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Indian Journal of Maternal-Fetal & Neonatal Medicine 6(2):p 95-100, July-December 2019. | DOI: DOI: http://dx.doi.org/10.21088/ijmfnm.2347.999X.6219.2
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Feto-Maternal Outcome with Meconium Stained Liquor: A Clinical Study from Medical College of Ambala
Sachin Singh Yadav , Simmanjit Kaur1 , Sachin Singh Yadav2 , Harsharan3
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Indian Journal of Maternal-Fetal & Neonatal Medicine 6(2):p 95-100, July-December 2019. | DOI: DOI: http://dx.doi.org/10.21088/ijmfnm.2347.999X.6219.2
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Simmanjit Kaur, Sachin Singh Yadav, Harsharan. Feto-Maternal Outcome with Meconium Stained Liquor: A Clinical Study from Medical College of Ambala. Indian J Matern Fetal Neonatal Med. 2019;5(2):95-100.
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Abstract
Introduction: Incidence of meconium stained amniotic fluid (MASF) is about 10–15% of all pregnancies which isrelated with maturation of the fetal Gastrointestinal Tract (GIT) but may also be associated with unfavorable neonatal outcome. Objectives: Aim of our study was to study the fetomaternal outcome in cases with meconium stained amniotic fluid. Materials and Methods: The present study was conducted in Maharishi Markandeshwer Medical College & Research Center, Ambala. Total 100 cases with MSAF fulfilling the inclusion criteria were included in the study. All the parameters were analyzed to identify the various fetomaternal outcome. Results: we found that the incidence of MSAF was 10.8%, thin MSAF was seen in 74% cases andthick MSAF in remaining 26%. MSAF was present frequently in primigravidas and with increase ingestational age. The incidence of abnormal FHR pattern was common in the thick meconium group (69.2%) as compared to thin meconium group (18.9%). The most common mode of delivery in cases with thin MSAF was normal vaginal delivery (51.5%) while in cases with thick MSAF was by lower segment caesarean section (LSCS) (61.5%). The incidence of NICU admission in thin MSAF group was 18.9% while in thick MSAF 46.1% required NICU admission. Conclusion: As the incidence of perinatal morbidity and mortality is more in cases with meconium stained amniotic fluid, henceforth the patients with meconium staining of amniotic fluid needs to be monitored vigorously with timely interventions and proper neonatal resuscitation.
Keywords: MSAF-Meconium Stained Amniotic Fluid; LSCS; Fetal Gastrointestinal Tract (GIT).
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Simmanjit Kaur, Sachin Singh Yadav, Harsharan. Feto-Maternal Outcome with Meconium Stained Liquor: A Clinical Study from Medical College of Ambala. Indian J Matern Fetal Neonatal Med. 2019;5(2):95-100.
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DOI: DOI: http://dx.doi.org/10.21088/ijmfnm.2347.999X.6219.2
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