Risk factors of meconium stained amniotic fluid-a case control study

Nirmala, Cherukuri; Thomas, Lovely; Sujatha, Y

doi:10.33545/gynae.2020.v4.i2c.521

Cited by 3 publications

(1 citation statement)

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“…Women in late-term pregnancy had 8.8 fold increased risk of MSAF, compared with women in early-term pregnancy. The findings of this study were similar to the study done in Idian which showed a significantly increased risk of MSAF in women whose gestational age is more than 40 weeks ( 12 , 19 ). This might be explained by the maturation of the gastrointestinal tract and increased secretion of motilin by the fetus as gestational age advances which leads to increased fetal bowel peristalsis ending up in the passage of meconium.…”

Section: Discussionsupporting

confidence: 90%

Meconium Stained Amniotic Fluid and Associated Factors among Women Who Gave Birth at Term in Adama Hospital Medical College, Ethiopia

Dereje¹,

Sharew²,

Hunde³

2023

Ethiop J Health Sci

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BACKGROUND: Meconium stained amniotic fluid (MSAF) is a commonly observed phenomenon in day-to-day practice of obstetrics. The reported prevalence of MSAF was 7-22% of all term deliveries. Some of the factors that increases the risk of meconium stained amniotic fluid includes; advanced gestational age at delivery, prolonged rupture of membranes, intra-amniotic infection, pre-eclampsia, oligohydroamnios, and diabetes mellitus. The study aimed to determine the prevalence of meconium stained amniotic fluid and its associated factors among women who gave birth at term, from January 1st to July 30th, 2020, at Adama Hospital Medical College.METHODS: Institutional based cross-sectional study was conducted on 314 laboring women who gave birth at term. Systematic random sampling was used to select the study participants. Data entry and analysis were made by using Epi- info 7 and SPSS version 20, respectively.RESULTS: The prevalence of meconium stained amniotic fluid was 23.9%. Late term pregnancy, Oligohydraminos, Antepartum hemorrhage, Premature rupture of membrane, and Non-reassuring fetal heart rate pattern were significantly associated with meconium-stained amniotic fluid.CONCLUSIONS: The prevalence of MSAF was comparable with other studies. Late-term pregnancy, oligohydramnios, antepartum hemorrhage, non-reassuring fetal heart rate pattern, and premature rupture of the membrane were factors associated with an increased risk of MSAF.

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Section: Discussionsupporting

confidence: 90%

Meconium Stained Amniotic Fluid and Associated Factors among Women Who Gave Birth at Term in Adama Hospital Medical College, Ethiopia

Dereje¹,

Sharew²,

Hunde³

2023

Ethiop J Health Sci

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Determinants of meconium-stained amniotic fluid among women delivered at southwestern referral hospitals, Southwest Ethiopia: a multi-center case-control study

Sorsa,

Adugna,

Kene

et al. 2024

BMC Pregnancy Childbirth

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Background Meconium-stained amniotic fluid (MSAF) is a condition in which meconium is present in the uterus during ante-natal and complicates 10–15% of all live births. Scanty information is known about the determinants of meconium-stained amniotic fluid. Hence, this study aimed to identify determinants of meconium-stained amniotic fluid among women delivered at southwestern referral hospitals in southwest Ethiopia, in 2024. Methods An institutional-based case-control study was employed from January 1, 2024, to June 30, 2024. The study was conducted in four southwestern referral hospitals in southwest Ethiopia. The final sample size includes 321(107 cases and 214 controls). The sample size was proportionally allocated for cases and controls for each referral hospital. Simple random sampling was used to select patient charts and data was collected from the chart using questions/tools developed after reviewing relevant literature. Data were entered using Epi-data version 3.1 and analyzed using SPSS version 25. Data was analyzed using binary logistic regression. All independent variables with P- the value of < 0.25 in univariable analysis were considered for multivariable logistic regression. Determinant factors of meconium-stained amniotic fluid were identified at a 95% confidence interval with a p -value < 0.05 was utilized to declare statistical significance. Results A total of 107 cases and 214 controls were included in this study. The finding from this study stated that induction of labor [AOR = 2.37, 95% CI = 1.28–8.89], obstructed labor [AOR = 2.62, 95%CI = 1.1–6.79], duration of labor greater than 24 h [AOR = 2.8, 95% CI = 1.55–15.44], and premature rupture of the membrane [AOR = 2.98, 95%CI = 1.1–8.23] were found to be significantly associated with meconium-stained amniotic fluid. Conclusion Conclusively, a mother with induced or obstructed labor, labor duration greater than 24 h, and premature rupture of membrane need special attention during delivery care to reduce potential risk factors to feto-maternal outcomes related to meconium-stained amniotic fluid. Supplementary Information The online version contains supplementary material available at 10.1186/s12884-024-06867-4.

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Association of maternal clinical factors with neonatal respiratory morbidity in meconium-stained labor among term parturients: A retrospective cohort study

Magno,

Zamora

2023

Philippine Journal of Obstetrics and Gynecology

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OBJECTIVE: This study aimed to determine the maternal clinical factors associated with neonatal respiratory morbidity and other adverse neonatal outcomes in meconium-stained labor among term parturients. METHODOLOGY: A retrospective cohort study was done on admitted obstetric patients with term gestation and had meconium-stained labor. Maternal clinical factors such as age, parity, gestational age, manner of delivery, duration of labor, presence of term prelabor rupture of membranes (PROM), character of meconium-stained liquor (MSL), and presence of comorbidities were identified and analyzed to determine their association with neonatal respiratory morbidity and other adverse neonatal outcomes. RESULTS: In this study, there were 986 cases identified to have meconium-stained labor, and 168 developed neonatal respiratory morbidity. As to primary outcome, maternal clinical factors, such as age >35 years, multiparity, age of gestation >41 weeks, prolonged labor, presence of PROM, significant MSL upon admission, presence of change from nonsignificant to significant MSL, presence of intrauterine growth restriction, and hypertension, were all shown to be statistically significant. CONCLUSION: The presence of maternal clinical factors in meconium-stained labor was observed to be a risk factor in developing neonatal respiratory morbidity and other adverse neonatal outcomes. Hence, identification of maternal risk factors and early detection of meconium-stained amniotic fluid are vital in administering timely intervention to labor and delivery to reduce neonatal complications.

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Risk factors of meconium stained amniotic fluid-a case control study

Cited by 3 publications

References 0 publications

Meconium Stained Amniotic Fluid and Associated Factors among Women Who Gave Birth at Term in Adama Hospital Medical College, Ethiopia

Meconium Stained Amniotic Fluid and Associated Factors among Women Who Gave Birth at Term in Adama Hospital Medical College, Ethiopia

Determinants of meconium-stained amniotic fluid among women delivered at southwestern referral hospitals, Southwest Ethiopia: a multi-center case-control study

Association of maternal clinical factors with neonatal respiratory morbidity in meconium-stained labor among term parturients: A retrospective cohort study

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