IJSR - International Journal of Scientific Research

Dr Unnati Shah; Dr Smruti Patel

Volume : VIII, Issue : VIII, August - 2019

Management and outcome of neonate born to mother having h/o meconium stain amniotic fluid

Dr Unnati Shah, Dr Smruti Patel

Abstract :

Introduction: This study is done to find out the various maternal risk factors and its correlation with the fetal outcome in terms of morbidity and mortality in our Institute. Material and methods: The study was carried out in department of pediatrics, Dhiraj Hospital S.B.K.S., a tertiary care teaching hospital from March 2016 to July 2017 as a prospective study. 165 cases who had history of meconium stained amniotic fluid were included in the study to evaluate any maternal risk factor; maternal and fetal monitoring; 1 min and 5 min APGAR score; complication and outcome of baby. Management was done under the standard NRP protocol. If any complication occurred, then standard care in NICU was given Result: In our study out of 165 cases, 39% had thin meconium and 61% had thick meconium. Incidence of meconium passage was higher in late gestational age (>40 weeks). Maternal risk factors like hypertension(10.91), Oligohydramnios(10.30%), anemia(3.03%) and most of had no risk factor (75.76%) present. There were higher incidences of low APGAR score and requirement of resuscitation in non vigorous babies in thick MSL as compared to thin MSL. 35.76% patients developed complications; birth asphyxia in 16.36% with HIE in 8.48%, EOS in 4.24%, MAS in 4.85% with PPHN in 3.03%. 4.24% patients were expired mainly due to birth asphyxia with HIE and MAS with PPHN. Conclusion: Chances of MSL increased with late gestation age > 40 weeks, maternal risk factor like hypertension, anemia, Oligohydramnios. Meconium stained amniotic fluid is associated with increased incidence of LSCS, low APGAR score, birth asphyxia and meconium aspiration syndrome and increased NICU admission.