldson JO. Eclamptic hypertensive encephalopathy . Semin Neurol . 1988;8:230-233.Crossref 4. Donaldson JO. Neurology of Pregnancy . 2nd ed. London, England: Bailliere Tindall Ltd; 1989;269-310. 5. Pritchard JA, MacDonald PC. Williams Obstetrics . 16th ed. East Norwalk, Conn: Appleton & Lange; 1980:693. 6. Lindberg BS, Sandstrom B. How Swedish obstetricians manage hypertension in pregnancy . Acta Obstet Gynecol Scand . 1981;60:327-331.Crossref 7. Chamberlain CVP, Lewis PJ, DeSwiet M, Bulpitt CJ. How obstetricians manage hypertension in pregnancy . Br Med J . 1978;1:626-629.Crossref

Journal

Archives of NeurologyAmerican Medical Association

Published: Sep 1, 1989

References