Long term management of preterm labor with MgSO4 in myomatous uterus

Background: According to the text book of obstetrics and Gynecology, prematurity is the first cause of perinatal mortality. Therefore postponing delivery will become mandatory to prevent complications of prematurity. Parental MgSO₄is one of the most common and the safest medications for this purpose.
Case report: We present a primigravida patient with multiple uterine myoma who had premature labor and received intravenous MgSO₄for 58 days in order to postpone her delivery while having a cervical dilation of 4-5 cm. The patient underwent C/S at the gestational age of 34 weeks because of reducing fetal movements and Breech presentation.
Conclusion: Because of many side effects of long term management with MgSO₄ and bed rest, this protocol isn't recommended for all patients.