Outcome of neonates born through Meconium stained amniotic fluid in tertiary health care centre

Authors

  • Girish N. Department of Paediatrics, Kempegowda Institute of Medical Sciences, Bangalore, Karnataka, India
  • Shravani M. R. Department of Paediatrics, Kempegowda Institute of Medical Sciences, Bangalore, Karnataka, India
  • Tharashree C. D. Department of Paediatrics, Kempegowda Institute of Medical Sciences, Bangalore, Karnataka, India
  • Sunil B. Department of Paediatrics, Kempegowda Institute of Medical Sciences, Bangalore, Karnataka, India

DOI:

https://doi.org/10.18203/2349-3291.ijcp20180556

Keywords:

Clinical course, MAS, MSAF, Outcome

Abstract

Background: Meconium Aspiraion Syndrome (MAS) is an important cause of morbidity and mortality among newborns in the developing world. Meconium stained amniotic fluid (MSAF) occurs in approximately 13% of all live births.

Methods: This was a prospective observational study to assess the risk factors related with MSAF deliveries and MAS. All the details regarding mode of delivery, APGAR score (AS), birth weight, fetal distress, maternal age, any maternal illness, gestational age, clinical course, outcome was recorded and evaluated.

Results: In the present study total of 100 babies born through MSAF were included of which the incidence of respiratory distress was noted in 62% (62 babies).

Conclusions: Appropriate monitoring of respiratory distress at birth and assessing the high-risk cases will surely help in reducing the morbidity and mortality in vigorous babies born through MSAF.

References

Walsh MC, Fanaroff JM. Meconium stained fluid: approach to the mother and the baby. Clin Perinatol. 2007;34(4):653-5.

Fanaroff AA. Meconium aspiration syndrome: historical aspects. J Perinatol. 2008;28:S3-7.

Coltart TM, Byrne DL, Bates SA. Meconium aspiration syndrome: a 6-year retrospective study. Br J Obstet Gynaecol. 1989;96:411-4.

Wiswell TE, Tuggle JM, Turner BS. Meconium aspiration syndrome: have we made a difference? Pediatr. 1990;85:715-21.

Bhutani VK, Chima R, Sivieri EM. Innovative neonatal ventilation and meconium aspiration syndrome. Indian J Pediatr. 2003;70:421-7.

Velaphi S, Vidyasagar D. Intrapartum and post-delivery management of infants born to mothers with meconium stained amniotic fluid: evidence-based recommendations. Clin Perinatol. 2006;33(1):29-42.

Cleary GM, Wiswell TE. Meconium-stained amniotic fluid and the meconium aspiration syndrome: an update. Pediatr Clin North Am. 1998;45(3):511-29.

Ierland YV, Boer M, Beaufort AJ. Meconium-stained amniotic fluid: discharge vigorous newborns. Arch Dis Child Fetal Neonatal. 2010;95(1):69-71.

Ross MG. Meconium aspiration syndrome more than intrapartum meconium. New England J Med. 2005;353(9):946-8.

Singh SN, Srivastava R, Singh A, Tahazzul M, Kumar M, Kanta C, et al. Respiratory distress including meconium aspiration syndrome in vigorous babies born through meconium stained amniotic fluid: incidence, onset and severity of predictors. Indian J Pediatr. 2013;80(7):538-43.

Singh M. Care of the newborn. 7th edition. Sagar Publications; New Delhi. 2010:277-81.

Goldsmith JP. Continuous positive airway pressure and conventional mechanical ventilation in the treatment of meconium aspiration syndrome. J Perinatol. 2008;28:S49-55.

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Published

2018-02-22

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Section

Original Research Articles