Document Detail

Meconium-stained amniotic fluid and the need for pediatrician attendance.
MedLine Citation:
PMID:  23043514     Owner:  NLM     Status:  Publisher    
AIM: To determine perinatal parameters among term newborn infants born by vaginal delivery with meconium stained amniotic fluid (MSAF) that needed pediatrician assistance. METHODS: Pediatricians who were in attendance in the delivery room due to MSAF among term infants completed 775 reports regarding the infants' delivery conditions and the assistance provided. We defined "pediatrician attendance needed" for a subgroup of infants for whom we retrospectively determined that pediatrician attendance in the delivery room was required. RESULTS: "Pediatrician attendance needed" was determined in 31 (4%) cases. Among cases with documented normal fetal monitor, only 10 (1.8%) were defined as "pediatrician attendance needed," a percentage significantly lower than among infants born following non-reassuring fetal monitor: 21 (9.7%) (P<0.001). "Pediatrician attendance needed" was predicted by non-reassuring fetal monitor (OR 6.02 [CI 2.72-13.31], P<0.001), maternal fever (OR 6.34 [1.92-20.92], P=0.002) and younger maternal age (for every year) (OR 0.889 [CI 0.82-0.96], P=0.003). CONCLUSIONS: Term newborn infants born by vaginal delivery with MSAF with documented normal tracing fetal monitor are at low risk of the need for pediatrician assistance. Pediatrician attendance in the delivery room in labor involving MSAF should be recommended when non-reassuring fetal monitor tracing is observed and should also be considered when maternal fever is recorded and/or thick meconium is observed. © 2012 The Author(s)/Acta Paediatrica © 2012 Foundation Acta Paediatrica.
Ayala Maayan-Metzger; Leah Leibovitch; Irit Schushan-Eisen; Tzipora Strauss; Jacob Kuint
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-10-8
Journal Detail:
Title:  Acta paediatrica (Oslo, Norway : 1992)     Volume:  -     ISSN:  1651-2227     ISO Abbreviation:  Acta Paediatr.     Publication Date:  2012 Oct 
Date Detail:
Created Date:  2012-10-9     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9205968     Medline TA:  Acta Paediatr     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2012 The Author(s)/Acta Paediatrica © 2012 Foundation Acta Paediatrica.
Department of Neonatology, The Edmond and Lili Safra Children's Hospital; Sackler Faculty of Medicine, Tel Aviv University, Israel.
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