Risk Factors Associated with Meconium-Stained Amniotic Fluid in Neonates: A Tertiary Centre Experience from Bangladesh

Rashid, Rafia

doi:10.19080/ajpn.2021.10.555840

Cited by 5 publications

(6 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The odds ratio for having an obstructed labor in the case group was 2.96. However, a study by Rashid et al (2021) showed no statistically significant results in the occurrence of obstructed labor between MSAF patients and non MSAF patients [7]. The findings of this study are consistent with a study by authors Addisu, Asres, Gedefaw and SimegnewAsmer.…”

supporting

confidence: 91%

“…This could explain the reason for higher number of patients with prolonged labor in the case group compared to the control group. Just like in the results of this study, another study by Rashid R, et al indicates that there is not statistically significant association between MAS and non-MAS patients in terms of existence of PROM, presence of maternal illness, or maternal age between the case and control groups [7].…”

supporting

confidence: 64%

“…The vast majority of patients in the control group, 90.5 percent, did not experience fetal. In another study, [7], the authors reported proportion of 30% of all the study neonates on fetal distress. The authors found a statistically significant result that 65.8% of the study patients in the case group experienced fetal distress at birth, compared to only 3.9 percent in the control group with a very high odds ratio of 48.…”

mentioning

confidence: 94%

See 2 more Smart Citations

Outcomes and Associated Factors of Babies Diagnosed With Meconium Aspiration Syndrome (Mas): A Case Control Study

Malin¹,

Mohammed²,

Kimutai³

2022

IJAR

View full text Add to dashboard Cite

Introduction: Meconium aspiration syndrome (MAS) is an illness that linked with significant respiratory morbidity among neonates born through meconium-stained amniotic fluid (MSAF). MAS, the most common cause of serious sickness and death in newborns, occurs in around 5% to 10% of births. 6ÃƒÂƒÃ‚Â¢ÃƒÂ‚Ã‚Â€ÃƒÂ‚Ã‚Â“25% of all babies have meconium-stained amniotic fluid (MSAF), and approximately 11% will have MAS. This case-control study examines the outcomes and factors associated with MAS in babies born with MSAF. Methods: This single-center case-control study was performed in Kalkaal Hospital from December 15, 2020 to December 15, 2021. The hospital review board of the examined and approved the research protocol. During this period 430 neonates were admitted to the Neonatal Intensive Care Unit (NICU) in the Hospital. Among the 430, 63 neonates had Meconium aspiration syndrome and were included as the case group in the study. 63 neonates without meconium-stained amniotic fluid or meconium aspiration syndrome were selected purposively for the study. In both groups a record was made on information about fetal distress, gestational age of baby and delivery mode. Additionally, complications like prolonged duration of labor, obstructed labor, and presence of premature rupture of membrane (PROM), and maternal age were recorded. Results: 50.8% of the neonates born with meconium-stained amniotic fluid were males, while 49.2% were females. 61 of the MAS neonates were still alive, while two had expired while all of the control groups were alive. The variables that showed to have significant effect on MAS include fetal distress(p<0.000), gestational age greater than 42 weeks (p = 0.01), and obstructed labor (p = 0.023). The results of the study indicates that 66.7% (n=42) of the patients in the case group had fetal distress with a odds ratio of 19, gestational age above 42 weeks in the case group were 31.7% with a odds ratio of 3.19 and 27% (n=17) of the patients had obstructed labor with a odds ratio of 2.96. Conclusion: The research found out that fetal distress, gestational age greater than 42 weeks, and obstructed labor all contribute significantly to meconium aspiration. Identification and screening of these risk factors may assist in the care of patients with meconium aspiration, therefore minimizing MAS-related complications, morbidity, and death.

show abstract

supporting

confidence: 91%

supporting

confidence: 64%

mentioning

confidence: 94%

See 1 more Smart Citation

Outcomes and Associated Factors of Babies Diagnosed With Meconium Aspiration Syndrome (Mas): A Case Control Study

Malin¹,

Mohammed²,

Kimutai³

2022

IJAR

View full text Add to dashboard Cite

show abstract

“…The study assessed the magnitude of MSAF and its associated factor in women delivered at North Shoa Zone hospitals and found that 30.3% [95% CI: 26.9–33.9%] had MSAF. The result obtained was higher than a previous study conducted in Bahir-Dar Feleg-Hiwot Hospital (17.8%), another similar study in Bahir-Dar (24.7), Jimma (15.4%), and Addis Ababa (12.1%), Cameron (11.15%), Ghana (8.3%), Brazil (11.9%), India (15.7%), and Israel (5.8%), respectively [ 1 , 6 , 8 – 10 , 12 – 15 ].…”

Section: Discussionmentioning

confidence: 92%

Magnitude of meconium stained amniotic fluid and associated factors among women who gave birth in North Shoa Zone hospitals, Amhara Region, Ethiopia 2022

Tefera,

Birhanu,

Mihretie

et al. 2024

PLoS ONE

View full text Add to dashboard Cite

Background The presence of meconium-stained amniotic fluid is one of the causes for birth asphyxia. Each year, over five million neonatal deaths occur worldwide because of meconium-stained amniotic fluid and other causes, of which 90% are due to birth asphyxia. The aim of this study was to assess the magnitude of meconium-stained amniotic fluid and associated factors among women who gave birth in North Shoa Zone Hospitals, Amhara Region, Ethiopia, 2022. Materials and methods An institutional-based cross-sectional study was employed. We used 610 women who gave birth at North Shoa Zone Hospitals, Amhara region, Ethiopia. The study was conducted from June 8 to August 8, 2022. Recruitment for the study was made using a multistage sampling procedure. Fifty percent of the study hospitals were randomly selected, and proportional allocation was done. Participants were selected from the sampling frame, labour and delivery register book, using a systematic random sampling approach. The first person was selected at random, while the remaining individuals were selected at every two "K" intervals across all hospitals. An interview-administered structured questionnaire and chart review checklist were used to gather the data that were entered into Epi-Data Version 4.6 and exported to SPSS. Logistics regression was employed, and a p-value <0.05 was considered statistically significant. Result The magnitude of meconium-stained amniotic fluid was 30.3%. Women with a normal hematocrit level were 83% less likely to develop meconium-stained amniotic fluid. Women whose mid-upper arm circumference value was less than 22.9cm (AOR = 1.9; 95% CI: 1.18–3.20), obstructed labour (AOR = 3.6; 95% CI: 1.48–8.83), prolonged labour ≥ 15 hr (AOR = 7.5; 95% CI: 7.68–13.3), premature rapture of membrane (AOR = 1.7; 95% CI: 3.22–7.40), foetal tachycardia (AOR = 6.2; 95% CI: 2.41–16.3), and Bradycardia (AOR = 3.1; 95% CI: 1.93–5.28) showed a significant association with meconium-stained amniotic fluid. Conclusion The present study revealed that the magnitude of meconium-stained amniotic fluid in North Shoa Zone is nearly one-third. A normal hematocrit level is a preventive factor for meconium-stained amniotic fluid, and a MUAC value <22.9 cm, obstructed and prolonged labour, PROM, bradycardia, and tachycardia are factors associated with meconium-stained amniotic fluid.

show abstract

“…Previously published studies identi ed older maternal age as an independent risk factor for MAF (8, 9). In contrast, most studies found no link between maternal age and MAF (6,10,11). This could be due to study design, setup, and population differences.…”

Section: Discussionmentioning

confidence: 92%

The incidence and risk factors of meconium amniotic fluid in singleton pregnancies: An experience of a tertiary hospital in Iran

Shekari

Jahromi

Ranjbar

et al. 2022

Preprint

View full text Add to dashboard Cite

Background: Several common maternal or neonatal risk factors have been linked to MAF development; however, the results were contradictory, depending on the study. This study aimed to assess the prevalence and risk factors of MAF in singleton pregnancies.Methods: We retrospectively assessed singleton pregnant mothers who gave birth at Khaleej-e-Fars Hospital (a tertiary hospital) in Bandar Abbas, Iran, between January 1st, 2020, and January 1st, 2022. Mothers were divided into two groups: 1) those diagnosed with meconium amniotic fluid and 2) those diagnosed with clear amniotic fluid. Mothers with bloody amniotic fluid were excluded. Demographic factors (age, educational level, residency place, medical insurance, access to prenatal care facilities, smoking status), obstetrical factors (gestational age, parity, newborn sex, oligohydramnios, preeclampsia, gestational diabetes mellitus (GDM), abnormal placentation, placenta abruption, chorioamnionitis, intrauterine growth restriction (IUGR), and intrauterine fetal death (IUFD)) and maternal comorbidities (overt diabetes mellitus, chronic hypertension, cardiovascular disease, thyroid dysfunction, drug addiction, hepatitis, anemia, infertility, and COVID-19 at the time of admission) were extracted from electronic data of each mother. The Chi-square test was used to compare differences between the groups for categorical variables. Logistic regression models were used to assess meconium amniotic fluid risk factors.Results: Of 8888 singleton deliveries during the study period, 1085 (12.2%) were MAF. MAF was more common in adolescents, mothers with post-term pregnancy, and primiparous mothers, and it was less common in mothers with GDM and overt diabetes. The odds of having MAF in adolescents were three times more than mothers of 20-34 years old (aOR: 3.07, 95%CI: 1.87–4.98). Likewise, the odds of the presence of MAF in mothers with post-date pregnancy (40+1-41 weeks) were (aOR: 5.12, 95%CI: 2.76–8.94), and mothers with post-term pregnancy (more than 41 weeks) were (aOR: 7.09, 95%CI: 3.92–9.80). Primiparous women were also more likely than multiparous mothers to have MAF (aOR: 3.41, 95%CI: 2.11–4.99).Conclusions: Adolescents, primiparous mothers, and mothers with post-term pregnancies had a higher risk of MAF. Maternal comorbidities resulting in early termination of pregnancy can reduce the incidence of MAF.

show abstract

Risk Factors Associated with Meconium-Stained Amniotic Fluid in Neonates: A Tertiary Centre Experience from Bangladesh

Cited by 5 publications

References 9 publications

Outcomes and Associated Factors of Babies Diagnosed With Meconium Aspiration Syndrome (Mas): A Case Control Study

Outcomes and Associated Factors of Babies Diagnosed With Meconium Aspiration Syndrome (Mas): A Case Control Study

Magnitude of meconium stained amniotic fluid and associated factors among women who gave birth in North Shoa Zone hospitals, Amhara Region, Ethiopia 2022

The incidence and risk factors of meconium amniotic fluid in singleton pregnancies: An experience of a tertiary hospital in Iran

Contact Info

Product

Resources

About