Hypomagnesemia During Pregnancy in Young Women Associated with Adverse Fetal Outcomes

Abstract

Objective: To determine the frequency of hypomagnesemia in primigravida women and effects / association of fetal health outcomes in primigravida with hypomagnesemia

Methodology: This descriptive cross-Sectional study was conducted at PMC hospital Nawabshah from January to June 2023. Primigravida women age ranging from 18 to 26 years admitting for delivery and were willing to participate in study were included. Blood samples were collected and sent to diagnostic laboratory for serum magnesium level. Examination of newborn was done for any abnormality and condition of mother and newborn was assessed and confirmed by duty doctor. All the information was gathered on the pre-designed questionnaire.

Results: The frequency of magnesium deficiency was 59 (30.89%) out of 191 participants. Hypomagnesemia was significantly correlated with the preterm deliveries 46 (77.96%) out of 59 low serum magnesium women with (p < 0.001). There was also significant association between hypomagnesemia and low birth weight baby outcome and from our study data 39 (66.1%) out of 59 hypomagnesemia mothers had low birth weight babies with (p < 0.014) and there was significant association between hypomagnesemia and poor health outcome of the babies. Out of these 59 newborn babies 18 (30.5%) had poor health outcome (p < 0.000) and were referred to NICU for admission and further management and 7 (11.8%) died soon after delivery.

Conclusion: A magnesium deficit during pregnancy can have long-lasting effects on the mother, fetus, newborn, and children and serum magnesium level can be used as a predicting tool for idiopathic preterm labour.