Study of antenatal and intrapartum risk factors associated with meconium stained amniotic fluid
Journal Title: Medpulse International Journal of Gynaecology - Year 2017, Vol 4, Issue 1
Abstract
Background: Meconium aspiration syndrome (MAS) is an important cause of morbidity and mortality among newborns in the developing world. Meconium stained infants are considered 100 times more likely to develop MAS, compared with infants born through clear amniotic fluid. Intrauterine passage of meconium has been linked to foetal hypoxia and acidosis, abnormal foetal heart tracing and low APGAR scores. Aim and Objectives: To study antenatal and intrapartum risk factors associated with meconium stained amniotic fluid Material and Methods: It’s aprospective 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.Standard definitions were followed for defining antenatal and intrapartumrisk factors. Results: Incidence of deliveries with meconium stained amnioticfluid was 4.24%.Post datism is the most common risk factor for MSAF accounting for 51.48%.Pregnancy induced hypertension is the second most common risk factor (28.22%) followed byoligohydraminos and PROM. Amongintrapartum risk factors, Prolonged labour (6.37%) being the most common risk factor followed by obstructed labour (4.75%). Summary and Conclusions: Incidence of MSAF varies with place to place in accordance with study population and availability of antenatal care facilities. Incidence of MSAF was much higher in post dated pregnancy.
Authors and Affiliations
Kalavati Jaju, Supriya Shankar Gotey
Keywords
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