Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
Meconium staining of liquor amnii is a commonly observed phenomenon in day‐to‐day practice of obstetrics and its significance as a sign of fetal distress is controversial. This study is an effort to ascertain whether meconium staining of liquor parse with no other high risk factors, predisposes to fetal distress in labor. Present study hospital based, prospective, observational study, conducted in women in labour with meconium staining of amniotic fluid singleton pregnancy with cephalic presentation. After delivery fetal well‐being was assessed. Among the 200 cases of meconium staining of amniotic fluid, thin meconium constituted to 35% of the cases and thick meconium in 65% of cases. 64% of the cases had an abnormal CTG in the thin meconium group. 80% of the thick meconium group had abnormal cardio‐ tocography, of which 52.3% had late decelerations. 51% of the cases admitted to our hospital were delivered vaginally whereas, 42% were taken for caesarean section. 64.3% of the cases among thin meconium group underwent caesarean section, whereas, in thick meconium group, this constitutes about 77.1%. 4% of the cases in the thin meconium group had an Apgar score of <6 at 5 minutes. In the thick group 14% had an Apgar score of <6 at 5 minutes. Meconium aspiration syndrome was observed in one of the 70 cases in the thin meconium group, where as it has been observed in 12% of the cases in the thick meconium group. 1% of the total deliveries complicated with meconium aspiration syndrome. Meconium stained amniotic fluid was found in 13.2% of all deliveries. Meconium aspiration syndrome was more common in cases with thick meconium stained liquor group. Neonatal mortality rate was more in thick meconium group.
How to cite this article:
K. Kushal Kumar, Snehalatha Alapati, Alapati Srihari and S. Santosh. Study of Neonatal Outcome in Neonates Born with Meconium Stained Amniotic Fluid at A Tertiary Hospital.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.9.393.398
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.9.393.398