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Mode of Delivery in Meconium Stained Amniotic Fluid: A Descriptive Clinical Study

Laxmi N. Itagi* , Laxmi N. Itagi* , Harini R.**

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Indian Journal of Obstetrics and Gynecology 4(2):p 105-108, May-Aug 2016. | DOI: DOI: http://dx.doi.org/10.21088/ijog.2321.1636.4216.8

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Abstract

 Introduction: Meconium is likely to cause both mechanical obstruction of the airways and chemical pneumonitis. The free fatty acids in meconium will strip away alveolar surfactant. Atelectasis, consolidation, pneumothorax and pneumomediastinum may occur that would prove to be fatal. Methodology: During study cases were selected with pregnant women at term gestation with cephalic presentation with meconium stained amniotic fluid, keeping in mind the inclusion and exclusion criteria. Results: 75 patients with thin meconium stained amniotic fluid, 34 (45.33%) had normal vaginal delivery, while in thick meconium stained amniotic fluid out of 125 only 36 (28.8%) delivered normally. Conclusion: Incidence of LSCS was more in thick meconium stained amniotic fluid as compared to with thin Meconium stained amniotic fluid.

Keywords:Meconium; Amniotic Fluid; Mode of Delivery.

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DOI: DOI: http://dx.doi.org/10.21088/ijog.2321.1636.4216.8

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