Meconium stained liquor and its incidence at different periods of gestation and the fetal outcome
Journal Title: Medpulse International Journal of Gynaecology - Year 2018, Vol 5, Issue 1
Abstract
Background: Incidence of Meconium-stained amniotic fluid are different across different gestational age, and overall risk of adverse outcomes in meconium stained amniotic fluid is not grave. Objectives: To estimate the rates of meconium-stained amniotic fluid (AF) and adverse outcome in relation to gestational age and to determine if Meconium stained amniotic fluid could be correlated with Apgar scores to predict the neonatal outcome. Materials and Methods: This is a prospective observational study carried out in department of Obstetrics and Gynaecology at Yenepoya Medical College and Hospital, Mangalore, over a period of 1year.Total 80 cases were included in the study with thin or thick meconium stained liquor during labour. The data was collected on predesigned proforma and analysed using descriptive methods. Results: Among 80 cases, 28 had thick Meconium stained liquor (MSL) and 52 had thin MSL. Primigravida constituted 70%, 44% had thin MSL and 26% had thick MSL. Majority of the patients were 20-30 yrs of age 57.25%. Mean period of gestation was 39.4weeks with 63.75% postdated patients. 71.25% patients had spontaneous labour.63.75% patients delivered by LSCS, 8.75% patients had instrumental delivery and 27.5% delivered normally. APGAR score was < 7 for 45% of babies at 1st minute and 13.75% had APGAR score <7 at 5th minute. MAS was seen in 28.6% of thick and 3.8% patients of thin MSL. Conclusion: Meconium stained amniotic fluid complicates both maternal and fetal health status. Period of gestation is directly proportion to Meconium stained amniotic fluid irrespective of labour. It increases the incidence of operative vaginal deliveries as well as Caesarean sections. It causes neonatal complications like low Apgar scores, admission to NICU, RDS and Meconium aspiration syndrome.
Authors and Affiliations
Mayuri Verma, Archana Vikram
Keywords
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