Volume : V, Issue : VIII, August - 2016

MECONIUM STAINED AMNIOTIC FLUID WITH MATERNAL AND PERINATAL OUTCOME

Dr. Rekhalatha

Abstract :

Introduction: Meconium stained amniotic fluid is associated with adverse outcome and is considered as a bad predictor of fetal outcome. Objective: This study was undertaken to determine the correlation of amniotic fluid stained with meconium with maternal and fetal outcome Methods: This prospective observational study was carried out in the Department of obstetrics and gynecology, Kanachur medical college, Derlakatte over a period of 1yr between January 1st 2015 to December 30th 2015. A total of 500 pregnant women who had completed more than 37weeks of gestation with singleton pregnancies and cephalic presentation were included in this study. Spontaneous or artificial rupture of memanes with meconium stained amniotic fluid were monitored during labour with fetal heart rate abnormality , 1 minute and 5 minute Apgar score , LSCS, vacuum delivery , male to female ratio, consistency of liquor, NICU admissions, neonatal complications as outcome variables Results: The incidence of MSAF was 40% A total of 500 pregnant women who had completed more than 37 weeks of gestation, with singleton pregnancies and cephalic presentations, were included in this study. Women were divided into two groups: 200 women with MSAF, while 300 women with clear liquor were taken. Among 200 cases with meconium stained amniotic fluid ( MSAF), 61% were unbooked and only 39 % were booked (at least 3 visits, with first visit in first trimester) . 38% women were of 20–30 years age–group The incidence of cesarean section (54% vs 12%), vacuum deliveries (61% vs 40%), fetal distress (79% vs. 45%), 1–minute Apgar score (37% vs. 5%), 5– minute Apgar (11% vs 3%),intrauterine fetal death( 0% vs 0 ), birth asphyxia (25% vs 0.2%) NICU admission (59% vs 26%) .Incidence of Male to female was high (55% vs 44%). Conclusions: MSAF at term gestation is a best predictor for adverse perinatal outcome and peripartum complications. Obstetric management should be affected by meconium in the amniotic fluid.

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Article: Download PDF   DOI : 10.36106/ijsr  

Cite This Article:

DR.REKHALATHA MECONIUM STAINED AMNIOTIC FLUID WITH MATERNAL AND PERINATAL OUTCOME International Journal of Scientific Research,Volume : 5 | Issue : 8 |August 2016

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