Evidence map›Paper›PMID 32272914›Full record

Trial reportBMC pregnancy and childbirth2020

Magnesium supplementation and preeclampsia in low-income pregnant women - a randomized double-blind clinical trial.

Carla Adriane Leal de Araújo, Larissa de Sousa Oliveira, Isabela Melo Buarque de Gusmão, Angélica Guimarães, Moranna Ribeiro, João Guilherme Bezerra Alves

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC pregnancy and childbirth, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02032186 (A Randomized Clinical Trial of Oral Magnesium Supplementation In Pregnancy for the Prevention of Preterm Birth and Perinatal and Maternal Morbidity), which is not on this map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
1.8field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02032186 phase3completednot on this map

A Randomized Clinical Trial of Oral Magnesium Supplementation In Pregnancy for the Prevention of Preterm Birth and Perinatal and Maternal Morbidity

TypeinterventionalSponsorProfessor Fernando Figueira Integral Medicine InstituteRan2014 to 2015Enrolled3,000ConditionsMagnesium Deficiency, Preterm Birth, Extreme ImmaturityArmsMagnesium citrate
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 27 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Magnesium: Hype and Health Benefits.Current nutrition reports · 2026
    Review
  4. Article
  5. Beyond magnesium sulphate - Rethinking magnesium's impact on maternal and foetal health in low to middle-income countries: A scoping review.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2026
    Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Review
  11. Dietary factors that affect the risk of pre-eclampsia.BMJ nutrition, prevention & health · 2022
    Review
  12. Article
  13. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Carla Adriane Leal de AraújoDepartment of Pediatrics, Instituto de Medicina Integral Prof. Fernando Figueira (IMIP), Rua dos Coelhos, 300, Boa Vista, Recife, Pernambuco, CEP: 50070-550, Brazil.
Larissa de Sousa OliveiraMother and Child Health, Faculdade Pernambucana de Saúde (FPS), Av. Mal. Mascarenhas de Morais, 4861, Imbiribeira, Recife, Pernambuco, CEP: 51150-000, Brazil.
Isabela Melo Buarque de GusmãoMother and Child Health, Faculdade Pernambucana de Saúde (FPS), Av. Mal. Mascarenhas de Morais, 4861, Imbiribeira, Recife, Pernambuco, CEP: 51150-000, Brazil.
Angélica GuimarãesDepartment of Pediatrics, Hospital Dom Malan, R Joaquim Nabuco, S/N, Centro, Petrolina, Pernambuco, CEP: 56304-900, Brazil.
Moranna RibeiroDepartment of Pediatrics, Instituto de Medicina Integral Prof. Fernando Figueira (IMIP), Rua dos Coelhos, 300, Boa Vista, Recife, Pernambuco, CEP: 50070-550, Brazil.
João Guilherme Bezerra AlvesDepartment of Pediatrics, Instituto de Medicina Integral Prof. Fernando Figueira (IMIP), Rua dos Coelhos, 300, Boa Vista, Recife, Pernambuco, CEP: 50070-550, Brazil. joaoguilherme@imip.org.br.
Instituto de Medicina Integral Professor Fernando Figueira · BRFaculdade Frassinetti do Recife · BRFundacao Joaquim Nabuco · BR

Funding

Bill & Melinda Gates Foundation OPP1107597CNPq 43998620168
6 · The paper itself

Abstract

backgroundPreeclampsia is the major cause of maternal morbidity and mortality in developing countries. Magnesium sulfate is considered first-line therapy against eclampsia and magnesium deficiency in pregnancy has been associated with unfavourable perinatal outcomes. However there are doubts if magnesium supplementation during pregnancy can previne preeclampsia especially in population with high nutritional risk. This trial aims to verify the effect of oral magnesium supplmentation on preeclampsia incidence in low income pregnant women.

methodsThis randomized, double-blind, placebo-controlled trial investigated the effect of oral magnesium citrate supplementation for preeclampsia in low-income Brazilian pregnant women, i.e. annual per capita income of US$ 1025 or less. Participants were admitted to the study with gestational age between 12 and 20 weeks. Magnesium serum level was measured pre-randomization and participants with hypermagnesemia were excluded. After randomizationg participants received magnesium citrate capsule (300 mg magnesium citrate) or a daily placebo capsule, until delivery. Intent-to-treat analysis was performed.

resultsA total of 416 pregnant women were screened and 318 enrolled according to the inclusion criteria; 159 for each arm. Twenty-eight pregnant women were lost to follow-up. 55/290 (18.9%) of pregnant women developed preeclampsia; 26/143 (18.1%) in magnesium group and 29/147 (19.7%) in the control group; OR 0.90 (CI 95% 0.48-1.69), p = 0.747. No cases of eclampsia were registered.

conclusionOral magnesium supplementation did not reduce preeclampsia incidence in low-income and low-risk pregnant women.

trial registrationRegistered at ClinicalTrials.gov (Identifier NCT02032186), December 19, 2013.

Indexed as

AdultBrazilDietary SupplementsDouble-Blind MethodFemaleGestational AgeHumansMagnesium DeficiencyMagnesium SulfatePovertyPre-EclampsiaPregnancyYoung AdultMagnesium SulfateOral magnesiumPreeclampsiaPregnancy

Identifiers

PMID32272914
PMCPMC7146998
OpenAlexW3015835176

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.