Meconium Stained Liquor, An Obstetrician’s Dilemma- A Clinical Study of Fetomaternal Outcome
Journal Title: Journal of Medical Science And clinical Research - Year 2018, Vol 6, Issue 6
Abstract
Introduction: Meconium stained amniotic fluid (MASF) is seen in 10-15% of all pregnancies. It is associated with maturation of the fetal Gastrointestinal Tract (GIT) but may also be associated with adverse neonatal outcome. Objectives: The present study aims at studying the fetomaternal outcome in cases with meconium stained amniotic fluid. Material and Methods: The present study was conducted in Rejshree Medical Research Institute Bareilly. Total 50 cases with MSAF fulfilling the inclusion criteria were included in the study. Various parameters were studied to know the fetomaternal outcome. Result: In the present study the incidence of MSAF was 10.8%, thin MSAF was seen in 74% cases and thick MSAF in remaining 26%.MSAF was seen more commonly in primigravidas and with increase in gestational age. The incidence of abnormal FHR pattern was common in the thick meconium group (69.2%) as compared to thin meconium group(18.9%). The commonest mode of delivery in cases with thin MSAF was normal vaginal delivery (51.5%) while in cases with thick MSAF was by lower segment caesarean section (LSCS) (61.5%). The incidence of NICU admission in thin MSAF group was 18.9% while in thick MSAF 46.1% required NICU admission. Conclusion: Since the incidence of perinatal morbidity and mortality is more in cases with meconium stained amniotic fluid, so the cases with meconium staining of amniotic fluid should be monitored more vigorously with timely interventions and proper neonatal resuscitation
Authors and Affiliations
Dr Prachi Singh
Keywords
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