Impact of meconium-stained amniotic fluid on mode of delivery and maternal and neonatal outcome in a tertiary care hospital: a cross-sectional study
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20242501Keywords:
Meconium-stained amniotic fluid, NICU admission, Respiratory distress, Thick MSL, Thin MSLAbstract
Background: Meconium-stained amniotic fluid during labour has been long considered the predictor of adverse foetal outcomes such as meconium aspiration syndrome and perinatal asphyxia, which leads to perinatal and neonatal morbidity and mortality. Hence this study was done to compare the mode of delivery and neonatal complications among deliveries complicated by meconium-stained liquor with that of clear liquor.
Methods: The present study was a hospital based cross sectional study carried out in the department of obstetrics and gynaecology, Chettinad Hospital and Research Institute, Chennai, India. The study was carried out for a period between February 2022 and January 2023 among the pregnant women, who were admitted for delivery.
Results: A total of 110 deliveries with meconium-stained liquor was included and out of whom, 57% (63) were with thin meconium and 43% (47) had thick meconium. It was observed that 25.5% of the babies born out of thick MSL needed ICU admission for resuscitation efforts whereas 7.9% babies born out of thin MSL needed NICU admission.
Conclusions: The study observed that deliveries associated with thick meconium-stained liquor were at an increased risk of respiratory distress of the child, NICU admission in the child and were prone for more emergency LSCS when compared to thin MSL deliveries.
Metrics
References
Skelly CL, Zulfiqar H, Sankararaman S. Meconium. [Updated 2023 Jul 24]. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2024
Addisu D, Asres A, Gedefaw G, Asmer S. Prevalence of meconium stained amniotic fluid and its associated factors among women who gave birth at term in Felege Hiwot comprehensive specialized referral hospital, North West Ethiopia: a facility based cross-sectional study. BMC Pregnancy Childbirth. 2018;18(1):429.
Khatun MHA, Arzu J, Haque E, Kamal MA, Al Mamun MA, Khan MFH, et al. Fetal outcome in deliveries with meconium stained liquor. Bangladesh J Child Health. 2010;33(2):41-5.
Mundhra1 R, Agarwal M. Fetal outcome in meconium stained deliveries. J Clin Diagnostic Res. 2013;7(12):2874-6.
Mohammad N, Jamal T, Sohaila A, Ali SR. Meconium stained liquor and its neonatal outcome. Pak J Med Sci. 2018;34(6):1392-6.
Poggi SH, Ghidini A. Pathophysiology of meconium passage into the amniotic fluid. Early Hum Dev. 2009;85(10):607-10.
Parveen A, Udayakumar S, Pushpalatha K, Karthik RN. Clinical outcome of babies born through meconium stained liqour. Int J Contemp Pediatr. 2023;10(11):1699-704.
Singh G, Singh O, Thapar K. Neonatal outcome in meconium stained amniotic fluid: a hospital based study. Int J Contemp Pediatr. 2017;4:356-60.
Patil VB, Sonwane VB. A prospective clinical study of babies born with meconium stained liquor delivered by caesarean and pervaginal delivery. Int J Heal Sci Res. 2017;7(August).
Verma M, Vikram A. Meconium stained liquor and its incidence at different periods of gestation and the fetal outcome address for correspondence: instrumental delivery. MedPulse Int J Gynaecol. 2018;5(January):4-7.
Ziadeh SM, Sunna E. Obstetric and perinatal outcome of pregnancies with term labour and meconium-stained amniotic fluid. Arch Gynecol Obstet. 2000;264(2):84-7.
Vaghela HP, Deliwala K, Shah P. Fetal outcome in deliveries with meconium stained liquor. Int J Reprod Contracept Obstet Gynecol. 2014;3(4):909-12.
Kashikar S, Kotpalliwar M, Uttarwar P. Meconium-stained liquor and its impact on maternal and neonatal outcome. Int J Reprod Contracept Obstet Gynecol. 2021;10:1629.
Downloads
Published
How to Cite
Issue
Section
