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Management of meconium stained amniotic fluid: a team approach.
Indian Pediatr. 1993 Jan; 30(1):9-13.IP

Abstract

Passage of meconium in utero is a serious neonatal disorder carrying high morbidity and mortality. Role of planned team approach with aggressive intrapartum suctioning and intensive neonatal management was studied to evaluate its impact on neonatal morbidity and mortality. Meconium Stained Amniotic Fluid (MSAF) was found amongst 7.4% of all deliveries and among these 238 (10.5%) babies developed meconium aspiration syndrome (MAS). Ninety five per cent babies with MSAF were born at > 36 weeks of gestation and 76% were more than 2.5 kg. Passage of thick and thin meconium was seen in 44 and 56% respectively. Passage of thick meconium was significantly associated with severe asphyxia and carried a bad prognosis with increased risk of development of meconium aspiration syndrome, hypoxic schemic encephalopathy, seizures and pulmonary air leak syndrome. Aggressive team approach was responsible for lowering the mortality to 7.7%.

Authors+Show Affiliations

Narang A
Department of Pediatrics, PGIMER, Chandigarh.
Nair PM
No affiliation info available
Bhakoo ON
No affiliation info available
Vashisht K
No affiliation info available

MeSH

Birth WeightHumansIncidenceInfant, NewbornMeconium Aspiration SyndromePatient Care TeamProspective Studies

Pub Type(s)

Journal Article

Language

eng

PubMed ID

8406722

Citation

Narang, A, et al. "Management of Meconium Stained Amniotic Fluid: a Team Approach." Indian Pediatrics, vol. 30, no. 1, 1993, pp. 9-13.
Narang A, Nair PM, Bhakoo ON, et al. Management of meconium stained amniotic fluid: a team approach. Indian Pediatr. 1993;30(1):9-13.
Narang, A., Nair, P. M., Bhakoo, O. N., & Vashisht, K. (1993). Management of meconium stained amniotic fluid: a team approach. Indian Pediatrics, 30(1), 9-13.
Narang A, et al. Management of Meconium Stained Amniotic Fluid: a Team Approach. Indian Pediatr. 1993;30(1):9-13. PubMed PMID: 8406722.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Management of meconium stained amniotic fluid: a team approach. AU - Narang,A, AU - Nair,P M, AU - Bhakoo,O N, AU - Vashisht,K, PY - 1993/1/1/pubmed PY - 1993/1/1/medline PY - 1993/1/1/entrez SP - 9 EP - 13 JF - Indian pediatrics JO - Indian Pediatr VL - 30 IS - 1 N2 - Passage of meconium in utero is a serious neonatal disorder carrying high morbidity and mortality. Role of planned team approach with aggressive intrapartum suctioning and intensive neonatal management was studied to evaluate its impact on neonatal morbidity and mortality. Meconium Stained Amniotic Fluid (MSAF) was found amongst 7.4% of all deliveries and among these 238 (10.5%) babies developed meconium aspiration syndrome (MAS). Ninety five per cent babies with MSAF were born at > 36 weeks of gestation and 76% were more than 2.5 kg. Passage of thick and thin meconium was seen in 44 and 56% respectively. Passage of thick meconium was significantly associated with severe asphyxia and carried a bad prognosis with increased risk of development of meconium aspiration syndrome, hypoxic schemic encephalopathy, seizures and pulmonary air leak syndrome. Aggressive team approach was responsible for lowering the mortality to 7.7%. SN - 0019-6061 UR - https://www.unboundmedicine.com/medline/citation/8406722/Management_of_meconium_stained_amniotic_fluid:_a_team_approach_ DB - PRIME DP - Unbound Medicine ER -