Introduction: The infants with meconium aspiration usually have trachypnea, frequently upto 100 beats / minutes which may last for few days to weeks and sometimes persist even after complete recovery. Cyanosis is obvious in the most severely affected infants. Chest retraction is not a prominent sign, marked over distension of chest as a result of air trapping seen frequently. Methodology: The Apgar score at one minute and five minutes are noted down. The lungs were examined for aspiration syndrome and signs were noted down. The presence or absence of respiratory grunt, tachypnoea was also noted. The weight of the baby was also noted. If the baby is active just thorough oropharyngeal suction done, stomach wash was given and were placed with mother. Apgar score >7 were considered as good Results: NST pattern was nonreactive in 55.5% especially in thick meconium accounting for 66.4% than compared to thin meconium 37.34% and also accounting for increased incidence in operative interventions. Fetal heart rate- <120bpm there were 12 cases, 120- 160bpm there were 183 cases, >160 there were5 cases. Conclusion: Low Apgar scores were observed in thick meconium than in thin meconium.

Keywords: Meconium; Apgar Scores; Fetal Heart Rate.