Meconium stained liquor and its neonatal outcome

Mohammad, Nadia; Jamal, Taha; Sohaila, Arjumand; Ali, Safdar

doi:10.12669/pjms.346.15349

Cited by 35 publications

(40 citation statements)

References 9 publications

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“…Important data from our study showed that there are significant concerning the number of pregnancies (P-value = 0.004) and a number of times (P-value = 0.001). In comparison to other studies which showed no significant association was found with parity such as a retrospective study was conducted at the Agha Khan Hospital showed a P-value = 0.36 [11] and a Cross-sectional study carried in-hospital birth centre in the city of São Paulo, South-eastern Brazil showed P-value = 0.6800 [12]. Normal delivery was two times the caesarean section in a patient with MSAF, As to a study done by, Gupta SN et al reported that 22% of MSAF group had normal vaginal delivery while, caesarean section delivery was 66% among MSAF group Caesarean section was seen more in MSAF group; also Rajlaxmi Mundhra and Manika Agarwal found Caesarean section rates were nearly double in cases (49.09%) of MSAF Moreover in a study done by J Pak Med Assoc showed that Among 250 women with MSAF 205 women delivered by caesarean section and 35 women had vaginal deliveries, in comparison.…”

Section: Discussioncontrasting

confidence: 82%

Fetal Outcome and Mode of Delivery in a Patient with Meconium-Stained Amniotic Fluid

Althaqafi¹,

Ateeq²,

Al-Bukhar³

et al. 2021

OJOG

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Background: Meconium stained amniotic fluid (MSAF), especially observed before term, is considered a sign of fetal jeopardy. Although many studies characterized this condition and associated it with delivery mode, data is lacking in this area, Saudi Arabia. Thus, we attempted to study it. Methods: All data were retrieved from pregnant patients with MSAF who delivered at King Abdul, Saudi Arabia, from January 2015 to December 2018. Results: 758 showed MSAF, of which 83% had vaginal delivery, whereas remaining 17% had an emergency caesarean section. Of them, 32 (4.2%) infants developed meconium aspiration syndrome, and 7 (21.8%) were admitted to the NICU. Conclusion: It was reconfirmed that MSAF is associated with a newborn risk, especially meconium aspiration syndrome. Patients had a higher rate for emergent caesarean section and baby admission to NICU. These data may be useful to make health/reproductive-health poly-making in this area.

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Section: Discussioncontrasting

confidence: 82%

Fetal Outcome and Mode of Delivery in a Patient with Meconium-Stained Amniotic Fluid

Althaqafi¹,

Ateeq²,

Al-Bukhar³

et al. 2021

OJOG

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“…MSAF was associated with poor perinatal outcomes such as meconium aspiration syndrome. A previous study demonstrated that MSAF is associated with low Apgar scores (29). However, the study did not present Apgar scores at any particular time-point.…”

Section: Discussionmentioning

confidence: 99%

Retrospective analysis of risk factors for low 1-minute Apgar scores in term neonates

Yang

Chen

et al. 2019

Braz J Med Biol Res

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The current study was designed to investigate the perinatal risk factors for low 1-min Apgar scores in term neonates. We retrospectively analyzed the maternal and neonatal clinical data of 10,550 infants who were born through vaginal delivery from 37 weeks 0 days to 41 weeks 6 days of single gestation from January 2013 to July 2018. Because the 1-min Apgar score reflects neonatal status at birth, we analyzed the risk factors for low (score <7) 1-min Apgar scores through logistic regression. Among these 10,550 neonates, 339 (3.2%) had low (score <7) 1-min Apgar scores. Among them, 321 (94.7%) were admitted to the neonatology department for further observation or treatment. Multivariate analysis revealed that educational background, body mass index, gestational age, pathological obstetrics, longer duration of the second stage of labor, forceps delivery or vacuum extraction, neonatal weight, neonatal sex, and meconium-stained amniotic fluid were independent risk factors for 1-min Apgar scores <7. Neonates who had low 1-min Apgar scores were more frequently admitted to the neonatology department for further observation or treatment. Early detection of risk factors and timely intervention to address these factors may improve neonatal outcomes at birth and reduce the rate of admission to the neonatology department.

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“…

Meconium stained amniotic fluid (MSAF) is an alarming sign of fetal compromise and predictor of adverse fetal outcomes such as meconium aspiration syndrome and perinatal asphyxia, which leads to perinatal and neonatal morbidity and mortality. [1][2][3] Meconium stained neonates are more prone to develop respiratory distress than neonates born with clear fluid. 1 Meconium stained amniotic fluid significantly increase the rate of maternal complications such as meconium-laden amniotic fluid embolism, intrapartum chorioamnionitis, puerperal endometiritis, wound infection, increased risk of operative delivery and its complication.

…”

mentioning

confidence: 99%

“…of MSAF and more than 4% of MAS infants died accounting for 2% of all perinatal deaths. 1,6,7 Meconium is a germ-free, thick, black-green, odourless material which is first recognized in the fetal intestine around 12 weeks of gestation and stores in the fetal colon throughout gestation. 8 Passage of meconium in the newborn infants is a developmentally programmed incident; normally occurring within the first 24 to 48 hours after birth.…”

mentioning

confidence: 99%

“…7 Meconium passage could follow vagal stimulation from common but transient umbilical cord entrapment and resultant increased peristalsis and relaxation of anal sphincter. 1,10 An increased incidence of meconium passage into the amniotic cavity is also noted in the presence of feto-maternal stress factors such as hypoxia and infection, independent of fetal maturation. Factors such as placental insufficiency, maternal hypertension, pre-eclampsia, oligohydramnios or maternal drug abuse (tobacco or cocaine) also result in, in-utero passage of meconium.…”

mentioning

confidence: 99%

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Meconium-stained liquor and its impact on maternal and neonatal outcome

Kashikar¹,

Kotpalliwar

Uttarwar³

2021

Int J Reprod Contracept Obstet Gynecol

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Background: Meconium stained amniotic fluid (MSAF) is predictor of adverse fetal outcomes. However, all fetuses with meconium passage do not have an adverse outcome and it is important to distinguish those who develop fetal distress promptly to prevent and intervene the sequalae accordingly. Hence this study was undertaken to study the grades of meconium stained liquor and its effect on intrapartum management and relation with maternal and neonatal outcome.Methods: A prospective observational study was conducted on term pregnancy patients. Firstly, the detailed case history and examination was performed. When membranes ruptured the colour of liquor was noted. Fetal monitoring by cardiotocography (CTG) was done continuously throughout labour. The mode of delivery, cord pH and base excess were noted. After the delivery Apgar score and weight of the baby, need for resuscitation, neonatal intensive care unit (NICU) admissions and neonatal complications were noted.Results: Of the 3117 deliveries conducted during the study period, 321 cases (10.29%) had meconium stained liquor out of whom, 183 women (57%) were with thin meconium and 138 (43%) had thick meconium. There was no risk factor identified in the majority of women. The CTG was reactive in most women with thin meconium (71.5%). There was a significantly higher incidence of pathological CTG’s in women with thick meconium (36.3%) (p value = 0.001). There was no significant difference in birth weight Apgar scores, cord pH, base excess in both the groups and rate of NICU admission.Conclusions: Maximum patients with thin meconium and reactive CTG included in our study delivered normally with good neonatal outcome. However presence of thick meconium in addition to other factors such as fetal heart rate alterations should be viewed seriously as it may pose a potential danger for the baby.

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Meconium stained liquor and its neonatal outcome

Cited by 35 publications

References 9 publications

Fetal Outcome and Mode of Delivery in a Patient with Meconium-Stained Amniotic Fluid

Fetal Outcome and Mode of Delivery in a Patient with Meconium-Stained Amniotic Fluid

Retrospective analysis of risk factors for low 1-minute Apgar scores in term neonates

Meconium-stained liquor and its impact on maternal and neonatal outcome

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