A study of perinatal outcome in meconium stained amniotic fluid
Journal Title: INTERNATIONAL JOURNAL OF RECENT TRENDS IN SCIENCE AND TECHNOLOGY - Year 2017, Vol 22, Issue 1
Abstract
Aims and Objectives: To find out the incidence, study the mode of delivery, relation between meconium staining and fetal heart rate abnormality and clinical correlation of perinatal outcome with thin and thick meconium stained amniotic fluid. Materials and Method: Study was carried out in the department of Obstetrics and Gynaecology of MKCG Medical College Hospital, Berhampur from December 2014 to September 2016. Study included 912 patients with meconium stained amniotic fluid detected during labour and their perinatal outcome will be analysed keeping the type of meconium as the principal variable. Results: Out of 912 cases, thin meconium staining was seen in 63.82% and thick in 36.18%. 66.43% cases of MSAF were associated with high risk factors. Fetal heart rate abnormality was seen in 32.24% cases, more in cases of thick meconium. The mode of delivery in majority of 46.5% were spontaneous vaginal, 11.18% were assisted by forceps or ventouse and 42.77% needed LSCS. At 1 minute, 65.79% babies had Apgar score >7. At 5 minute, 80.92% babies had Apgar score >7. When heart rate abnormality was present along with meconium, 71.43% had Apgar score <7. 35.53% required NICU admission. 19.74% developed perinatal morbidity. MAS was the leading cause of death in 3.95%.Conclusion: There was significant association between heart rate abnormalities and mode of intervention. Low Apgar score was mainly observed when meconium was associated with abnormal heart rate pattern. Thick meconium stained amniotic fluid was associated with increased rate of intervention, neonatal morbidity and mortality compared with thin MSAF.
Authors and Affiliations
Priti Singh, Surendra Nath Soren
Keywords
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