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Meconium Stained Liquor at Term and Its Obstetrical and Perinatal Outcome

Harshini V., Senior Resident, Department of OBG, ESI Post Graduate Institute of Medical Science and Research, Rajajinagar, Bangalore -560010 Karnataka, India. , Sreelatha S.* , Harshini V.** , Ramya S.*** , Shweta Sharan*** , Praneetha K.***

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Indian Journal of Obstetrics and Gynecology 5(3):p 359-362, Jul-Sep 2017. | DOI: http://dx.doi.org/10.21088/ijog.2321.1636.5317.6

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Abstract

Obstetrical teaching throughout this century has included the concept that meconium passage is a potential warning of fetal asphyxia. An association among meconium stained liquor, fetal compromise and perinatal morbidity is well known. Objective: The present prospective study is to know the prevalence of meconium at term, the mode of delivery and perinatal outcome in our hospital. Methods: A prospective study conducted over 6 months in Department of Obstetrics and Gynecology, ESIMC PGI MSR Bangalore, Karnataka. Data collected from all labouring women with meconium stained liquor on either spontaneous or artificial rupture of membranes, were enrolled for the study after obtaining written and informed consent. Result: In our study out of 1680 delivered women 118 women were with MSAF, with prevalence of 7% of MSAF. 36 women Delivered by FTVD with prevalence of 30%, 82 women by LSCS with prevalence of 70%. With NICU admission for MAS is 15%. Conclusion: Meconium stained amniotic fluid during labour & delivery is associated with increased caesarean section. So the outcome of meconium stained amniotic fluid during labour & delivery is unpredictable.

Keywords: Meconium Stained Amniotic Fluid; Meconium Aspiration Syndrome; Thick Meconium. 

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DOI: http://dx.doi.org/10.21088/ijog.2321.1636.5317.6

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