Morbidity and mortality of babies with complications of meconium stained amniotic fluid
Journal Title: Medpulse International Journal of Gynaecology - Year 2017, Vol 4, Issue 1
Abstract
Background: Foetal well-being has traditionally been evaluated on the basis of foetal activity, foetal heart rate and presence of meconium in liquor amnii in vertex presentation. The passage of foetal meconium resulting in Meconium stained amniotic fluid (MSAF) occurs inapproximately 8 to 25% of all deliveries, primarily in situations of advanced foetal maturity or foetal stress. Aim and Objectives: To study morbidity and mortality among babies presenting with complications of MSAF. Material and methods: It’s a prospective observational study. The study population included all the babies born with MSAF in the tertiary care centre during study period of 2 years from Nov 2014 to Oct 2016.The babies meeting the criteria for admission are admitted in NICU and managed as per the protocols. Results: Incidence of deliveries with meconium stained amnioticfluid was 4.24%.Most common complication in babies born with MSAF was meconium aspiration syndrome (62.5%) followed by PPHN(42.04%).The incidence of meconium aspiration syndrome in babies with MSAF found to be 8.1% while, mortality due to MAS syndrome comes out to be 20%. Summary and Conclusions: Incidence of MSAF varies with place to place in accordance with study population and availability of antenatal care facilities. Meconium aspiration syndrome is an important cause of morbidity and mortality among newborns in the developing world.
Authors and Affiliations
Kalavati Jaju, Supriya Shankar Gotey
Keywords
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