Volume : 6, Issue : 6, June - 2017

FETAL OUTCOME ASSOCIATED WITH MECONIUM STAINED LIQUOR DURING LABOUR

Dr. K Sri Tanaya, Dr. N Venkata Sivani, Dr. A. Revanth Kumar, Dr. N. Partha Sarathy

Abstract :

<p>&nbsp;<b style="text-align: justify;"><span style="font-size: 12pt; line-height: 150%; font-family: Arial, sans-serif;">Introduction: </span></b><span lang="EN-IN" style="text-align: justify; font-size: 12pt; line-height: 150%; font-family: Arial, sans-serif;">Meconium is a viscous green liquid</span><span style="text-align: justify; font-size: 12pt; line-height: 150%; font-family: Arial, sans-serif;">and </span><span lang="EN-IN" style="text-align: justify; font-size: 12pt; line-height: 150%; font-family: Arial, sans-serif;">10- 15% of all pregnancies will be complicated by meconium passage into amniotic fluid leading to develop complications to manifest as respiratory morbidity. Hence this study was aimed at finding out the incidence of meconium stained liquor and its significance on the neonatal outcome immediately after birth at a tertiary health centre.</span></p> <p class="MsoNormal" style="text-align:justify;line-height:150%"><b><span style="font-size: 12pt; line-height: 150%; font-family: Arial, sans-serif;">Methodology: </span></b><span lang="EN-IN" style="font-size:12.0pt;line-height:150%;font-family:&quot;Arial&quot;,sans-serif;&#10;mso-fareast-font-family:&quot;Times New Roman&quot;">A Prospective observational study was conducted</span><span style="font-size: 12pt; line-height: 150%; font-family: Arial, sans-serif;">to study incidence of Meconium stained liquor by general periodic pelvic examination, APGAR scoring and neonatal examination.<o:p></o:p></span></p> <p class="MsoNormal" style="text-align:justify;line-height:150%"><b><span style="font-size: 12pt; line-height: 150%; font-family: Arial, sans-serif;">Results: </span></b><span lang="EN-IN" style="font-size:12.0pt;line-height:150%;font-family:&quot;Arial&quot;,sans-serif;&#10;mso-fareast-font-family:&quot;Times New Roman&quot;;mso-fareast-language:EN-US;&#10;mso-bidi-font-weight:bold">Incidence of Meconium staining was found in 49 (32.7 p.c).Majority of neonates 129 (86 p.c) had an APGAR score &gt;7 and 21 (14 p.c) had APGAR &lt;7and 29 (19.3 p.c) of the neonates were admitted to NICU.<o:p></o:p></span></p> <p class="MsoNormal" style="text-align:justify;line-height:150%"><b><span style="font-size: 12pt; line-height: 150%; font-family: Arial, sans-serif;">Conclusions:</span></b><span lang="EN-IN" style="font-size:13.0pt;mso-bidi-font-size:10.0pt;line-height:150%;&#10;font-family:&quot;Times New Roman&quot;,serif;mso-fareast-font-family:&quot;Times New Roman&quot;;&#10;mso-bidi-font-family:Arial">Screening and management of meconium stained amniotic fluid is essential periodically at the time of labour to preventdevelopment of the respiratory distress to the infant.<o:p></o:p></span></p>