Publication: Meconium-stained Amniotic Fluid among Term Deliveries in a Tertiary Care Centre: A Descriptive Cross-sectional Study
Date
2022
Journal Title
Journal ISSN
Volume Title
Publisher
Nepal Medical Association
Abstract
Abstract
Introduction: Although the precise aetiology of meconium-stained amniotic fluid is still unclear, risk factors include advanced gestational age at delivery, mode of delivery, the prolonged second stage of labour, and intrauterine infection. It has been associated with poor perinatal outcomes including low Apgar scores, increased incidence of neonatal intensive care admission, and a high rate of perinatal death. The objective of the study was to find out the prevalence of meconium-stained amniotic fluid in term deliveries in a tertiary care centre.
Methods: A descriptive cross-sectional study was done among term deliveries in the Department of Obstetrics and Gynaecology, in a tertiary care centre from inpatient records starting from 1 November 2019 to 1 November 2020 after obtaining ethical approval from the Institutional Review Committee (Reference number: PMG1911281316). Convenience sampling was done. Point estimate and 95% Confidence Interval were calculated.
Results: Out of 1699 term deliveries, meconium-stained amniotic fluid was seen in 91 (5.35%) (4.28-6.42, 95% Confidence Interval). Among these 69 (75.82%) newborns were delivered through lower segment caesarean section and 61 (67%) newborns had Grade II meconium-stained amniotic fluid.
Conclusions: The prevalence of meconium-stained amniotic fluid was similar to the studies done in similar settings.
Description
Pawan Shakya
Department of Surgery, District Hospital, Ramechhap Bazaar, Ramechhap, Nepal
https://orcid.org/0000-0001-8629-8431
Manoj Kumar Yadav
Department of Surgery, District Hospital, Ramechhap Bazaar, Ramechhap, Nepal
Sagar Poudel
Department of Surgery, District Hospital, Ramechhap Bazaar, Ramechhap, Nepal
Keywords
Apgar score, Caesarean section, Gestational age, Perinatal death, Pregnancy