Research Article
Volume 10 Issue 2 - 2021
Outcome of Neonates Delivered through Meconium Stained Amniotic Fluid
Hameed Abdullah Rekani*
Neonatal Intensive Care Unit, Heevi Pediatrics Teaching Hospital, Duhok, Iraqi Kurdistan, Iraq
*Corresponding Author: Hameed Abdullah Rekani, Neonatal Intensive Care Unit, Heevi Pediatrics Teaching Hospital, Duhok, Iraqi Kurdistan, Iraq.
Received: October 13, 2020; Published: January 30, 2021




Abstract

Background: Meconium stained amniotic fluid usually associated with the significant neonatal morbidity and mortality, prevention of neonatal complications related to meconium is a major aim for obstetricians and neonatologists.

Aim: To evaluate newborn babies born with meconium stained amniotic fluid and to observe that this condition is associated with neonatal morbidity and mortality.

Method: This prospective study was conducted in the Neonatal Intensive Care Unit (NICU) at Duhok Obstetrics and Gynecology Teaching Hospital and Kurdistan Private Hospital in Iraqi Kurdistan between May 2017 to April 2020. Newborn babies born with the history of meconium staining amniotic fluid (MSAF) were selected and divided into 2 groups thick meconium and thin meconium. Baseline characteristics of these cases were recorded. risk factors and the mode of delivery were determined. Clinical outcome examined were admitted to NICU, duration of NICU stay, mortality of neonates was recorded as well as morbidity.

Result: During the study period, a total of 150 newborns had meconium stained amniotic fluid. Thick meconium stained liquor was observed in in 83 cases (55.33%), while 67 cases (44.66%) had thin meconium. Eighty- one cases (54%) were male and 69 cases (46%) were female,48 cases (59.25%) of male babies had thick meconium, while 33 cases (40.74%) stained with thin meconium. Incidence of cesarean section was more in thick meconium stained amniotic fluid (67.27%) as compared to (32.72%) with thin meconium stained amniotic fluid Post-term pregnancy was a major risk factor for thick meconium stained liquor with an incidence of (65.38%). Eighty babies were admitted to NICU. Majority of NICU admission cases were seen among babies with thick meconium. Birth asphyxia and Meconium aspiration syndrome were the main causes for NICU admission. Incidence of neonatal death was (2%).

Conclusion: Meconium stained amniotic fluid, especially thick meconium stained liquor increases the rates of caesarean delivery, NICU admission and neonatal morbidity and mortality. Coordination of care between the obstetric and neonatal team to prevent complications related to MSAF. Advancing NICU care in order to improve fetal outcome.

Keywords: Amniotic Fluid, Meconium Stained, Neonatal Outcome

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Citation: Hameed Abdullah Rekani. “Outcome of Neonates Delivered through Meconium Stained Amniotic Fluid”. EC Paediatrics 10.2 (2021): 58-65.

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