FETOMATERNAL OUTCOME IN MECONIUM STAINED AMNIOTIC FLUID IN A TERTIARY RURAL HEALTH CARE CENTRE

Abstract

Background: The study was undertaken to determine the correlation of amniotic uid stained with meconium (MSAF) with maternal and fetal outcome. Methods: This prospective observational study was carried out in the Department of Obstetrics and gynecology, Sri Adichunchanagiri Institute of Medical Sciences, BG Nagara for over a period of 6 months between July 2020 and December 2020. A total of 168 pregnant women were included in the study. MSAF on spontaneous or articial rupture of membranes were monitored during labour with fetal heart rate abnormality, consistency of liquor, 1 minute and 5 minute Apgar score, LSCS, instrumental delivery, NICU admissions and neonatal complications as outcome variables. Results: Women were divided into two groups: 69 were cases with meconium stained amniotic uid (MSAF) and 99 were controls with clear amniotic uid. Among 69 cases with MSAF 17.4% were unbooked & 82.6% were booked (at least 3 visits in rst trimester), 79.7% were between 20-30 years of age group. Primigravida's constituted 55.1% in the study group. Approximately 34.8% had gestational ages of >39- 40 weeks. Caesarean section done in cases of MSAF accounted for 55.1% Normal deliveries were 36.2% in cases and 45.5% in controls. Conclusions: Presence of MSAF is worrisome for both the obstetrician and pediatricians view as it increases surgical intervention, birth asphyxia, MAS & NICU admissions. Continuos fetal heart rate monitoring during labour and reassurance of fetal well-being by acid-base assessment were most signicant factors in the reduction of meconium aspiration syndrome