A study of the associated factors for meconium aspiration syndrome at tertiary health care center
Journal Title: Medpulse International Journal of Pediatrics - Year 2017, Vol 3, Issue 3
Abstract
Background: Meconium Aspiration Syndrome (MAS) is defined as development of respiratory distress in newborns soon after birth, which have got radiological evidence of aspiration pneumonitis along with meconium staining of liquor and staining of nails or staining of umbilical cord or skin. Aims and Objectives: To study associated factors for meconium aspiration syndrome Methodology: This prospective study was conducted in NICU of department of Pediatrics of tertiary care center from 1st January 2016 to January 2017.All babies with meconium stained amniotic fluid were taken into study irrespective of the gestational age were included into study while Neonates with Transient Tachypnea of Newborn, Neonates with Respiratory Distress Syndrome, Neonates with congenital pneumonia, Neonates with congenital heart disease with congestive cardiac failure were excluded from the study Total 163 neonates. The statistical analysis done by Chi-square test calculated by SPSS 19 version of the software. Result: In our study we have found that The majority of the patients were full term i.e. Gestational age (wk.) > 37 were 96.93 %, followed by 30-37 were 2.45%, and 28-30 were 0.61% respectively. There was no association between the sex of the babies and the MAS or asymptomatic MSAF (P<0.2189, X2 =1.512, df=1). The majority of the patients were Primi69 % followed by Multi in 31 %. Out of163 neonates studied, anemia 41 (25%) was the most frequent perinatal risk factor followed by fetal distress 37 (23) and PIH 23 (14%) and Post-Term in 10% individuals. In this study, it was found that there was a significant association between thick MSAF and the development of MAS (P<0.0001, X2=35.68, HS). Conclusion: It can be concluded from our study that the majority of the patients were full term anemia was the most frequent perinatal risk factor followed by fetal distress and PIH It was found that there was a significant association between thick MSAF and the development of MAS.
Authors and Affiliations
Bhagwat Baburao Lawate
Keywords
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