long term management of preterm labor with mgso4 in myomatous uterus

Background: according to the text book of obstetrics and gynecology, prematurity isthe first cause of perinatal mortality. therefore postponing delivery will becomemandatory to prevent complications of prematurity. parental mgso4 is one of the mostcommon and the safest medications for this purpose.case report: we present a primigravida patient with multiple uterine myoma who hadpremature labor and received intravenous mgso4 for 58 days in order to postpone herdelivery while having a cervical dilation of 4-5 cm. the patient underwent c/s at thegestational age of 34 weeks because of reducing fetal movements and breechpresentation.conclusion: because of many side effects of long term management with mgso4 andbed rest, this protocol isn't recommended for all patients.