Fetal outcome and mode of delivery in a patient with meconium-stained amniotic fluid
Keywords:Emergency caesarean section, Fetal distress, MSAF, Primigravida
Background: Meconium-stained amniotic fluid (MSAF), especially observed before term, is considered a sign of meconium fetal jeopardy.
Methods: All data were retrieved from pregnant patients with MSAF who delivered at OBGY department of C. U. Shah medical college and hospital from February 2022 to July 2022.
Results: In this study meconium-stained liquor was more common in primigravida within the age group of 21-30 years of age with moderate type of meconium being more common.
Conclusions: In this study we concluded that meconium-stained liquor more commonly seen in primigravida which have associated risk factors like preeclampsia, malposition, prolonged labour and abnormal uterine inertia. It was also reconfirmed that MSAF is associated with a new-born risk, especially meconium aspiration syndrome. Patients had a higher rate for emergent caesarean section and baby admission to NICU. These data may be useful to make health/reproductive-health progress in area.
Antonowicz I, Shwachman H. Meconium in health and in disease. Adv Pediatr. 1979;26(1):275-310.
Akhila S, Koppad AM, Aundhakar CD. Study of neonatal outcome in meconium stained amniotic fluid. Int J Med Health Res. 2018;4(3):134-38.
Aggarwal M, Suri JC, Suri S, Sen MK. Maternal and Fetal outcomes of sleep disordered breathing in pregnancy. Indian J Sleep Med. 2008;3.
American College of Obstetricians and Gynecologists. ACOG Committee Opinion No 579: definition of term pregnancy. Obstet Gynecol. 2013;122(5):1139-40.
ACOG committee opinion no. 561: Nonmedically indicated early-term deliveries. Obstet Gynecol. 2013;121(4):911-5.
Acharya T, Devkota R, Bhattarai B, Acharya R. Outcome of misoprostol and oxytocinin induction of labour. SAGE Open Med. 2017;5:2050312117700809.
Alfirevic Z, Aflaife IN, Weeks A. Oral misoprostol for induction of labour. Cochrane Database Syst Rev. 2014(6):cd001338.
Bernasconi A, Beghetti M. Inhaled nitric oxide applications in pediatric practice. Images Pediatr Cardiol. 2002;4(1):4-29
Clark DA, Nieman GF, Thampson JE, Paskanik AM, Rokhar JE, Bredenberg CE. Surfactant displacement by mrconium free fatty acids: an alternate explanation for atelectasis in meconium aspiration syndrome. J Paediatr. 1987;110(5):765-70.
Osava RH, Silva FM, Oliveira SM, Tuesta EF, Amaral MC. Maternal and neonatal factors associated with meconium in amniotic fluid in a normal delivery center. Public Health J. 2012;46:1023-9.