Perinatal outcome of meconium stained amniotic fluid in pregnancy beyond 37 weeks

Authors

  • Joshi D. Suyajna Department of DNB-OBG, District Hospital Ballari, Karnataka. India
  • Jayasakthi G. Department of DNB-OBG, District Hospital Ballari, Karnataka. India
  • Rajeswari Rai Department of DNB-OBG, District Hospital Ballari, Karnataka. India
  • Ruksar Banu Department of DNB-OBG, District Hospital Ballari, Karnataka. India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20210316

Keywords:

Foetal outcome, Meconium stained liquor

Abstract

Background: To identify the frequency of meconium aspiration syndrome among the total births who suffered from meconium staining of amniotic fluid, to find out risk factors during pregnancy, therapies and various complications associated with this condition and their effects on perinatal outcome.

Methods: This was a retrospective study of 252 antenatal patients delivered at Department of DNB-OBG District hospital Bellary during the year January 2019 to December 2019 with gestational age between 37-40 weeks with singleton pregnancies and cephalic presentation were included in the study.

Results: The Caesarean section rate for fetal distress was 96.6% in patients with meconium stained amniotic fluid (MSAF). Meconium aspiration syndrome (MAS) was found in3.93% babies. APGAR score at 1 minute <7 was found in 25 cases (9.84%).

Conclusions: Meconium stained amniotic fluid is associated with increased need for neonatal resuscitation, increased risk of birth asphyxia, meconium aspiration syndrome, hospital admission and mortality. So identification of pregnant woman at risk of passage of meconium during labour would allow intensive fetal surveillance and early intervention which might lead to reduction in neonatal adverse outcome.

References

Mesumbe EN, Nana PN, Nouetchognou JS, Dohbit JS, Mah E, Eko FE. Perinatal Outcome in Term Pregnancies with Meconium Stained Amniotic Fluid in Two Referral Hospitals of Yaoundé-Cameroon. Journal of Scientific & Technical Research. 2018;2(2):2533-7.

Vaghela HP, Deliwala K, Shah P. Fetal outcome in deliveries with meconium stained liquor. International Journal of Reproduction, Contraception, Obstetrics and Gynecol. 2017;3(4):909-12.

Qadir S, Jan S, Chachoo JA, Shameem P. Perinatal and neonatal outcome in meconium stained amniotic fluid. Into J Repro’d Contraceptive, Obstet and Gynecol. 2016;5(5):1400-5.

Mundhra R, Agarwal M. Fetal outcome in meconium stained deliveries. Journal of clinical and diagnostic research: JCDR. 2013;7(12):287.

Khatun MH, Arzu J, Hague E, Kamal MA, Al Mamun MA, Khan MF, et al. Fetal outcome in deliveries with meconium stained liquor. Bangladesh Journal of Child Health. 2009;33(2):41-5.

Khillan S, Dahra J, Kaur P. Adverse perinatal outcome and mode of delivery in patients with meconium stained amniotic fluid. Heart Disease. 2018; 14:2-1.

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Published

2021-01-28

Issue

Section

Original Research Articles