Meconium Stained Liquor and Its Fetal Outcome - Retrospective Study

Abstract

Abstract

A study of factors causing meconium stained amniotic fluid and it’s impact on perinatal outcome

“…In our study, the correlation between CTG and MSAF was statistically significant. In this study, majority of the subjects with Grade 3 MSAF had Non reassuring CTG compared to Grade 1 &2 MSAF, which is similar to the studies by Nirmala et al 13 and Meena priyadarshini et al 12 In our study, rate of LSCS was more in Grade 2&3 MSAF (79.63% and 77.14% respectively) compared to Grade 1 MSAF(14.29%). Similarily LSCS rate was 42% in the study of Patil et al, 14 62.5% in study of Espinheira 15,49.1% in study of Naveen S et al 11 In our study, APGAR score ≤ 7 was more in Grade 3 MSAF compared to Grade 1 & 2, which is similar to the studies of Meena priyadarshini et al 12 and Nirmala et al 13 In our study, 78.18% babies were asymptomatic, which is comparable to study done by Mundhra et al NICU admission was required for 21.81% of babies, which is similar to studies done by Mundhra R et al, 16 Patil et al 14 and Mahapatro et al 17 MAS was seen in 5 (4.54%) babies with Grade 3 MSAF, among which 2 were referred to higher center for ventilatory support and 3 were kept in NICU for one week in view of severe respiratory distress.…”

“…39 had multiple risk factors and 12 had no risk factors. In the study done by Meena priyadarshini et al, 12 out of 250 subjects who had MSAF, 82 were post dated pregnancies, 12 subjects had PIH, 12 had Rh isoimmunisation, 9 had Oligohydramnios, 8 had GDM, 5 had Heart disease, 5 were of Higher Maternal Age, 4 had Chronic Respiratory disease, 3 were Teenage pregnancies, 3 had Cholestasis of pregnancy, 9 had PROM, 8 had IUGR, 3 had Prolonged labour, 1 had Circumvallate Placenta, 1 had Ileal Atresia, 1 had Premature atrial contraction of fetus.…”

Neonatal outcome in meconium stained amniotic fluid: a hospital based study

“…25 Mean duration of hospitalization or NICU stay for inborn neonates was 6.48±0.54 days while no distinction was made on basis of type of meconium but Narli et al in their study reported the mean duration of hospital stay in thin MSAF neonates as 8.4 days and in thick MSAF neonates as 11.2 days while Priyadarshini et al reported duration of NICU stay days as 5.6 and 8.4 days for thin and thick meconium respectively and was in line with the present study. 29,30 Jeena S et al reported the mean duration of NICU stay as 9.2 days and 14.1 days for thin and thick MSAF neonates respectively.…”

Meconium stained liquor and perinatal outcome

“…[1][2][3] In present study the incidence of MSAF was 12.9%, which was comparable with the study done by Priyadharshini MV et al giving the incidence of 11.77% and Sori DA et al, with incidence of 15.4% respectively. 13,17 But, the incidence was high in study conducted by Samiyappa DP et al, giving an incidence of 23.6% (Table 1). 16 The incidence of both thin and thick MSAF in primigravida being 67(41.1%) and multigravida 96(58.8%) respectively, but in a study done by Akhila S et al, the incidence of MSAF was more in primigravida 190(54.6%) and Tayade S having incidence of 71.66% in primigravida and 28% in multigravida (Table 1).…”

“…Perinatal morbidity and mortality associated with MSAF can be decreased by identifying the high-risk factors in antenatal period and careful decisions are made about the timing and mode of delivery and vigilant monitoring of the labour. 13 This study was carried out to know the correlation of MSAF with perinatal outcome. Also, to know the difference between thin and thick MSAF on fetal outcome.…”