Fetal outcome in deliveries with meconium stained liquor

Association between non-invasive nursing care technologies during childbirth and neonatal vitality: a cross-sectional study

“…30 In addition, it should be considered that such procedure, regardless of indication, may cause iatrogenesis and, when used routinely, is associated with the elimination of meconium in the amniotic fluid. 1,4 Therefore, it is recommended that the prescription of oxytocin be careful and avoided in cases of meconium amniotic fluid and fetuses with evidence of hypoxia. 13,14 Regarding the correlation between amniotic fluid characteristics and type of care, the presence of meconium (fluid or thick) was found in 14.9% of childbirths followed by nurse midwives.…”

“…1,2 There is consensus that the presence of meconium in the amniotic fluid does not, by itself, characterize fetal distress and is a warning sign for surveillance of maternal and fetal well-being, as well as for the risk of aspiration by the newborn at birth. 3,4 In some cases, this may have a negative impact on women's health and newborn vitality. 4,5 Unfavorable outcomes are found by decreasing fetal heartbeat, Apgar score less than 8, or by reducing blood pH at birth, with significant impacts on perinatal morbidity and mortality indicators.…”

“…3,4 In some cases, this may have a negative impact on women's health and newborn vitality. 4,5 Unfavorable outcomes are found by decreasing fetal heartbeat, Apgar score less than 8, or by reducing blood pH at birth, with significant impacts on perinatal morbidity and mortality indicators. 1,[5][6][7][8][9] In obstetric practice, according to the traditional care (TC) model, it is observed that the presence of meconium in the amniotic fluid drives the adoption of interventional conducts or is a consequence of procedures based on outdated scientific evidence.…”

“…1,[10][11][12] This close correlation is revealed, for example, in the association between the routine use of oxytocin and the higher incidence of meconium elimination by the fetus, as well as caesarean sections. [3][4][5] On the other hand, nurse midwives, inserted in the not medicalized model of care at childbirth and birth, have shown concern about the characteristics of amniotic fluid as an important indicator for their professional performance. These experts understand that the higher incidence of light amniotic fluid with missing meconium and lower risks to maternal and perinatal health are related to a care process.…”

Correlation of umbilical blood pH and outcome in meconium stained deliveries

“…We excluded all mothers who had chronic causes of hypoxia like anaemia, pregnancy induced hypertension, gestatioal diabetes, antepartum haemorrhage and heart disease that lead to meconium. 3 Resuscitation was done based on neonatal resuscitation program(NRP). The blood was collected from the cord attached to the baby after releasing the clamp in a heparinised syringe and fed into the gas analyzer (Nova Biomedicals, USA).…”