Infants born with meconium-stained amniotic fluid: Clinical profile
Author(s): Harini V, Shruthi RS, Meghana M and A Sai Sneha Reddy
Abstract: MSAF is observed in 4-22% of all newborn, increasing to 23-52% in post-term newborns. Only 3-12% of newborns delivered with MSAF acquire meconium aspiration syndrome. During birth 20% found to be non-vigorous, 30-35% require intubation and respiratory support, and 5-12% die. Clinical: Demographic data include maternal age, parity, pregnancy-related illnesses like gestational hypertension and gestational diabetes mellitus. Sonographic data was looked into for fetal growth restriction, amniotic fluid volume, fetal Doppler indices, and biophysical profile. Gestational week, type of labor, whether artificial rupture of membrane showed meconium, the grade of meconium, duration of the second stage, and mode of delivery was recorded. Newborn resuscitation (if any), assessment of gestational age, and anthropometry was captured. All newborns were of Term gestation with median gestational age among cases is 39 weeks with IQR of 1 weeks, among controls is 39 weeks with IQR of 2 weeks. The median birth weight among cases is 3010 gm with (IQR 390 gm) and among controls is 2950 (IQR 635 gm). The median length among cases is 49 cm with IQR of 2 cm and among controls is 48 cm with IQR of 1 cm. The median Head circumference among cases is 34 cm with IQR of 1 cm and among controls is 33 cm with IQR of 0.8cm. 5(12.5%) among cases and 1(5%) among controls were SGA. 31(77.5%) among cases and 19(95%) among controls were AGA.4(10%) among cases were LGA.
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