PERINATAL OUTCOME OF MECONIUM STAINED AMNIOTIC FLUID
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Keywords
meconeum stained amniotic fluid
Abstract
Objective To determine the perinatal outcome of labouring mothers with meconium-stained amniotic fluid (MSAF).
Methods A prospective observational study was conducted among labouring mothers with meconiumstained amniotic fluid from December 2019 to june 2020 at SCB Medical College ,Cuttack, Odisha, India . Data was collected with pretested structured questionnaires. A Chi-square test used to check statistical associations between variables. Those variables with a p-value of less than 0.05 were selected for cross-tabulation and binary logistic regression. P-value set at 0.05, and 95% CI was used to determine the significance of the association. Relative risk was used to determine the strength and direction of the association.
Result Among 556 participants, there where 278(50%) primigravida in a stained fluid group. Labour was induced in 145 (26.07%) of the stained fluid group and has a statistically significant association with meconium staining. The stained fluid group was twice more likely to undergo operative delivery compared with a non-stained fluid group. There were more low Apgar scores at birth (36.8% ), birth asphyxias (9% ), neonatal sepsis (1% ), neonatal death (1%), and increased admissions to neonatal intensive care unit among the meconium-stained group. Meconium aspiration syndrome was seen in 35(6.2%) of the stained fluid group.
Conclusion Meconium-stained amniotic fluid is associated with increased frequency of operative delivery, birth asphyxia, neonatal sepsis, and neonatal intensive care unit admissions compared to clear amniotic fluid.
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Dr Purva Mahapatra
Senior Resident, Dept of O&G, PRM Medical College, Baripada, Odisha, India (Ex PG , SCB Medical College, Cuttack, Odisha)
Dr Subhalaxmi Dash
Asst Professor, Dept of O&G, MKCG Medical College, Berhampur, Odisha, India
Dr Satyajit Jena
Asst. Prof. (Obst & Gynecology), SCB Medical College, Cuttack, Odisha, India
Dr Sudhanshu Sekhara Nanda
Asst. Professor, Dept of O&G, PRM Medical College, Baripada, Odisha, India
Dr Chintamani Mahanta
Asso. Professor, Dept of O&G, PRM Medical College, Baripada, Odisha, India