Clinical outcome of babies born through meconium stained liqour
DOI:
https://doi.org/10.18203/2349-3291.ijcp20233241Keywords:
Mechanical ventilation, Meconium, Respiratory distressAbstract
Background: Meconium aspiration syndrome (MAS) is as a result of aspiration of meconium-stained amniotic fluid antepartum or postpartum in term or near-term infants resulting in respiratory morbidity of varying severity. The present study was conducted to assess the clinical outcome of babies born through meconium stained liquor.
Methods: This is a prospective observational study of babies born through meconium stained liquor at ESIC Medical College and Post Graduate Institute of Medical Science and Research over a period of 18 months from March 2021 to August 2022.
Results: Majority of the babies were born through thin MSL. The highest incidence of MSL is seen in term babies. Normal vaginal delivery was the predominant mode of delivery. Thick MSL babies had low APGAR score at 1min .Majority of the thick MSL group had moderate to severe respiratory distress. Thick MSL babies required invasive mechanical ventilation compared to thin MSL group. Thick MSL study group had moderate to severe meconium aspiration syndrome compared to thin MSL study group. Perinatal depression was the most commonly associated complication in this study. Sepsis and PPHN were the complications that lead to mortality among the study group. Higher morbidity was seen in thick MSL group. The overall mortality was 1.6% and morbidity 55.2%.
Conclusions: Thick meconium stained amniotic fluid is associated with increased risk perinatal depression, persistent pulmonary hypertension, sepsis, severe meconium aspiration syndrome and mortality.
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