Significance of meconium during labor

Miller, Frank C.; Sacks, David A.; Yeh, Shih-Ching; Paul, Richard H.; Schifrin, Barry S.; Martin, Chester B.; Hon, Edward H.

doi:10.1016/0002-9378(75)90052-6

Cited by 142 publications

(73 citation statements)

References 11 publications

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“…Many have shown an association between the presence of meconium and adverse neonatal outcome whereas others have not. Miller et al 13 assessed 366 term deliveries and determined that the incidence of meconium staining was 29%. They found that in the absence of other signs of fetal distress (late decelerations in the fetal heart rate for example) the presence of meconium did not influence neonatal outcome as assessed by measuring scalp pH in labor and arterial blood gases at birth.…”

Section: Discussionmentioning

confidence: 99%

Significance of Meconium-Stained Amniotic Fluid in the Preterm Population

2001

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Section: Discussionmentioning

confidence: 99%

Significance of Meconium-Stained Amniotic Fluid in the Preterm Population

2001

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“…26 Miller and Sacks observed a 3.5 fold increase in incidence of lower 1 and 5 minute APGAR score and increased mortality when meconium stained amniotic fluid was present. 27 Majority of neonates had onset of respiratory distress within 30 minutes of birth. Similar findings were reported by Eva Guachan et al 20 Culture proven septicemia was seen in 21.6% cases; more in extramural than intramural cases and was similar to incidence reported by Afsar et al (35%), Anwar et al (27.5%) and Jeena S et al (21.3%).…”

mentioning

confidence: 99%

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

Singh¹,

Singh²,

Thapar³

2017

Int J Contemp Pediatr

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Background: Amniotic fluid surrounds the baby in utero and provides a protective and low resistance environment and acts as a cushion for the baby. It is secreted by amniotic membranes, foetal skin and fetal urine. The objectives of this study was to identify the incidence of meconium stained amniotic fluid, perinatal outcome and the risks during pregnancy leading to in utero passage of meconium.Methods: A prospective study conducted in Sri Guru Ram Das University, Amritsar, between 1st December 2014 to 1st June 2016. All live births with meconim stained amniotic fluid without congenital malformation, twin or multiple organ dysfunction were taken as subjects of this study. Maternal obstetric history and risk factors were asked and foetal parameters including gestational age, fetal presentation, mode of delivery, birth weight, sex, Apgar score, age at onset of respiratory distress, treatment and outcome were observed.Results: Out of 1121 admissions in NICU, 12% of inborn and 9.6% of outborn were with MSAF, out of which 34% developed MAS. Majority of neonates were observed to be males (73.6%), term neonates (67.2%), weight 2.5-3.5 kg (76.9%) with mean weight being 2.701 kg±0.558 kg and 16% mortality including 9 inborn and 11 outborn neonates. Mean age at onset of respiratory distress was 18.43 minutes±11.52 minutes. Neonatal outcome was significantly related to weight, APGAR score at 5 mins, and development of complications like MAS, hypoxic ischemic encephalopathy, necrotizing enterocolitis, acute renal failure and severe thrombocytopenia. Culture proven septicaemia was seen in 21.6% cases. Mean duration of stay in NICU was 6.48 days±0.54 days.Conclusions: MSAF has significant effect on perinatal outcome and close observation is required to prevent and treat complications thus reducing mortality.

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“…In this study, in 52.6% cases colour of the amniotic fluid was clear. Miller FC et al found that although there was a 31/2 fold increase in incidence of low 5 min Apgar score in the meconium group but signs of fetal distress not significantly associated with colour of amniotic fluid 11 . In many studies, both biochemical and clinical variables were used to assess the condition of newborn infants 10 .…”

Section: Discussionmentioning

confidence: 96%

Neonatal outcome of suspected fetal distress cases

Guha

Asraf

2017

J Shaheed Suhrawardy Med Coll

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Background: Perinatal mortality is closely related to the early and accurate recognition of foetal distress. Objective of the study was to find out neonatal outcome in suspected fetal distress cases. Methods: This was a cross sectional study done in ShSMCH. Purposively 38 samples were taken in three weeks time and clinical state related to fetal distress and neonatal outcome of them were observed. Results: Fetal movement were less in 36.8% cases. Abnormal fetal heart rate were present in 89.4% cases and in 47.4% cases amniotic fluid was meconium stained. First minute Apgar score was low in 36.8% cases and 47.4% were admitted in paediatric ward. The clinical profile for diagnosis of fetal distress was not significantly associated with low apgar scores. Conclusion: There was very little appreciation for assumption of fetal distress clinically. [J Shaheed Suhrawardy Med Coll 2016;8(1): 23-25]

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Significance of meconium during labor

Cited by 142 publications

References 11 publications

Significance of Meconium-Stained Amniotic Fluid in the Preterm Population

Significance of Meconium-Stained Amniotic Fluid in the Preterm Population

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

Neonatal outcome of suspected fetal distress cases

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