Fetal outcome and mode of delivery in a patient with meconium-stained amniotic fluid

Bindra Bharatsinh Rana; Bhavesh B. Airao

doi:10.18203/2320-1770.ijrcog20222794

Authors

Bindra Bharatsinh Rana Department of Obstetrics and Gynecology, C. U. Shah Medical College and Hospital, Surendranagar, Gujarat, India
Bhavesh B. Airao Department of Obstetrics and Gynecology, C. U. Shah Medical College and Hospital, Surendranagar, Gujarat, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20222794

Keywords:

Emergency caesarean section, Fetal distress, MSAF, Primigravida

Abstract

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.

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References

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.