Adverse perinatal outcome and mode of delivery in patients with meconium stained amniotic fluid
Journal Title: International Journal of Clinical Obstetrics and Gynaecology - Year 2018, Vol 2, Issue 6
Abstract
Objective: To evaluate the perinatal outcome and mode of delivery in patients with Meconium stained Amniotic Fluid (MSAF). Material and Methods: This prospective observational study was carried out in Department of Obstetrics and Gynaecology, Government Medical College and Rajindra Hospital, Patiala, over a period of one year from January 2017 to December 2017. Total 4653 patients delivered over this time period. A total of 609 patients who had completed more than 37 weeks of gestation, with singleton pregnancies and cephalic presentations with meconium stained liquor were included in this study. Results: Among 609 patients, 63.1% of patients were unbooked cases, 36.9% of patients had at least 3 visits to our institute. Nulli parous patients accounted for 66.2% of the cases. 29.2% cases were beyond 42 weeks of pregnancy. 21.8% patients were of pregnancy induced hypertension. 20.2% patients were of oligo hydramnios, 10.2% patients were of Gestational Diabetes mellitus. In grade I MSAF 10.1% patients had abnormal CTG pattern, in Grade II MSAF 20.4% patients had abnormal CTG pattern, in Grade III MSAF 46.7% patients had abnormal CTG pattern. In grade I MSAF 26.4% patients delivered with LSCS, in grade II MSAF 45.7% patients delivered with LSCS, in Grade III MSAF 81.5% patients were delivered with LSCS. In patients with Grade I MSAF 14.1% babies were admitted to Neonatal intensive care unit, in Grade II MSAF 18.1% babies were admitted to Neonatal intensive care unit, in grade III MSAF 42.4% babies were admitted to Neonatal intensive care unit. Conclusion: Meconium stained amniotic fluid is really worrisome from both, obstetrician's and paediatrician's point of view, as it increases the caesarean rates, causes birth asphyxia, Meconium Aspiration Syndrome [MAS] and increase in neonatal intensive care unit admissions.
Authors and Affiliations
Dr. Shelly Khillan, Dr. Jiten Dahra, Dr. Parneet Kaur
Keywords
Related Articles
- EP ID EP504820
- DOI -
- Views 135
- Downloads 0
A comparative study to assess relation of platelet count, neutrophil and lymphocyte ration as predictor of pre eclampsia in normotensive and pre-eclamptic women
Objectives: To evaluate the relationship between hypertensive disorders in pregnancy and platelet count and neutrophil to lymphocyte ration and to find out their association with severity of pre-eclamptic disorders in pr...
A study on clinical profile of teenage pregnancies
Introduction: One in ten teenage girls become pregnant each year resulting in more than one million pregnancies, more than 6,00,000 births, and more than 3,30,000 induced and 1,50,000 spontaneous abortions. Methodology:...
A case report: Acute neuromyelitis in pregnancy
Neuromyelitis optica spectrum disorder (NMOSD) is a demyleinating disease of the central nervous system. NMOSD is characterized by severe relapse of optic neuritis, longitudinal extensive myelitis and the presence of ant...
Evaluation of thyroid profile in gynaecological malignancies
Introduction: Thyroid status may influence tumorigenesis of gynecologic cancer, though epidemiologic studies of this relation are limited. Methods: The study included collection of a samples which was divided into two gr...
A study to detect birth defects scenario in a tertiary care hospital New Delhi
Background: Birth defects are a group of structural or functional disorders which are present at birth and are of prenatal origin can be caused by genetic defects, environmental teratogens or multifactorial inheritance....