H. Sameshima et al., EFFECTS OF MAGNESIUM-SULFATE ON THE FETAL HEART-RATE RESPONSE DURING ACUTE HYPOXEMIA IN GOATS, Journal of the Society for Gynecologic Investigation, 3(5), 1996, pp. 235-240
OBJECTIVE: The effects of magnesium sulfate on fetal heart rate (FHR)
responses during acute hypoxemia in goats were investigated. METHODS:
The FHR responses due to hypoxemia during magnesium sulfate infusion (
Mg study) were compared with those during vehicle infusion (controls)
in six chronically instrumented goat fetuses at 125-130 days' gestatio
n. RESULTS: Four-hour infusions of magnesium sulfate significantly inc
reased fetal plasma concentrations of magnesium from 2.3 to 6.5 mg/dL.
During the hypoxemic period, the fetal arterial oxygen pressure was s
ignificantly decreased from 29.0 +/- 2.5 to 24.6 +/- 2.6 torr in the c
ontrols, and from 28.9 +/- 3.9 to 13.7 +/- 4.7 torr during the Mg stud
y. Neither arterial carbon dioxide pressure nor pH was significantly a
ltered. In the controls, FHR was significantly decreased by hypoxemia,
accompanied by increases in variability. lit the Mg study, FHR was no
t significantly, decreased by hypoxemia. Acute hypoxemia also increase
d the FHR variability during magnesium infusion, which was significant
ly reduced compared with those in the control population. CONCLUSION:
Magnesium sulfate masks FHR-slowing responses during acute hypoxemia i
n fetal goats.