Document Detail


Management of meconium stained amniotic fluid: a team approach.
MedLine Citation:
PMID:  8406722     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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:
A Narang; P M Nair; O N Bhakoo; K Vashisht
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Indian pediatrics     Volume:  30     ISSN:  0019-6061     ISO Abbreviation:  Indian Pediatr     Publication Date:  1993 Jan 
Date Detail:
Created Date:  1993-11-04     Completed Date:  1993-11-04     Revised Date:  2005-11-17    
Medline Journal Info:
Nlm Unique ID:  2985062R     Medline TA:  Indian Pediatr     Country:  INDIA    
Other Details:
Languages:  eng     Pagination:  9-13     Citation Subset:  IM    
Affiliation:
Department of Pediatrics, PGIMER, Chandigarh.
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MeSH Terms
Descriptor/Qualifier:
Birth Weight
Humans
Incidence
Infant, Newborn
Meconium Aspiration Syndrome / complications,  epidemiology,  therapy*
Patient Care Team*
Prospective Studies

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