AMNIOINFUSION IN MECONIUM STAINED LIQUOR AND FETAL OUTCOME

Abstract

Background
The presence of meconium in amniotic fluid of intrapartum patient is of concern to both the obstetricians and neonatologist as it is associated with poor fetal outcome. The passage of meconium can occur before or during labour meconium aspiration syndrome is believed to result from aspiration of meconium during intrauterine gasping or at the first breath. Amnioinfusion done for meconium stained liquor has been found to be useful in reducing the perinatal morbidity and mortality
Material and method
The present study entitled “Amnioinfusion in meconium stained liquor and fetal outcome” was a prospective case control study conducted in the department of obstetrics and gynaecology, Hitech Medical College and hospital, bhubaneswar. The study period extended from December 2019 to December 2022. A total of 143 patients were included in this study. These patients were divided into two groups:
a) Study group which consisted of 50 patients and
b) Control group which included 93 patients
Result
Perinatal mortality and morbidity:
Although there was one still birth and one neonatal deaths in our study but they were not related to the procedure itself (Table 6). Wu et al (1991) found no perinatal deaths in the infused group babies while 2.8% babies died in the noninfused group. The overall perinatal morbidity was low in our study for infused group patients. In one study by Hofmeyer et al (1998) there was no perinatal deaths neither in study nor in control group in another study conducted by Mohamed et al (1998) there were 4(1.2%) of 324 and
12(3.6%) of 335 perinatal death. Mode of delivery verses perinatal outcome: Perinatal mortality does seem to be affected by mode of delivery since the only still birth in the study group and all perinatal deaths in the control group occurred in babies delivered by cae The significance of meconium stained amniotic fluid during labour is a widely debated subject and the management has evolved with time and is still evolving. There has been no agreement on one particular type of management. However at the end of the present study it is opined that amnioinfusion is useful in reducing perinatal morbidity without any maternal risk .
Conclusion
The significance of meconium stained amniotic fluid during labour is a widely debated subject and the management has evolved with time and is still evolving. There has been no agreement on one particular type of management. However at the end of the present study it is opined that amnioinfusion is useful in reducing perinatal morbidity without any maternal risk .