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Study aim
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Investigating the effectiveness of magnesium sulfate prophylaxis to prevent hospital sepsis among premature infants with respiratory distress syndrome.
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Design
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A clinical trial study that is both superior and parallel, using two intervention and control groups. Random allocation software was used to create a list of random blocks with variable sizes of 4 and 6, each block having an equal number of groups. The package will be used to conceal allocations using envelopes. The envelopes will have their numbers and be arranged in order. Then, for each patient entered into the study, an envelope will be opened and based on the contents of the envelope, they will be entered into one of the two control or intervention groups.
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Settings and conduct
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In the neonatal intensive care unit, serum magnesium levels are tested for premature babies aged 28 to 34 weeks, who weigh 1200 to 2000 grams and have respiratory distress syndrome 24 hours after birth. The control group received the usual treatment, while in the intervention group, intravenous magnesium sulfate was prescribed for 5 days.
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Participants/Inclusion and exclusion criteria
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Inclusion criteria: 28 to 34 weeks premature newborns with a weight of 1200 to 2000 grams with respiratory distress syndrome.
Inclusion in the study is contingent on taking magnesium sulfate during pregnancy, neonatal anomaly, chorioamnionitis, and underlying maternal disease.
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Intervention groups
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The intervention group took intravenous magnesium sulfate for 5 days, and the magnesium level was rechecked the day after the treatment. The control group received nutrition and, if necessary, routine TPN that did not contain magnesium.
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Main outcome variables
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The duration of assisted ventilation (whether it involves invasive or non-invasive ventilation) and the amount of time needed to receive complete oral nutrition (equivalent to 180 cc per kilogram of body weight).