MECONIUM STAINED AMNIOTIC FLUID AND MECONIUM ASPIRATION SYNDROME: A PROSPECTIVE STUDY.
Journal Title: IJSR-International Journal Of Scientific Research - Year 2019, Vol 8, Issue 5
Abstract
Objectives: This study was to evaluate the incidence of meconium aspiration syndrome in babies born to mothers with meconium stained amniotic uid and were to determine the risk factors leading to MSAF, the signicance of blood levels of lactate in determining severity of MAS, determine immediate perinatal outcomes of babies with MSAF and MAS and to evaluated the mortality rate of babies that develop MAS. Methodology: A total of 75 babies born of mothers with MSAF were enrolled in this study. Detail assessment was taken to all babies. Gestational age was calculated as per Modied Ballard score. Blood sample was taken for blood lactate levels estimation and x ray were done. Other routine investigations were performed throughout NICU stay. Results: Data was analyzed by using IBM SPSS Statistics 24 model. Pearson chi-square test and Fisher exact tests were used to assess the association between attributes. Binary logistic regression analysis was used to assess the risk factors for MAS. P value was taken ≤ 0.05 for signicant differences. Conclusions: Incidence of MAS was 10.7% of MSAF babies. MSAF and MAS were more common in Babies of para 1 and para 2 mothers. Anaemia followed by pregnancy induced hypertension was common risk factors for MSAF and MAS. MAS was more common in male babies. Term babies and who were birth weight > 3000 grams were affected with MSAF and MAS. Majority of babies with MSAF had no asphyxia. Tachypnea and expiratory grunting were commonly seen in babies with MAS. Babies with MAS, the commonest radiological ndings were observed on the right side alone (50%), followed by bilateral changes (37.5%). Majorities of babies with MAS had blood lactate levels 7.5- 15mmol/l. Blood lactate levels in MSAF babies can predict the severity of MAS. Mortality rate of babies with MAS was 12.5%.
Authors and Affiliations
Kumar Shambhu Nath*, Arshpreet Dhiman, Ghazi Sharique Ahmad
Keywords
Related Articles
- EP ID EP580992
- DOI -
- Views 49
- Downloads 0
A RETROSPECTIVE STUDY TO DETERMINE THYROID DYSFUNCTION IN PATIENTS WITH DIABETES MELLITUS AT KALABURAGI, KARNATAKA, INDIA
Background- There is a complex interrelationship in the co-existence of thyroid dysfunction among diabetic patients and may be related to the growth of cardiovascular diseases and other complications of long-term metabol...
PATIENT DECISION MAKING PROCESS IN A DENTAL ENVIRONMENT
An understanding of patient's decision making process helps a Dentist to present various treatment options in an appropriate and a legitimate way. The dynamics of today's practice is changing, where information search is...
Histopathological spectrum of cholecystectomy specimen in Government Medical College Jammu - a hospital based study.
Introduction- Gall bladder is the organ that stores and concentrate the bile helps in the digestion of fat .It gets affected by a variety of pathological processes.It ha s a wide spectrum of diseases ranging from congeni...
A comparative study of efficacy of oral ivermectin with Topical Permethrin as an antiscabetic drug
Aim:. To know the efficacy of oral ivermectin in comparison to topical permethrin as antiscabetic drug. Material & method: Using prospective, longitudinal, comparative randomized design, study was conducted for a period...
A STUDY TO ASSESS THE ABO BLOOD GROUP ANTIGEN PHENOTYPE AND GENE DISTRIBUTION AMONG BLOOD DONORS AT A TERTIARY CARE RESEARCH INSTITUTE IN SOUTH INDIA
ABO blood group antigens form the basis of current blood transfusion practice and their prevalence among blood donors can provide a glimpse into the population distribution of ABO genes and hence this study was undertake...