Management practices and outcome of meconium stained amniotic fluid

Authors:Hiremath PB , Bahubali Gane ,Meenal . C ,Nidhi Bansal ,Ragaramya
Int J Biol Med Res. 2012; 3(3): 2204-2207  |  PDF File

Abstract

One of the major problems an obstetrician faces while conducting labour is the Meconium stained amniotic fluid. Meconium stained amniotic fluid present in 10%-20% of all deliveries. Meconium Aspiration Syndrome occurs in about 2-4% of all deliveries (or 20-25% of MSAF cases) leading to a high mortality of nearly 8-48% and 20 % morbidity at various stages of growth. Passage of meconium in utero is generally considered as a sign of fetal distress. The stress can me acute as in the case of cord compression or chronic as in the case of placental insufficiency. Cases of full term singleton pregnancy with vertex presentation in labour and in whom meconium stained amniotic fluid (MSAF) was detected after spontaneous or artificial rupture of membranes were enrolled to study the management practices of MSAF and its outcome. Of the total 6000 deliveries, 795 cases were complicated by meconium stained amniotic fluid. Out of 795 MSAF cases, of which 28.4% of babies were less than 2500 gms weight, 64.65% were between 2501-3500 gms and 5.6% were more than 3500 gms. Based on our study we conclude that meconium stained amniotic fluid is associated with increased incidence of caesarean section, lower Apgar score, neonatal nursery admission and meconium aspiration syndrome.