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Title: Immediate Fetal Outcome in Deliveries with Meconium Stained Amniotic Fluid
Authors: Ghimire, Bijaya
Pathak, Pratima
Gachhadar, Rashmi
Ghimire, Pratima
Baidya, Sujita
Citation: GhimireB., PathakP., GachhadarR., GhimireP., & BaidyaS. (2022). Immediate Fetal Outcome in Deliveries with Meconium Stained Amniotic Fluid. Journal of Nepal Health Research Council, 19(04), 681-687.
Issue Date: 2021
Publisher: Nepal Health Research Council
Article Type: Original Article
Keywords: Deliveries
fetal outcome
meconium-stained amniotic fluid
Series/Report no.: Oct-December, 2021;3842
Abstract: Abstract Background: Meconium-stained amniotic fluid is considered as the bad predictor of fetal outcome having significant perinatal morbidity and mortality. This study aimed to compare immediate fetal outcomes in meconium-stained amniotic fluid and clear amniotic fluid. Methods: Hospital-based comparative observational study was conducted from a total of 204 women admitted in labour room at a tertiary level hospital. Among them, 102 were cases with meconium-stained amniotic fluid, and 102 were comparison groups with clear amniotic fluid. Fetal outcome was compared between these two groups. Results: The study findings revealed that majority (74.5%) in the study group had cesarean section as compared to 14.7% in the comparative group. More than one-fourth (26.5%) of the newborns in the study group had moderate to severe birth asphyxia, needed resuscitation (25.5%) and neonatal intensive care unit admission (25.5%) as compared to 3.9% from the comparative group. Maternal age (COR=0.34, 95%CI=0.15-0.81), color of amniotic fluid (COR=0.11; 95%CI=0.04-0.33), meconium consistency (COR=0.27; 95%CI=0.17-0.43), and mode of delivery (COR=0.36; 95%CI=0.17-0.79) were associated with birth asphyxia in bivariate analysis. Maternal age (AOR=2.66; 95%CI=1.04-6.81) and color of amniotic fluid (AOR=11.50; 95%CI=2.97-44.56) were associated with birth asphyxia in the multivariate analysis. Conclusions: Meconium-stained amniotic fluid was associated with increased frequency of cesarean section and adverse fetal outcome with birth asphyxia being the major complications compared with clear amniotic fluid. Predictors of birth asphyxia were maternal age and color of amniotic fluid. Keywords: Deliveries; fetal outcome; meconium-stained amniotic fluid
Description: Original Article
ISSN: Print ISSN: 1727-5482; Online ISSN: 1999-6217
Appears in Collections:Vol. 19 No. 04 (2021): Vol 19 No 4 Issue 53 Oct-Dec 2021

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