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DOI: DOI: http://dx.doi.org/10.21088/ijog.2321.1636.5417.16

Abstract

Objective: Neonatal outcome in meconium stained amniotic fluid cases and correlation with maternal risk factors. Methods: it was an observational study at Sir Sunder Lal Hospital, Banaras Hindu University. This is a tertiary referral center that has a wide catchment area. Our plan was to collect data regarding antenatal history, intrapartum factors and neonatal outcome from laboring women who have meconium stained amniotic fluid (MSAF). Results: There were 42 women in MSAF group, 17 women out of 42 had thick meconium. 35 women were included who had no meconium staining. There were 72.7% unbooked and 27.3% booked pregnant women. 16.6% (7/42) proportion of women with meconium (MSAF) had FHR abnormality. 40.47% (17/42) proportion of women with meconium (MSAF) had CTG abnormality (chart 2). There was no relation with birth weight and MSAF in our study. Discussion & Conclusion: MSAF is the commonest Obstetric situation on the labor ward. Labor ward staff should be properly trained to deal with this situation, as if left unattended could lead to fetal/ neonatal morbidity and mortality; while overenthusiastic management could lead to maternal complications. So, MSAF warrants a judicious approach.

Keywords: Fetal Distress; Meconium Stained Amniotic Fluid; Neonatal Outcome. 

Corresponding Author : Uma Pandey, Associate Professor, Department of Obstetrics & Gynaecology, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh 221005, India.