Meconium stained amniotic fluid: antenatal, intrapartum and neonatal attributes.
Indian Pediatr
;
1996 Apr; 33(4): 293-7
Artigo
em Inglês
| IMSEAR
| ID: sea-11781
ABSTRACT
OBJECTIVES:
To find out the incidence, outcome as well as antenatal, intrapartum and neonatal attributes of meconium stained amniotic fluid (MSAF).DESIGN:
Prospective study.SETTING:
Neonatal Unit of Hospital.SUBJECTS:
1426 live births occurring in 1500 consecutive deliveries, over one year period.INTERVENTIONS:
In all babies born through MSAF, thorough oropharyngeal suction as soon as the head was delivered followed by immediate intratracheal intubation and suctioning in infants depressed at birth.RESULTS:
204 (14.3%) deliveries had MSAF of which thick meconium was present in 141. Hepatitis in mother, fetal distress during labor and intrauterine growth retardation were significant factors associated with MSAF. One fifth of babies born through MSAF suffered severe birth anoxia compared to 5.6% in non-MSAF group. The consistency of meconium had direct bearing on the neonatal outcome. Severe birth asphyxia (SBA) occurred in 27.0 and 6.3% of babies with thick and thin meconium staining, respectively. Meconium aspiration syndrome was observed in 9 babies of thick meconium group and 8 of these were depressed at birth. All deaths occurred in thick meconium group and were associated with SBA.CONCLUSIONS:
Selective approach can be adopted for babies with MSAF reserving intratracheal suctioning at birth for depressed neonate or evidence of fetal distress in utero. Rest of the neonates only need careful observation after thorough oronasopharyngeal suctioning.
Texto completo:
DisponíveL
Índice:
IMSEAR (Sudeste Asiático)
Assunto principal:
Complicações na Gravidez
/
Prognóstico
/
Feminino
/
Humanos
/
Masculino
/
Recém-Nascido
/
Gravidez
/
Síndrome de Aspiração de Mecônio
/
Mortalidade Infantil
/
Incidência
Tipo de estudo:
Estudo de etiologia
/
Estudo de incidência
/
Estudo observacional
/
Estudo prognóstico
/
Fatores de risco
Idioma:
Inglês
Revista:
Indian Pediatr
Ano de publicação:
1996
Tipo de documento:
Artigo
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