Meconium stained amniotic fluid: A correlation with mode of delivery and   perinatal outcome

Nath, Pranoy

doi:10.21276/obgyn.2018.4.2.14

Cited by 4 publications

(4 citation statements)

References 3 publications

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“…While meconium was more commonly seen with primigravida but it was observed that the difference of parity with type of meconium is statistically not significant. A total of 55% cases had caesarean delivery and of which maximum were having thick meconium .Similar results noted in one study conducted by Nath and Carr, et al 7,8 There were 27% cases with APGAR score less than 7 at 1 minute and the rest were having it more than 7. In cases with APGAR score less than 7 at one minute; almost half of the cases (51.85%) were having thick meconium while only 14.81% of such cases had shown thin meconium staining.…”

Section: Discussionsupporting

confidence: 81%

Perinatal outcome in relation to mode of delivery in meconium stained amniotic fluid

Gupta

Singh

2022

Int J Reprod Contracept Obstet Gynecol

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Background: Meconium stained amniotic fluid is the movement of meconium in the uterus by the fetus during the ANC period or through labor. It has been speculated during the intrapartum and postpartum period as a factor affecting fetal wellbeing and considered as the hallmark symptom of imminent asphyxia. Aim and objectives of current study were to correlate the presence of meconium-stained amniotic fluid with the mode of delivery and perinatal outcome.Methods: A total of 100 women were taken in the study in which meconium stained amniotic fluid and its relation with mode of delivery and neonatal outcome were observed for 2 years.Results: A total of hundred cases were studied. Incidence of types of meconium found to be thin (25%), moderate (34%) and thick (41%). 76% of patients with thin meconium were delivered vaginally without any assistance with instruments, while 64.7% and 68.3% of cases with moderate to thick meconium respectively were delivered by LSCS. In the group of patients with APGAR score more than 7 at five minutes, there is more percentage of patients with thin MSL while in the group of patients with APGAR score less than 7, there is more percentage of patients with thick meconium. No cases of meconium aspiration syndrome were foundConclusions: The types of meconium affect the mode of delivery and fetal outcome. There is no association between having a low birth weight and passage of meconium during labor. The severity of the type of meconium associated with APGAR might be due to severe hypoxia and severe form of nervous system depression leading to cardiovascular and respiratory depression and activation of the parasympathetic nervous system causing anal sphincter relaxation and passage of meconium.

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Section: Discussionsupporting

confidence: 81%

Perinatal outcome in relation to mode of delivery in meconium stained amniotic fluid

Gupta

Singh

2022

Int J Reprod Contracept Obstet Gynecol

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“…Accepting the presence of meconium in amniotic fluid as a sign of fetal distress is still controversial. Normally, meconium passage, which needs mature neural control, is a physiological event for term fetuses and cannot be defined as a sign of fetal distress if no other signs are detected (decreased fetal heart rate, fetal movements, scalp blood PH, etc) [ 4 ]. However, the presence of meconium in the amniotic fluid can be a sign of fetal distress due to hypoxia and acidosis (resulting in vagal stimulation which triggers peristaltic movements and relaxes anal sphincter) [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

Clinical Importance of Serum BDNF (Brain-Derived Neurotrophic Factor) Level for the Management of Pregnancies Complicated With Meconium-Stained Amniotic Fluid

Kadıoğlu

Sert

Özkan

et al. 2023

Cureus

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Objective The aim of this study was to investigate the association between poor neonatal outcomes and BDNF (brain-derived neurotrophic factor) levels. We aimed to predict the need for an emergency cesarean and prevent unnecessary interventions in cases complicated with meconium-stained amniotic fluid (MSAF). Methods This study was designed as a case-control study including three groups. Group A included pregnant women who underwent cesarean due to fetal distress. Group B included the women who delivered vaginally. Groups A and B had cases with the presence of meconium in the amniotic fluid. Group C as a control group had clear amniotic fluid. Demographic features, fetal outcomes, and maternal serum and fetal cord blood BDNF levels (Human BDNF ELISA Kit; Synonyms: ANON2, BULN2; Catalog no: E-EL-H0010 96T) were evaluated. Results No significant difference was found between patients with meconium and without meconium in terms of BDNF levels. However, the BDNF level was found to be significantly lower if fetal distress had occurred with MSAF. Conclusions In conclusion, the study demonstrated that the level of maternal and fetal cord blood BDNF are both significantly lower when fetal distress occurs with the presence of MSAF.

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“…One hundred three babies were admitted to the intensive care unit. One hundred thirty-five babies were healthy and were handed over to the mother [10].…”

Section: Introductionmentioning

confidence: 99%

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

Althaqafi¹,

Ateeq²,

Al-Bukhar³

et al. 2021

OJOG

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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.

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Meconium stained amniotic fluid: A correlation with mode of delivery and perinatal outcome

Cited by 4 publications

References 3 publications

Perinatal outcome in relation to mode of delivery in meconium stained amniotic fluid

Perinatal outcome in relation to mode of delivery in meconium stained amniotic fluid

Clinical Importance of Serum BDNF (Brain-Derived Neurotrophic Factor) Level for the Management of Pregnancies Complicated With Meconium-Stained Amniotic Fluid

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

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