Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
To assess perinatal outcome in meconium stained amniotic fluid. Study design Prospective observational study. Subjects 100 cases of meconium stained liquor during labor and their outcome in terms of mode of delivery and fetal outcome. Women who were in labour and had a term pregnancy (>37 weeks gestation), cephalic presentation and a live singleton during a normal pregnancy met the inclusion criteria. As an exclusion standard, Pregnant women in labour who are unaware of their last menstrual cycle Eclampsia, antepartum bleeding, intrauterine mortality, congenital defects, previously diagnosed heart or lung conditions in the mother, pregnancy with IUGR babies, alternative presentations to cephalic After selecting the cases, a thorough history was collected and general and systemic exams were conducted. A thorough obstetrical examination was performed, noting the foetal heart rate, uterine contractions, presentation, position, height of the fundus, amount of amniotic fluid and pelvic status. Use of any drugs, including oxytocin, sedatives and analgesics, was also observed. Early ARM was performed in high risk patients, such as those with post‐datism, oligohydromnios, or PIH. During artificial or spontaneous membrane rupture, meconium staining of the amniotic fluid was detected and its consistency was assessed, whether it was thin, moderate, or thick. Additionally, the foetal heart rate pattern was monitored and the manner of delivery was chosen in accordance with that. The infant was evaluated by an obstetrician and a neonatologist immediately after birth, followed up daily until discharge and then examined again after 15 days in the OPD. The APGAR scores at the first and fifth minutes, weight, sex the need for newborn resuscitation, admission to the neonatal ward and intensive care unit were used to assess the foetal outcome. Investigations that were pertinent were conducted, including a chest X‐ray. One infant was born dead. All newborns were given immediate CPR and had their APGAR scores checked after five min. Five newborns required admission to the NICU out of the 13 newborns with APGAR scores below seven at one min. NICU admission was required in 40 cases, 10 cases were observed with Thin type meconium, 14 with moderate and 16 cases had thick meconium. Perinatal morbidity is influenced by birth asphyxia, aspiration pneumonia, respiratory distress syndrome, and febrile sickness. Deaths during pregnancy were 6%.
How to cite this article:
Sagar Babasaheb Shirsath, Alishba Anasuddin Farooqui, Ishita Rajesh Baria and Mohammad Sana Samreen. To Assess Perinatal Outcome in Meconium Stained Amniotic Fluid.
DOI: https://doi.org/10.36478/10.59218/makrjms.2024.1.11.15
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2024.1.11.15