Role of TranscervicalAmnioinfusion in Meconium Stained Amniotic Fluid- A Case Control Study
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2017, Vol 5, Issue 8
Abstract
Abstract:The passage of meconium in utero is associated with significant perinatal mortality and morbidity, especially with meconium aspiration syndrome. Different precautions during antenatal period, Intrapartum period and postnatal period have been suggested to prevent the deleterious effects of meconium aspiration.Aim of the study-The present study has been undertaken to evaluate the effect of amnioinfusion on fetal morbidity and mortality by observing the incidence of APGAR at 1 min, APGAR at 5 min, Neonatal intensive care unit admission, Meconium aspiration syndrome.2. To evaluate the operative interference in thick meconium stained liquor complicated labour.The study was prospectively carried over a period of 6 months (June to November 2016) in our institution and with prior informed consent from 150 women out of 2846 deliveries fulfilling the inclusion criteria were studied. The study group – Amnioinfusion Cases 75 number were initially infused of 500ml of normal saline at the rate of 10- 15ml/min over a duration of 1 hr, initially and then after continued at a rate of 3-5ml/min until delivery, with continuous electronic fetal heart rate monitoring. A sterile pad is kept at vagina to note pad wetting. These were compared with 75 cases without amnioinfusion during delivery.Various parameters such as type of deliveries, neonatal outcome, meconium aspiration syndrome and NICU administration of the newborns were compared between cases and controls and the data was statistically analyzed.The present study supports the theory that intrapartumamnio infusion in labouring thick meconium stained liquor is a simple, safe and effective technique to decrease the perinatal morbidity and mortality. Keywords:Meconium, perinatal mortality, amnioinfusion, delivery, neonatal care
Authors and Affiliations
G. Kesavachandra1, Pran itha
Keywords
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