Study of Maternal and Fetal Outcome in Parturients with Meconium Stained Amniotic Fluid at Term Gestation – Role of Intrapartum Amnio Infusion
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2014, Vol 2, Issue 2
Abstract
Passage of meconium in utero is a dangerous sign for fetal outcome which influence the decision as well as the mode of delivery.Amnio infusion to dilute this meconium and prevent decelerations and hasten the progress of labour is a procedure which can be tried for improving maternal and fetal outcome. The aim of this study is to study the maternal and fetal outcome in parturients with MSAF and compare it with patients with clear amniotic fluid and to know the role of amnio infusion in improving the maternal and fetal outcome in patients with MSAF. This descriptive case control study was carried out in the department of Obstetrics and Gynaecology, Mamata general hospital, khammam, Andhra Pradesh, India from January 2011 to December 2012. A total of 50 women with meconium stained amniotic fluid( MSAF) were studied to identify maternal and fetal outcome and was compared with 50 women with clear amniotic fluid. Normal delivery was significantly higher (58%) in clear liquor group as compared to MSAF group (22%). Cesarean section was more common in MSAF group (66%) where as it was (38%) in the clear liquor group (p=0.005). Low Apgar scores of < 5 at one minute was seen in 48% of MSAF and only 6% in clear liquor group (p<0.2). But at 5 minutes low Apgar score persisted in same 48% of MSAF babies whereas it was seen in 12% of clear liquor group. Among the babies born with MSAF 34% were referred to higher center compared to 6% in clear liquor group . Four babies with thick MSAF and one baby with clear liquor had neonatal death (p=0.005). Amnio infusion was done in 25 patients with MSAF.20/25 of them had normal vaginal delivery with out undue prolongation of labour and all the babies were alive with good apgar at birth .It was failed procedure in 5 patients since the decelerations persisted(3/5 pts.) and labour did not progress(2/5 pts.) inspite of amnio infusion and were taken up for LSCS. There were no complications noted associated with the procedure. Mode of delivery and fetal outcome were adversely affected by the presence of thick meconium stained liquor as compared to clear liquor. Additional monitoring facilities e.g. cardiotocography (CTG) if available would reduce fetal distress and allow timely intervention in such cases. Amnio infusion can be an alternative option in countries like India to improve maternal and fetal outcome.
Authors and Affiliations
M Vijayasree, L Geetha, D V C Shoban Kumar, S G K Murthy, S S Guru Prasad
Keywords
Related Articles
- EP ID EP374689
- DOI -
- Views 78
- Downloads 0
Bimalleolar Fracture of Ankle Joint Managed By Tension Band Wiring Technique: A Prospective Study
Ankle fractures are the most commonly encountered by most of the orthopaedic surgeons. According to the lauge Hansen’s classification five different types can be seen. The surgical treatment of adduction, abduction and s...
Clinico-pathological profile of tuberculosis of the head and neck region from a tertiary care teaching hospital
Tuberculosis of the head and neck region may often mimic malignancy and misdiagnosed which leads to an unnecessary delay in diagnosis. Better understanding of this topic would help us to make early diagnosis thus timely...
Socio-Anthropological Approach to the Discourse of Transplant Patients in the District of Abidjan: Between Promotion of Kidney Donation and Silence
Today, living kidney transplant practices, as well as biomedical research, have made the body an application of technology and an object of scientific research. Indeed, kidney transplantation from living kidneys to human...
Knowledge, Attitude and Practices study of Acanthosis Nigricans in Indian Sub population
Abstract: The study was carried out to assess the knowledge, attitudes and practices of patients towards Acanthosis Nigricans(AN). The Methods was cross-sectional study included 180 patients of Acanthosis nigricans of bo...
Prevalence and Determinants of Neonatal Morbidity in a Rural Area of Dibrugarh District, Assam
Abstract: Newborn health is a foundation of child health and adult health. If proper care is not given to the mother right from conception till the neonatal period, the newborn suffers from various morbidities. The socio...