Study of risk factors and perinatal outcome in meconium stained deliveries from a district of Uttar Pradesh, India

Rathoria, Richa; Rathoria, Ekansh; Bansal, Utkarsh; Mishra, Madhulika; Jalote, Ila; Shukla, Nirpal Kaur; Agarwal, Dhruva

doi:10.18203/2320-1770.ijrcog20183761

Cited by 9 publications

(10 citation statements)

References 24 publications

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“…Its presence is a sign of fetal compromise and is associated with increased perinatal morbidity and mortality [ 1 ]. Meconium-stained amniotic fluid (MSAF) is associated with a higher rate of instrumental delivery, cesarean delivery, low birth weight, fetal distress, neonatal intensive care unit (NICU) admission rate, and neonatal death [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

Impact of Meconium-Stained Amniotic Fluid on Neonatal Outcome in a Tertiary Hospital

Parween¹,

Prasad²,

Poonam³

et al. 2022

Cureus

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Objective The aim of this study was to determine the perinatal outcome of pregnant patients complicated with meconium-stained amniotic fluid (MSAF) compared with clear amniotic fluid. Methodology This prospective cross-sectional study was conducted in the Department of Obstetrics and Gynecology in collaboration with the Department of Pediatrics at Indira Gandhi Institute of Medical Sciences, Patna, India, from September 2016 to January 2018. A total of 200 patients were included in the study after taking their written consent. Out of these 200 patients, 100 patients had MSAF, and the other 100 patients with clear liquor were taken as controls after fulfilling the inclusion and exclusion criteria. These two groups of patients were compared regarding various maternal and neonatal parameters. These parameters were compared and tested statistically for significance. Results Among the 100 patients with MSAF, 20 patients had grade 1 meconium (X), 22 patients had grade 2 meconium (Y), and 58 patients had grade 3 meconium (Z). The majority of patients in the MSAF group were primigravida and more than 25 years of age. In addition, 47% of patients in the MSAF group had some associated high-risk factors and 50% of patients had non-reassuring fetal heart rate patterns, and among these, 39 patients had grade 3 MSAF (X). In the MSAF group, 49% of patients had undergone lower segment cesarean section (LSCS), whereas in the non-MSAF group, it was 37%. Also, 30% of babies in the MSAF group and 13% in the non-MSAF group had neonatal intensive care unit (NICU) admission; 22% of babies in the MSAF group and 12% of babies in the non-MSAF group had an adverse neonatal outcome. Meconium aspiration syndrome was present in 14% of the patients in the MSAF group, and among these, two babies had neonatal death and both had severe birth asphyxia. In the non-MSAF group, there was one neonatal death due to neonatal sepsis. However, after statistically analyzing the neonatal outcome in both the groups, there was no statistical difference between the two groups (p<0.001). Conclusion MSAF is associated with increased frequency of operative delivery, poor neonatal outcomes, and increased NICU admission. Management of labor with MSAF requires appropriate intrapartum care with continuous fetal heart rate monitoring, and this can reduce unnecessary cesarean sections in patients with MSAF.

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Section: Introductionmentioning

confidence: 99%

Impact of Meconium-Stained Amniotic Fluid on Neonatal Outcome in a Tertiary Hospital

Parween¹,

Prasad²,

Poonam³

et al. 2022

Cureus

View full text Add to dashboard Cite

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“…MSAF predisposes perinatal mortality even in women with very low risk for obstetric complications 5. MSAF is associated with higher rate of caesarean delivery, instrumental delivery, NICU admission rate, fetal distress, low birth weight and neonatal death 8…”

Section: Introductionmentioning

confidence: 99%

Meconium stained liquor and its neonatal outcome

et al. 2018

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Objective:To determine the maternal factors and neonatal outcome of pregnancy complicated by meconium stained amniotic fluid.Methods:This one year retrospective study was conducted at the Agha Khan Hospital for Women-Garden Campus, it is a secondary care private teaching hospital. Demographics information included gestational age, gender and birth weight of baby, medical and obstetric complications during pregnancy, mode of delivery, neonatal outcome (Meconium Aspiration Syndrome (MAS) and need for admission in nursery) were recorded on a pre-designed proforma.Results:In our study the frequency of meconium stained amniotic fluid (MSAF) was 7.85%, out of them 12 % babies developed MAS. There was significant association between grades of meconium and MAS, babies with thick meconium were prone to develop MAS (P = 0.02). Emergency cesarean section was significantly associated with MAS. Gestational diabetes (GDM) and pregnancy induced hypertension (PIH) were the significant factors associated with MAS.Conclusion:Thick Meconium stained amniotic fluid was associated with low APGAR score, high rate of emergency cesarean section and meconium aspiration syndrome. Anemia during pregnancy, PIH and GDM were important risk factor associated with MAS.

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“…20 Higher rate of caesarean section , instrumental delivery, NICU admission and perinatal death are associated with meconium stained amniotic fluid. 21 Singh N et al in 100 post dated deliveries studied that c-section and instrumental delivery was performed in 32% and 2 % respectively. 22 Our study showed even higher rate of LSCS of 40.13 % and 2 % of instrumental delivery.…”

Section: Resultsmentioning

confidence: 99%

Maternal and Fetal Outcome in Pregnancy Beyond the Expected Date of Delivery in a Tertiary Care Hospital of Nepal

Chhetri

Shrestha²,

Shrestha³

et al. 2022

JCMC

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Background: The risk to the mother and the fetus increase with advancing gestation age. Our study aims to study the maternal and fetal outcome in pregnancy extending beyond the expected date of delivery so that safe timings of induction and appropriate mode of delivery can be determined. Methods: We conducted a retrospective study of 152 patients with pregnancy beyond the expected date who presented to the department of Obstetrics and Gynecology, College of Medical Sciences Teaching Hospital from the time period of October 2019- November 2021.The primary outcome measures were obtained in terms of rate of cesarean section, postpartum hemorrhage, wound infection, admission in neonatal intensive care unit, birth asphyxia and meconium aspiration syndrome. Statistical analysis was performed using Chi-square test with P value <0.05. Results: The majority of 86 (56.58%) patients were between 40-41 weeks of gestation. Maximum number of vaginal deliveries were seen between 40-41weeks (77.90%). Overall cesarean section rate was 40.13% with maximum number between 41-42 weeks (64.28%). Fetal distress with meconium-stained liquor was the most common indication (36.06%). The rate of neonatal intensive care unit admission was 16.44% with birth asphyxia (12.50%) and meconium aspiration syndrome (8.55%) as the primary cause for admission. Maternal complications like oligohydramnios, postpartum hemorrhage, wound infection, cervical tear, shoulder dystocia was seen in 16.45%, 1.97%, 1.97%, 2.63% and 1.31% respectively. Conclusions: The pregnancy beyond the expected date causes definite risk to the mother and the fetus. Therefore, strict fetal surveillance with early induction of labor prior to expected date of delivery is recommended for better fetomaternal outcomes.

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Study of risk factors and perinatal outcome in meconium stained deliveries from a district of Uttar Pradesh, India

Cited by 9 publications

References 24 publications

Impact of Meconium-Stained Amniotic Fluid on Neonatal Outcome in a Tertiary Hospital

Impact of Meconium-Stained Amniotic Fluid on Neonatal Outcome in a Tertiary Hospital

Meconium stained liquor and its neonatal outcome

Maternal and Fetal Outcome in Pregnancy Beyond the Expected Date of Delivery in a Tertiary Care Hospital of Nepal

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