Meconium stained amniotic fluid4/5/2023 ![]() ![]() Procedure:If drying and suctioning do not induce effective breathing, additional safe methods include. Initiating Breathing: Immediately dry the baby and reposition. Rest of the neonates only need careful observation after thorough oronasopharyngeal suctioning. If there is meconium stained amniotic fluid- Intrapartum suctioning. ![]() Selective approach can be adopted for babies with MSAF reserving intratracheal suctioning at birth for depressed neonate or evidence of fetal distress in utero. All deaths occurred in thick meconium group and were associated with SBA. Meconium aspiration syndrome was observed in 9 babies of thick meconium group and 8 of these were depressed at birth. Severe birth asphyxia (SBA) occurred in 27.0 and 6.3% of babies with thick and thin meconium staining, respectively. The consistency of meconium had direct bearing on the neonatal outcome. One fifth of babies born through MSAF suffered severe birth anoxia compared to 5.6% in non-MSAF group. Hepatitis in mother, fetal distress during labor and intrauterine growth retardation were significant factors associated with MSAF. ![]() In all babies born through MSAF, thorough oropharyngeal suction as soon as the head was delivered followed by immediate intratracheal intubation and suctioning in infants depressed at birth.Ģ04 (14.3%) deliveries had MSAF of which thick meconium was present in 141. Meconium aspiration syndrome.To find out the incidence, outcome as well as antenatal, intrapartum and neonatal attributes of meconium stained amniotic fluid (MSAF).ġ426 live births occurring in 1500 consecutive deliveries, over one year period. Keywords: Meconium stained amniotic fluid. The presence of thick meconium is associated with increase in the perinatal morbidity and mortality and hence its presence should not be overlooked. In a global sense it is still considered a marker for adverse perinatal outcomes. Meconium-stained amniotic fluid was found in 50 of neonatal deaths and it was associated with higher rates of surgical deliveries. However it is now recognized as a manifestation of a normally maturing gastrointestinal tract. Traditionally meconium has been considered as a sign of fetal distress occurring due to hypoxia. 3 Birth suite management of the infant where liquor is meconium stained is described here. Conclusions: The significance of meconium in amniotic fluid is a widely debated subject. Meconium-stained amniotic fluid (MSAF) is rarely seen at preterm delivery its presence raises the possibility of chorioamnionitis, fetal infection or cord compression. Neonatal morbidity due to MAS was seen in 3 (18.8%) cases and mortality was seen in 4 (7.41%) cases. In the present study there was a good correlation between APGAR score and MAS, 3 neonates with thick meconium in the severely asphyxiated group had MAS. Results: The incidence of meconium stained liquor was 18%.Fetal heart rate abnormalities were seen more often with thick meconium (62.5%) than with thin meconium (15.8%) which was statistically significant. Methods: A total of 300 women were taken in the study, out of which 54 cases who were found to have meconium on spontaneous or artificial rupture of membranes were monitored with fetal heart rate abnormalities, 5 minute APGAR score and neonatal complications as outcome variables. The objective of this study was to correlate the presence of meconium in amniotic fluid with perinatal outcome. The incidence of meconium stained amniotic fluid is 1-18%. Intrauterine meconium passage in near-term or term fetuses has been associated with fetomatemal stress factor like hypoxia and infection independent of fetal maturity. Abstract : Background: Meconium passage in new born is a developmentally prograimned event normally occurring within the first 24 to 48 hours after birth. ![]()
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