Neonatal Outcome in Meconium Stained Amniotic Fluid (MSAF): A Study in a Neonatal High Dependency Unit (NHDU) of a Medical College Hospital

Authors

  • MB Ali Associate Professor, Department of Paediatrics, Gazi Medical College, Khulna
  • AA Maruf (Anaesthesiology), Border Guard Hospital, Dhaka
  • N Naher Assistant Professor, Department of Gynaecology & Obstetrics, GMC, Khulna
  • S Islam Registrar, Department of Paediatrics, Gazi Medical College, Khulna

DOI:

https://doi.org/10.3329/mediscope.v6i2.43155

Keywords:

Meconium-stained amniotic fluid (MSAF), neonate, birth asphyxia, meconium aspiration syndrome.

Abstract

Background: Meconium-stained amniotic fluid (MSAF) is a potential sign of fetal hypoxia as well as a potential toxin if the fetus aspirates with a gasping breath in utero or when it takes its first breaths following birth.

Objective: To evaluate the outcome of neonates with meconium-stained amniotic fluid (MSAF).

Material and Methods: This prospective observational study was carried out in the department of pediatrics of Gazi medical college Hospital, Khulna during one calendar year from 01 July 2016 to 30 June 2017. Maternal risk factors for MSAF, modes of delivery of neonates were recorded. All neonates born with MSAF were included in this study: they were shifted to neonatal high dependency unit for observation and monitoring as per the pediatrician’s advice. Neonatal outcomes like birth asphyxia, neonatal jaundice, aspiration pneumonia, septicemia, meconium aspiration syndrome (MAS), hypoxic-ischemic encephalopathy (HIE) and death were observed and recorded.

Result: A total of 157 babies were included during the study period. Modes of delivery of babies were: normal delivery 86(54.78%), caesarean section 48(30.57%) and instrumental delivery 23(14.65%). Maternal risk factors were postdated pregnancy 51(32.48%), previous caesarian section 20(12.74%), pregnancy-induced hypertension (PIH) 20(12.74%), premature rupture of membranes 18(11.46%), gestational diabetes mellitus (GDM) 17(10.83%), intrauterine growth retardation (IUGR) 14 (8.92%), cephalopelvic disproportion 9(5.73%) and anemia 8(5.10%). Outcome of babies were: 118(75.16%) babies were discharged without any complications, 10(6.37%) developed neonatal jaundice, 10(6.37%) meconium aspiration syndrome (MAS), 8(5.10%) birth asphyxia, 4(2.55%), aspiration pneumonia, 3(1.91%) hypoxic-ischemic encephalopathy (HIE), 2(1.27%) septicemia and 2(1.27%) baby died in early neonatal period.

Mediscope Vol. 6, No. 2: Jul 2019, Page 65-71

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Published

2019-09-16

How to Cite

Ali, M., Maruf, A., Naher, N., & Islam, S. (2019). Neonatal Outcome in Meconium Stained Amniotic Fluid (MSAF): A Study in a Neonatal High Dependency Unit (NHDU) of a Medical College Hospital. Mediscope, 6(2), 65–71. https://doi.org/10.3329/mediscope.v6i2.43155

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Original Articles