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Risk factors for meconium aspiration in meconium stained amniotic fluid.
J Obstet Gynaecol. 2007 Aug; 27(6):577-9.JO

Abstract

Meconium aspiration syndrome (MAS) is a life-threatening respiratory disease in infants born through meconium stained amniotic fluid (MSAF). The purpose of this study was to determine risk factors for MAS in the newborns of mothers who had meconium stained amniotic fluid in labour. A retrospective study of all full-term pregnancies with MSAF from May 2003 to October 2004 was designed at a teaching hospital. Development of MAS was the primary outcome. Maternal details, mode of delivery and neonatal details (Apgar score, reassuring or non-reassuring fetal heart rate tracing and birth weight) were evaluated. During the study period, there were 2,603 deliveries of whom 302 (11.6%) had MSAF. MAS developed in 64 of these infants (21.1%). Compared with healthy neonates with MSAF, those with MAS had higher rate of non-reassuring fetal heart rate (FHR) tracing, thick meconium and Apgar score < or =5 at 5 min. The neonatal birth weight was lower in the MAS group, maternal age, parity, gestational age and mode of delivery were not significantly different in the two group. We found the severity of meconium, low Apgar score at 5 min and non-reassuring FHR tracing was associated with MAS in MSAF pregnancies.

Authors+Show Affiliations

Vali-e-asr Reproductive Health Research Center, Tehran University of Medical Sciences and Perinatology Department, Vali-e-asr Hospital, Tehran, Iran. sima687080@yahoo.comNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

17896254

Citation

Khazardoost, S, et al. "Risk Factors for Meconium Aspiration in Meconium Stained Amniotic Fluid." Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology, vol. 27, no. 6, 2007, pp. 577-9.
Khazardoost S, Hantoushzadeh S, Khooshideh M, et al. Risk factors for meconium aspiration in meconium stained amniotic fluid. J Obstet Gynaecol. 2007;27(6):577-9.
Khazardoost, S., Hantoushzadeh, S., Khooshideh, M., & Borna, S. (2007). Risk factors for meconium aspiration in meconium stained amniotic fluid. Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology, 27(6), 577-9.
Khazardoost S, et al. Risk Factors for Meconium Aspiration in Meconium Stained Amniotic Fluid. J Obstet Gynaecol. 2007;27(6):577-9. PubMed PMID: 17896254.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Risk factors for meconium aspiration in meconium stained amniotic fluid. AU - Khazardoost,S, AU - Hantoushzadeh,S, AU - Khooshideh,M, AU - Borna,S, PY - 2007/9/27/pubmed PY - 2008/1/16/medline PY - 2007/9/27/entrez SP - 577 EP - 9 JF - Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology JO - J Obstet Gynaecol VL - 27 IS - 6 N2 - Meconium aspiration syndrome (MAS) is a life-threatening respiratory disease in infants born through meconium stained amniotic fluid (MSAF). The purpose of this study was to determine risk factors for MAS in the newborns of mothers who had meconium stained amniotic fluid in labour. A retrospective study of all full-term pregnancies with MSAF from May 2003 to October 2004 was designed at a teaching hospital. Development of MAS was the primary outcome. Maternal details, mode of delivery and neonatal details (Apgar score, reassuring or non-reassuring fetal heart rate tracing and birth weight) were evaluated. During the study period, there were 2,603 deliveries of whom 302 (11.6%) had MSAF. MAS developed in 64 of these infants (21.1%). Compared with healthy neonates with MSAF, those with MAS had higher rate of non-reassuring fetal heart rate (FHR) tracing, thick meconium and Apgar score < or =5 at 5 min. The neonatal birth weight was lower in the MAS group, maternal age, parity, gestational age and mode of delivery were not significantly different in the two group. We found the severity of meconium, low Apgar score at 5 min and non-reassuring FHR tracing was associated with MAS in MSAF pregnancies. SN - 0144-3615 UR - https://www.unboundmedicine.com/medline/citation/17896254/Risk_factors_for_meconium_aspiration_in_meconium_stained_amniotic_fluid_ DB - PRIME DP - Unbound Medicine ER -