Journal of Pediatric Neurosciences
LETTER TO THE EDITOR
Year
: 2011  |  Volume : 6  |  Issue : 2  |  Page : 163--164

Response


Geeta Gathwala, Atul Khera, Jagjit Singh 
 Department of Pediatrics, Neonatal Services Division, Pt. B.D. Sharma Post Graduate Institute of Medical Sciences, University of Health Sciences, Rohtak, Haryana, India

Correspondence Address:
Geeta Gathwala
6J/8, Medical Enclave, Pt. B.D. Sharma Post Graduate Institute of Medical Sciences, Rohtak - 124 001, Haryana
India




How to cite this article:
Gathwala G, Khera A, Singh J. Response.J Pediatr Neurosci 2011;6:163-164


How to cite this URL:
Gathwala G, Khera A, Singh J. Response. J Pediatr Neurosci [serial online] 2011 [cited 2020 Jun 5 ];6:163-164
Available from: http://www.pediatricneurosciences.com/text.asp?2011/6/2/163/92862


Full Text

Thank you for your comments [1] and interest in the article. [2] Severity of Asphyxia, whatever the cause, is the most important determinant for the outcome of asphyxia.

Magnesium has been studied rather well in the treatment of Persistent Pulmonary Hypertension in a newborn and there are several reports on its safety in severe asphyxia, including one by us. [3],[4],[5],[6]

Certainly magnesium given to the mother crosses the placenta and is likely to affect the fetus. Magnesium has been used in the treatment of pregnancy-induced hypertension (PIH) in the mother for long, and reportedly, the asphyxiated infants of these mothers had a more favorable outcome than those with no Mg. It is a good suggestion to study the outcome of asphyxia in neonates where Mg has been administered to the mothers. A randomized controlled trial (RCT) that studied the effect of magnesium sulfate given for neuroprotection before preterm birth, reported an improvement in the neurological outcome, with reduced rates of cerebral palsy. [7]

References

1Wiwanitkit S, Wiwanitkit V. Magnesium for neuroprotection. J Pediatr Neurosci 2011;6:162-3.
2Gathwala G, Khera A, Singh I. Magnesium therapy in birth asphyxia. Indian J Pediatr 2006;73:209-12.
3Levene M, Blennow M, Whitelaw A, Hankø E, Fellman V, Hartley R. Acute effects of two different doses of magnesium sulphate in infants with birth asphyxia. Arch Dis Child Fetal Neonatal Ed 1995;73:F174-7.
4Ichiba H, Tamai H, Negishi H, Ueda T, Kim TJ, Sumida Y, et al. RCT of Mg SO4 infusion for Severe birth Asphyxia. Pediatr Int 2002;44;505-9.
5Bhat MA, Charoo BA, Bhat JI, Ahmad SM, Ali SW, Mufti MU. Magnesium in severe perinatal Asphyxia: A randomised placebo controlled trial. Pediatrics 2009;123:e764-9.
6Gathwala G, Khera A, Singh I. Magnesium therapy in birth asphyxia. Indian J Pediatr 2006;73:209-12.
7Rouse DJ, Hirtz DG, Thom E, Varner MW, Spong CY, Mercer BM, et al. A RCT of MgSO4 for prevention of cerebral palsy. N Engl J Med 2008;359:895-905.