Fetal Outcome and Mode of Delivery in a Patient with Meconium-Stained Amniotic Fluid

Abstract

Background: Meconium stained amniotic fluid (MSAF), especially observed before term, is considered a sign of fetal jeopardy. Although many studies characterized this condition and associated it with delivery mode, data is lacking in this area, Saudi Arabia. Thus, we attempted to study it. Methods: All data were retrieved from pregnant patients with MSAF who delivered at King Abdul, Saudi Arabia, from January 2015 to December 2018. Results: 758 showed MSAF, of which 83% had vaginal delivery, whereas remaining 17% had an emergency caesarean section. Of them, 32 (4.2%) infants developed meconium aspiration syndrome, and 7 (21.8%) were admitted to the NICU. Conclusion: It was reconfirmed that MSAF is associated with a newborn risk, especially meconium aspiration syndrome. Patients had a higher rate for emergent caesarean section and baby admission to NICU. These data may be useful to make health/reproductive-health poly-making in this area.

Effect of Meconium Stained Liquor on Mode of Delivery and Fetomaternal Outcome at Term

“…More infants with positive meconium were admitted to the NICU, as documented by Saudi Arabian researcher Amjaad Althaqaf (21.87%, OR0.086, p-value=0.001). 15 A similar pattern of elevated admission rates among infants with positive meconium stained beverages was also documented in a research conducted in India. However, the research did not find any statistically significant correlation between a positive meconium and a decrease in morality in newborns.…”

Prognostic Value of Serum Lactate Level in Umbilical Cord in Predicting Complications and Outcome of Meconium Aspiration Syndrome

“…According to maternal history of hypertension, yes in 6 (12%) and no in 44 (88%) . Table (3) According to chest radiography, classic (area of air trapping alternating with areas of atelectasis) in 84%, pnemomediastiunm 8%, pneumothorax in 8%, white out lung in 14%, multiple focal consolidation of chemical pneumonitis in 12%, pulmonary interstitial emphysema in 4%. Table (4) According to cranial ultrasound between those infants, normal in 22 (44%), mild to moderate hypoxia with early hypoxic-ischemic encephalopathy (HIE) in 16 (32%), moderate to severe hypoxia with moderate HIE in 10 (20%).…”

“…[2] Meconium-stained liquor is very troubling from both an obstetrician and a pediatrician's viewpoint, and it is necessary for foetal surveillance to minimise complications and mortality. [3] When meconium is breathing, three processes impact the lung: airway blockage, inflammation and tensile malfunction. [4] Lactate is generated with the greatest amount of production seen in muscle in most tissues in the human body.…”