Neonatal Outcome in Meconium Stained Amniotic Fluid

Abstract

Meconium stained amniotic fluid (MSAF) is a commonly studied topic in neonatal outcomes. Meconium was commonly thought a precursor to eventual or active fetal death, although, some scholars do not consider this to be connected with foetal hypoxia, fetal acidosis, or trauma. Purpose of the study was to identify various maternal risk factors leading to meconium staining of amniotic fluid. The study was conducted in KIMSDU, Karad for a duration of 18 months. In this study the neonates with meconium stained amniotic fluids were classified into two groups based on type of staining (thin-MSAF and thick-MSAF). Most of the babies with MSAF had birth weight between 2.6-3.5 kg (64.65%) followed by 1.6-2.6 kg (25.57%) and then ≥3.6 kg (9.78%). Number of babies requiring newborn intensive care unit (NICU) admission were 66 in case of thick meconium and 42 in case of thin meconium. In this study the overall neonatal mortality was 0.86% among MSAF cases. Among MAS cases, mortality was 25.87%. The study outcomes were statistically correlated using Chi-square test to validate the significance of the results.