Outcome or subgroup | Studies | Participants | Method (I2(%))* | RR (95% CI) |
---|---|---|---|---|
Comparison 5: lower dose versus higher dose magnesium sulphate IV maintenance: tocolysis | ||||
5.1 Cessation due to adverse effects | 248 | F (NA) | No cessation | |
5.2 No side effects | 248 | R (63) | 1.55 (0.94, 2.58) | |
5.2.1 4 g LD; 2 g/h MD versus 6 g LD; ≥ 2 g/h MD | 1 [34] | 100 | F (NA) | 1.17 (0.71, 1.91) |
5.2.2 4Â g LD; 2Â g/h MD versus 4Â g LD; 5Â g/h MD | 1 [35] | 148 | R (NA) | 1.96 (1.35, 2.84) |
5.3 Flushing | 248 | R (60) | 0.61 (0.33, 1.12) | |
5.3.1 4 g LD; 2 g/h MD versus 6 g LD; ≥ 2 g/h MD | 1 [34] | 100 | F (NA) | 0.87 (0.46, 1.63) |
5.3.2 4Â g LD; 2Â g/h MD versus 4Â g LD; 5Â g/h MD | 1 [35] | 148 | F (NA) | 0.46 (0.29, 0.73) |
5.4 Nausea and vomiting | Â | Â | Â | Â |
5.4.1 4 g LD; 2 g/h MD versus 6 g LD; ≥ 2 g/h MD | 1 [34] | 100 | F (NA) | 0.79 (0.45, 1.37) |
5.5 Headache | 248 | F (0) | 0.56 (0.30, 1.05) | |
5.5.1 4 g LD; 2 g/h MD versus 6 g LD; ≥ 2 g/h MD | 1 [34] | 100 | F (NA) | 0.80 (0.23, 2.81) |
5.5.2 4Â g LD; 2Â g/h MD versus 4Â g LD; 5Â g/h MD | 1 [35] | 148 | F (NA) | 0.50 (0.24, 1.03) |
5.6 Caesarean | 248 | F (0) | 1.11 (0.73, 1.70) | |
5.6.1 4 g LD; 2 g/h MD versus 6 g LD; ≥ 2 g/h MD | 1 [34] | 100 | F (NA) | 1.31 (0.78, 2.21) |
5.6.2 4Â g LD; 2Â g/h MD versus 4Â g LD; 5Â g/h MD | 1 [35] | 148 | F (NA) | 0.88 (0.43, 1.80) |
5.7 Pulmonary oedema | 260 | F (NA) | 0.21 (0.03, 1.76) | |
5.7.1 4 g LD; 2 g/h MD versus 6 g LD; ≥ 2 g/h MD | 1 [34] | 100 | F (NA) | No oedema |
5.7.2 4Â g LD; 2Â g/h MD versus 4Â g LD; 5Â g/h MD | 1 [35] | 160 | F (NA) | 0.21 (0.03, 1.76) |
Comparison 6: 'ready-to-use’ magnesium sulphate solution versus a reference drug requiring dilution: tocolysis | ||||
6.1 Death | 1 [36] | 46 | F (NA) | No deaths |
6.2 'Serious’ adverse events | 1 [36] | 46 | F (NA) | No serious events |
6.3 Withdrawn from the study due to adverse effects | 1 [36] | 46 | F (NA) | 0.67 (0.12, 3.62) |
6.4 Adverse events of 'severe intensity’ | 1 [36] | 46 | F (NA) | 0.67 (0.22, 2.05) |
6.5 1 or 2 injection site changes | 1 [36] | 46 | F (NA) | 1.00 (0.28, 3.52) |
6.6 Poor general tolerability (physician assessed) | 1 [36] | 43 | F (NA) | 3.14 (0.13, 72.96) |
6.7 Respiratory depression | 1 [36] | 46 | F (NA) | 0.20 (0.10, 3.95) |
6.8 Warmth (mild, severe, very severe) | 1 [36] | 41 | F (NA) | 0.84 (0.42, 1.69) |
6.9 Nausea and/or vomiting (mild, severe, very severe) | 1 [36] | 41 | F (NA) | 0.536 (0.11, 2.56) |
6.10 Tiredness (mild, severe, very severe) | 1 [36] | 41 | F (NA) | 1.18 (0.57, 2.45) |
6.11 Headache (mild, severe, very severe) | 1 [36] | 41 | F (NA) | 0.92 (0.41, 2.06) |
6.12 Dry mouth (mild, severe, very severe) | 1 [36] | 41 | F (NA) | 0.82 (0.38, 1.77) |
6.13 Dizziness (mild, severe, very severe) | 1 [36] | 41 | F (NA) | 1.05 (0.30, 3.64) |
6.14 Sweating (mild, severe, very severe) | 1 [36] | 41 | F (NA) | 1.31 (0.41, 4.20) |
6.15 Skin redness (mild, severe, very severe) | 1 [36] | 41 | F (NA) | 1.75 (0.48, 6.38) |
6.16 Burning at injection site (mild, severe, very severe) | 1 [36] | 41 | F (NA) | 0.42 (0.16, 1.12) |
6.17 Palpitations (mild, severe, very severe) | 1 [36] | 41 | F (NA) | 1.58 (0.29, 8.46) |
6.18 Constipation (mild, severe, very severe) | 1 [36] | 41 | F (NA) | 4.20 (0.51, 34.44) |
6.19 Dyspnoea (mild, severe, very severe) | 1 [36] | 41 | F (NA) | No dyspnoea |
6.20 Heart pain (mild, severe, very severe) | 1 [36] | 41 | F (NA) | 0.35 (0.20, 8.10) |
6.21 Agitation (mild, severe, very severe) | 1 [36] | 41 | F (NA) | 4.20 (0.51, 34.44) |