Risk factors of meconium stained amniotic fluid-a case control study

Nirmala, Cherukuri; Thomas, Lovely; Sujatha, Y

doi:10.33545/gynae.2020.v4.i2c.521

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“…Women in late-term pregnancy had 8.8 fold increased risk of MSAF, compared with women in early-term pregnancy. The findings of this study were similar to the study done in Idian which showed a significantly increased risk of MSAF in women whose gestational age is more than 40 weeks ( 12 , 19 ). This might be explained by the maturation of the gastrointestinal tract and increased secretion of motilin by the fetus as gestational age advances which leads to increased fetal bowel peristalsis ending up in the passage of meconium.…”

Section: Discussionsupporting

confidence: 90%

Meconium Stained Amniotic Fluid and Associated Factors among Women Who Gave Birth at Term in Adama Hospital Medical College, Ethiopia

Dereje¹,

Sharew²,

Hunde³

2023

Ethiop J Health Sci

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BACKGROUND: Meconium stained amniotic fluid (MSAF) is a commonly observed phenomenon in day-to-day practice of obstetrics. The reported prevalence of MSAF was 7-22% of all term deliveries. Some of the factors that increases the risk of meconium stained amniotic fluid includes; advanced gestational age at delivery, prolonged rupture of membranes, intra-amniotic infection, pre-eclampsia, oligohydroamnios, and diabetes mellitus. The study aimed to determine the prevalence of meconium stained amniotic fluid and its associated factors among women who gave birth at term, from January 1st to July 30th, 2020, at Adama Hospital Medical College.METHODS: Institutional based cross-sectional study was conducted on 314 laboring women who gave birth at term. Systematic random sampling was used to select the study participants. Data entry and analysis were made by using Epi- info 7 and SPSS version 20, respectively.RESULTS: The prevalence of meconium stained amniotic fluid was 23.9%. Late term pregnancy, Oligohydraminos, Antepartum hemorrhage, Premature rupture of membrane, and Non-reassuring fetal heart rate pattern were significantly associated with meconium-stained amniotic fluid.CONCLUSIONS: The prevalence of MSAF was comparable with other studies. Late-term pregnancy, oligohydramnios, antepartum hemorrhage, non-reassuring fetal heart rate pattern, and premature rupture of the membrane were factors associated with an increased risk of MSAF.

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Section: Discussionsupporting

confidence: 90%