Prediction of adverse neonatal outcome among newborns born through meconium‐stained amniotic fluid

Author(s):  
Gabriel Levin ◽  
Abraham Tsur ◽  
Daniel Shai ◽  
Tal Cahan ◽  
Moran Shapira ◽  
...  
2013 ◽  
Vol 93 (1) ◽  
pp. 80-85 ◽  
Author(s):  
Eva Wiberg-Itzel ◽  
Andrea B. Pembe ◽  
Susan Wray ◽  
Anna-Carin Wihlbäck ◽  
Elisabeth Darj ◽  
...  

2011 ◽  
Vol 118 (1) ◽  
pp. 135-142 ◽  
Author(s):  
Eva Wiberg-Itzel ◽  
Helena Akerud ◽  
Ellika Andolf ◽  
Lena Hellström-Westas ◽  
Birger Winbladh ◽  
...  

2019 ◽  
Vol 13 (6) ◽  
pp. 1-7
Author(s):  
Parvaneh Sadeghi-moghadam ◽  
◽  
Roghaye Ahangari ◽  
Zahra Kamelian ◽  
Mohammad Aghaali ◽  
...  

2017 ◽  
Vol 4 (2) ◽  
pp. 356 ◽  
Author(s):  
Gurmeet Singh ◽  
Onkar Singh ◽  
Karuna Thapar

Background: Amniotic fluid surrounds the baby in utero and provides a protective and low resistance environment and acts as a cushion for the baby. It is secreted by amniotic membranes, foetal skin and fetal urine. The objectives of this study was to identify the incidence of meconium stained amniotic fluid, perinatal outcome and the risks during pregnancy leading to in utero passage of meconium.Methods: A prospective study conducted in Sri Guru Ram Das University, Amritsar, between 1st December 2014 to 1st June 2016. All live births with meconim stained amniotic fluid without congenital malformation, twin or multiple organ dysfunction were taken as subjects of this study. Maternal obstetric history and risk factors were asked and foetal parameters including gestational age, fetal presentation, mode of delivery, birth weight, sex, Apgar score, age at onset of respiratory distress, treatment and outcome were observed.Results: Out of 1121 admissions in NICU, 12% of inborn and 9.6% of outborn were with MSAF, out of which 34% developed MAS. Majority of neonates were observed to be males (73.6%), term neonates (67.2%), weight 2.5-3.5 kg (76.9%) with mean weight being 2.701 kg±0.558 kg and 16% mortality including 9 inborn and 11 outborn neonates. Mean age at onset of respiratory distress was 18.43 minutes±11.52 minutes. Neonatal outcome was significantly related to weight, APGAR score at 5 mins, and development of complications like MAS, hypoxic ischemic encephalopathy, necrotizing enterocolitis, acute renal failure and severe thrombocytopenia. Culture proven septicaemia was seen in 21.6% cases. Mean duration of stay in NICU was 6.48 days±0.54 days.Conclusions: MSAF has significant effect on perinatal outcome and close observation is required to prevent and treat complications thus reducing mortality.


2018 ◽  
Vol 5 (5) ◽  
pp. 1824
Author(s):  
Raju V. ◽  
Dhivya Narayani M. ◽  
Vindyarani W. K.

Background: The detection of meconium-stained amniotic fluid during labour often causes anxiety in the delivery room because of its association with increased perinatal mortality and morbidity. The aim of the study is to determine whether meconium staining of amniotic fluid had an influence on the neonatal outcome and the factors responsible for meconium-stained amniotic fluid.Methods: This case-control study was done between March 2015 to October 2017 in the Department of Paediatrics, Sri Muthukumaran Medical College, and RI. 217 newborns who had meconium staining of the amniotic fluid were taken into the study. For each case, two controls were taken. Mode of delivery of baby noted with the grading of meconium either thin or thick meconium. Type of resuscitation done for these babies was noted. Those newborns who were admitted in the newborn unit were followed up till discharge and type of management of these babies were monitored. The outcome of seizures, air leak, MAS etc., were looked for. For each MSAF baby, two newborns without MSAF were recruited and looked for maternal and fetal risk factors.Results: Incidence of MSAF is 16.9%. Among 217 cases of MSAF, thin meconium constituted 141 cases (64.97%) and thick meconium 76 cases (35.02%). The incidence of thin meconium is more when compared to thick meconium. Of the 217 cases of meconium-stained liquor, 170 (78.7%) cases are vigorous babies and 47 (21.6%) are non-vigorous. Out of 47 babies who were non-vigorous, most of them (70.2%) had thick meconium stained liquor. Most of them, 172 cases (79.2%) required only routine resuscitation, whereas BMV with tracheal toileting required in 18 cases (78.3%) of thick MSAF when compared to 5 cases (21.7%) of thin MSAF.Conclusions: MSAF is associated with morbidity and mortality when associated with factors like maternal PIH, anemia, oligohydramnios, IUGR babies and CTG showing FHR variability. The majority of which are thick meconium suggesting that consistency of meconium had a direct bearing on the neonatal outcome. 


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