Should fetal scalp blood sampling be performed in the case of meconium-stained amniotic fluid?

Boujenah, J.; Oliveira, J.; Hosseraye, C. De La; Benbara, Amélie; Tigaizin, A.; Bricou, Alexandre; Carbillon, Lionel

doi:10.3109/14767058.2016.1149567

Cited by 3 publications

(3 citation statements)

References 29 publications

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“…The prenatal umbilical cord is the lifeline that supplies oxygen and nutrients to the fetus, and entanglement or problems with the umbilical cord mean that oxygen is not supplied, resulting in a strangulating effect, as well as potentially leading to intrauterine growth retardation or premature birth, which may require intensive treatment. The umbilical cord having stained meconium indicates fetal stress, which may increase the risks of neonatal jaundice, neonatal sepsis, newborn respiratory distress syndrome, and meconium aspiration syndrome [9]. Studies have emphasized the importance of observing umbilical cord status through ultrasonography as part of prenatal care and during pregnancy [10], and have pointed out the practicality of using disinfectants or nursing methods for umbilical cord separation [11], but the importance of observing the thickness and status of the umbilical cord is still under-recognized in the clinical setting, to the point that the umbilical cord may not even be measured with a tape measure.…”

Section: Need For Studymentioning

confidence: 99%

Correlations between the Status of the Umbilical Cord and Neonatal Health Status

Lee¹,

Kim²,

Cho³

et al. 2020

Child Health Nurs Res

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Purpose: This study aimed to identify correlations between the status of the umbilical cord and neonatal health status.Methods: In total, 172 newborns were enrolled who were admitted to the newborn nursery with a gestational age of 35 weeks or older and a body weight of 2 kg or above. Data were collected on the basic personal information of the newborns, the diameter and soft tissue status of the umbilical cord, and neonatal health status after birth. Analyses were performed using t-test, analysis of variance, x2 test, and Fisher exact test.Results: Umbilical cord diameter exhibited a statistically significant difference by sex (t=2.71, p=.007). A thin umbilical cord diameter was associated with a 1-minute Apgar score less than 8 points (t=2.47, p=.015) and with being transferred to the intensive care unit (t=2.45, p=.015). Poor soft tissue status of the umbilical cord was associated with a 1-minute Apgar score of less than 8 points (x2=16.68, p<.001) and with oxygen being supplied (x2=4.81, p=.028).Conclusion: Assessing the umbilical cord diameter and status in newborns is an important tool for evaluating neonatal health status after birth, and this point also underscores the importance of professionals' careful observations in the newborn nursery.

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Section: Need For Studymentioning

confidence: 99%

Correlations between the Status of the Umbilical Cord and Neonatal Health Status

Lee¹,

Kim²,

Cho³

et al. 2020

Child Health Nurs Res

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“…10 Spectrum of MAS varies from mild to severe. 11 Reduction in the incidence of MAS have been reported globally, [12][13][14] credited to improved obstetric practices and prompt delivery where fetal distress found. 15,16 It is obvious that severe MAS is allied with high risk of PTX, longer duration of respiratory supports and oxygen therapy.…”

Section: Introductionmentioning

confidence: 99%

Pneumothorax in neonates with meconium aspiration.

Amin¹,

Ahmad²,

Naeem³

et al. 2019

TPMJ

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Objectives: Recent years have seen advances in respiratory supports for meconium aspiration syndrome (MAS) but pneumothorax (PTX) still stands a significant indicator of disease severity. This study was aimed to determine the frequency of PTX in newborn with meconium aspiration. Study Design: Descriptive, cross-sectional study. Setting: Department of Pediatric Medicine, Unit 1, Bahawal Victoria Hospital, Bahawalpur, and Department of Pediatric Medicine, Ghazi Khan Medical College/Hospital, Dera Ghazi Khan. Period: 1st June 2017 to 30th September 2018. Material and Methods: A total of 736 patients with meconium aspiration of age 1-28 days and both genders were included. Patients with congenital heart anomalies and preterm infants were excluded. Presence or absence of PTX in each patient was noted. Results: Age range in this study was from 1 to 28 days with mean age of 12.80 ± 6.52 days. Majority of the patients 434 (58.97%) were between 1 to 14 days of age. Out of the 736 patients, 394 (53.53%) were male and 342 (46.47%) were females with male to female ratio of 1.2:1. Frequency of PTX in newborn with meconium aspiration was found in 176 (23.91%) patients. Conclusion: Frequency of PTX in newborn with meconium aspiration is quite high. In every newborn with meconium aspiration, proper management should be done for early prevention as well as taking therapeutic measures in this particular population.

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“…7,8 Meconium stained infants have low scalp blood pH and low umbilical artery pH. 9 Additionally these babies have lower Apgar score in the first and fifth minute after delivery. 10 The aim of the study was associated with the prevalence of various maternal risk factors associated with meconium stained amniotic fluid.…”

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confidence: 99%

Maternal risk factors and perinatal outcome in meconium stained amniotic fluid: a cross sectional study

Deepak

2018

Int J Reprod Contracept Obstet Gynecol

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Background: Meconium staining of amniotic fluid has long been regarded as a sign of fetal distress and fetal asphyxia. Although exact cause is unknown, meconium is thought to be passed from fetal gastro-intestinal tract as a response to hypoxia, mesenteric vasoconstriction induced gut hyper peristalsis, vagal stimulation and normal physiologic function of a mature fetus. Overall frequency has ranged from 5 to 24.6%. Present study is undertaken to detect incidence, mode of delivery, fetal heart rate variability and neonatal outcome in neonates born through MSAF. The objective of the study was to maternal risk factors, mode of delivery and perinatal outcome in labors complicated with meconium stained amniotic fluid.Methods: This is a cross sectional study done at Government Medical College, Thrissur on term, singleton pregnancies complicated with meconium stained amniotic fluid satisfying the inclusion criteria. Patients detailed history, gestational age, per abdominal examination, per speculum and per vaginal examination, admission tests including intrapartum cardiotocography (CTG) was recorded in a predesigned proforma.Results: The age of the patients varied between above 19 and 30 years. Majority of the study population were 69.3% Primi gravidas. Out of 130 cases, 56.2% were grade 2 meconium stained liquor, 30.7% were grade 3 meconium stained and 13.1% were grade 1 meconium stained. Association between neonatal complications in relation to grades of meconium was found to be statistically significant (p = 0.001). NICU admission was 24.7% in grade 2 meconium group. Hypoxic Ischemic encephalopathy was high in grade 3 meconium group, 45%. Majority of babies born through grade 1 meconium were asymptomatic and 10% of babies in grade 3 meconium groups were asymptomatic. Meconium aspiration syndrome, Respiratory distress were more in babies born through deliveries complicated with grade 3 meconium.Conclusions: The study indicated meconium stained amniotic fluid during labour increases the prevalence of abnormal intrapartum CTG, Caesarean section, lower Apgar score, increased duration of NICU and hospital stay, poor perinatal outcome and non-significant difference in incidence of lower birth weight in babies.

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Should fetal scalp blood sampling be performed in the case of meconium-stained amniotic fluid?

Abstract: In case of MSAF, fetal scalp blood sampling did not reduce the risk of RDS.

Cited by 3 publications

References 29 publications

Correlations between the Status of the Umbilical Cord and Neonatal Health Status

Correlations between the Status of the Umbilical Cord and Neonatal Health Status

Pneumothorax in neonates with meconium aspiration.

Maternal risk factors and perinatal outcome in meconium stained amniotic fluid: a cross sectional study

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