Among nst reactive cases (70), meconium stained liquor was observed only in 3 cases, apgar score 7 in 67 cases, and there were no nicu admissions among nst non-reactive cases (30), meconium stained liquor was observed in 16 cases (50%), apgar score. Babies with any meconium-stained liquor present at delivery are required to have observations at 1 and 2 hours of age those with significant meconium will require additional observations 2 hourly for 12 hours these should continue for a further 12 hours if any findings are abnormal. Amnio infusion of normal saline in meconium stained liquor improves the fetal outcome keywords: amnio infusion, meconium stained amniotic fluid, meconium aspiration syndrome, cardiotocography, apgar score introduction meconium is the name given to substances which. Abstract objectives: to determine the effect of clear liquor and meconium stained liquor on mode of delivery, and to evaluate neonatal outcome methods: it was a cross sectional analytical study, conducted in the department of obstetrics and gynaecology, shaikh zyed federal postgraduate medical institute / hospital, lahore and shaikh zaid women hospital larkana, from april 2006 to march 2007. Pregnancies with meconium stained liquor introduction: meconium is the dark green liquid normally passed by the newborn baby it contains mucus, bile and epithelial cells meconium is derived from the greek word “mekonion” meaning poppy juice or opium.
A study of meconium stained amniotic fluid, its significance and early maternal and neonatal outcome devangi desai, kishor chauhan, sharda chaudhary abstract background: fetal well-being has traditionally been evaluated on the basis of fetal activity fetal heart and presence of meconium in liquor amnii in vertex presentation. Meconium stained liquor during labour and thus are at increased risk of developing meconium aspiration syndrome also, to nicu nurses, advanced nurse practitioners and doctors to guide appropriate investigation and first line treatment where required. Meconium-stained liquor, meconium is a dark green liquid normally passed by the newborn baby learn about meconium-stained liquor.
Intrapartum management of meconium stained fluid- summary of acog committee opinion 689 march 2017 delaware obgyn resident lecture series with james manley, md the delaware resident lecture series. Being born via caesarian delivery, through meconium-stained amniotic fluid, having a heart rate of less than one-hundred beats-per-minute, poor muscle tone, and no respiratory effort required intubation and suctioning. Introduction presence of meconium stained amniotic fluid is seen in 12-16 % of deliveries in utero, passage of meconium may simply represent the normal gastrointestinal maturation or it may indicate an acute or chronic hypoxic event, thereby making it a warning sign of a foetal compromise.
Meconium aspiration syndrome (mas) is defined according to cleary and wiswell as “respiratory distress in an infant born through meconium-stained amniotic fluid (msaf) whose symptoms cannot otherwise be explained” (1. At the time of delivery, meconium stained liquor was found, requiring soft catheter suctioning of a 6 day old infant was referred by his general practitioner to the emergency department with a four day history of increasing difficulty in feeding. Meconium aspiration syndrome (mas) is a life-threatening respiratory disease in infants born through meconium stained amniotic fluid (msaf) the purpose of this study was to determine risk factors.
Meconium stained liquor and its fetal outcome - retrospective study drmeena priyadharshiniv 1, dr seetha panicker 2 1 meconium stained liquor, meconium aspiration syndrome i introduction meconium staining of the amniotic fluid has long been regarded as a sign of fetal distress although the meconium stained liquor and its fetal. Infants born through meconium-stained liquor require the following ongoing care: provide continued resuscitation as indicated by infant condition if apnoea or respiratory distress develops subsequently, perform intubation and tracheal suctioning before commencing assisted ventilation. Over a 7 month period 131 cases with intrapartum draining of meconium-stained liquor (msl) were reviewed and the neonatal outcome compared to that of all deliveries during the same time. • patient with leakage of fluid and meconium stained liquor • in-utero / with the first breath, thick, meconium is aspirated into the lungs • these babies usually develop respiratory. Mas5 amnioinfusion for meconium stained liquor in labour can reduce the number of babieâ’s developing mas (rr 044, 95%ci 025-078), but is associated with some serious maternal side effects the benefit of this therapy needs to be further investigated before implementing6.
To study the perinatal outcome in meconium stained amniotic fluid thick meconium stained liquor during labour the data was collected on predesigned proforma and analysed using spss version 10 chisquare test was applied with 95% interval and p to study perinatal outcome in meconium stained amniotic fluid. Meconium-stained amniotic fluid12 and is one of the most common causes of neonatal respiratory distress infants born through meconium-stained amniotic fluid are about 100 times more likely to develop respiratory distress than those born + ~ am -meconium aspiration syndrome meconium,. Meconium stained liquor (msl) in labour and management of the newborn - clinical guideline page 3 of 11 care transferred to consultant lead care. Study of maternal and fetal outcome in parturients with meconium stained mode of delivery and fetal outcome were adversely affected by the presence of thick meconium stained liquor as compared to clear liquor additional monitoring facilities eg cardiotocography (ctg) if available to study the maternal and fetal outcome in parturients.
The stained amniotic fluid (called meconium liquor or meconium stained liquor) is recognized by medical staff that this may be a sign of fetal distress some post-dates pregnancies (where the woman is more than 40 weeks pregnant) may also have meconium stained liquor without fetal distress. Obstetrics & gynecology thesis topics posted by doctors hangout on september 16, prospective study of significance of meconium stained liquor amniland perinatal outcome dr rekha kb: dept of obg 'the effect of meconium stained amniotic fluid on perinatal outcome - a case control study' dr sasirekha r. Most meconium deliveries involve some meconium staining of the liquor but the babies are vigorous, needing no further intervention meconium-stained amniotic fluid may be aspirated before or during labour and delivery. Results: the incidence of meconium stained liquor was 613%fetal heart rate abnormalities were seen more often with thick meconium (4739%) than with thin meconium (1333%) which was statistically significant.
Meconium is a thick, green, tar-like substance that lines your baby's intestines during pregnancy typically this substance is not released in your baby's bowel movements until after birth. To study perinatal outcome following iai in patients with meconium-stained liquor to assess the rate of cesarean deliveries following intrapartum transcervical amnioinfusion in women with meconium-stained amniotic fluid (msaf) the two groups were matched for gravidity and parity. Meconium stained liquor (2%) compared to clear liquor group (05%) conclusion: thick meconium is associated with increased fetal heart rate abnormalities, increased operative.