Abstract

Magnesium sulfate is often used from the onset of labor and during the postpartum period to stabilize maternal blood pressure. Because little is known about magnesium sulfate, there is a concern that allowing mothers to pump or breastfeed while receiving this medication may place additional stress on the mother’s body. The purpose of this project was to determine whether preeclamptic postpartum mothers receiving magnesium sulfate who initiated breast-pumping within 1-4 hours post-delivery experienced elevated blood pressures, as evidenced by a rise above 140/90 mm Hg. A retrospective chart review of mothers who delivered in 2017, received magnesium sulfate, required immediate separation, and initiated pumping within 1-4 hours of birth was conducted. Blood pressure pre and post-pumping were recorded and analyzed using a data collection tool that was then inputted into the Statistical Packages for the Social Sciences (SPSS) software. Thirty-six patients were included. Findings suggest that systolic blood pressure pre and post-pumping were statistically decreased while no significance for diastolic blood pressure pre and post-pumping was noted. Of the participants, 12 (33%) of the 36 patients had blood pressures higher than the systolic blood pressure range of 140. Moreover, 24 patients (67%) maintained blood pressures under the range of 140 systolic mm Hg. Additionally, 5 of the 36 patients (13.8%) had diastolic blood pressures over 90 mm Hg while 31 (86%) of the mothers-maintained blood pressures under 90 mm Hg. Lower systolic blood pressure was noted in this study. Delaying pumping in postpartum mothers warrants further investigation. Larger, comparative studies need to be performed before routine encouragement of early pumping in postpartum mothers receiving magnesium sulfate is recommended as a standard of care. Keywords: Postpartum mothers, Postnatal mothers, Magnesium Sulfate, Intravenous Magnesium

Author Details

Valerie Anderson, DNP, APRN, FNP-C; Megan Lihs, RN, BSN; Nancy Murray RN, BSN, MS

Sigma Membership

Non-member

Lead Author Affiliation

Nebraska Methodist College, Omaha, Nebraska, USA

Type

DNP Capstone Project

Format Type

Text-based Document

Study Design/Type

Quality Improvement

Research Approach

Translational Research/Evidence-based Practice

Keywords:

Postpartum Mothers, Postnatal Mothers, Magnesium Sulfate, Intravenous Magnesium

Advisor

Wade, Kari

Second Advisor

kindschuh, Alice

Degree

DNP

Degree Grantor

Nebraska Methodist College

Degree Year

2019

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.

All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

Faculty Approved: Degree-based Submission

Acquisition

Self-submission

Full Text of Presentation

wf_yes

Download

Share

COinS