Document Detail

Meconium-stained amniotic fluid--perinatal outcome and obstetrical management in a low-risk suburban population.
MedLine Citation:
PMID:  16837118     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To determine whether amniotic fluid (MSAF) affects obstetrical interventions and immediate perinatal outcome in a low-risk suburban population. STUDY DESIGN: A retrospective cohort study examined 11,226 deliveries at Tübingen University Hospital (1998-2003). Thousand one hundred and twenty-three women (10%) had MSAF during labor. A control group of matched pairs was created, assigning to each patient the next woman that gave birth without MSAF. Exclusion criteria were: gestational age less than 37+0 weeks, primary Cesarean (C-)section, multiple gestation, severe maternal disease, preeclampsia and fetal malformations. RESULTS: Only small differences were noted between the meconium and non-meconium groups with regard to arterial pH and Apgar scores: mean arterial-pH was 7.26 (+/-0.7) for both. Five minutes Apgar scores <6 occurred in 0.9% versus 0.4%. Obstetrical interventions were more common in the meconium group: C-section rates were 17.4% versus 9.6%, vaginal operative delivery rates 13.9% versus 6.2% and scalp pH rates 9.5% versus 3.7%, respectively. CONCLUSIONS: In a low-risk suburban population the effect of MSAF on the newborn during the immediate postpartum period was small. However, obstetrical management was significantly effected by the presence of MSAF, possibly reflecting a combination of more difficult labor and a lower threshold for obstetric intervention.
Sven Becker; Erich Solomayer; Cemal Dogan; Diethelm Wallwiener; Tanja Fehm
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Publication Detail:
Type:  Journal Article     Date:  2006-07-11
Journal Detail:
Title:  European journal of obstetrics, gynecology, and reproductive biology     Volume:  132     ISSN:  0301-2115     ISO Abbreviation:  Eur. J. Obstet. Gynecol. Reprod. Biol.     Publication Date:  2007 May 
Date Detail:
Created Date:  2007-04-30     Completed Date:  2007-06-26     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0375672     Medline TA:  Eur J Obstet Gynecol Reprod Biol     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  46-50     Citation Subset:  IM    
Universitätsfrauenklinik Tübingen, Tübingen University Medical Center, Calwerstrasse 7, 72076 Tübingen, Germany.
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MeSH Terms
Amniotic Fluid*
Apgar Score
Cohort Studies
Fetal Monitoring / methods
Maternal Age
Obstetric Labor Complications / pathology*
Pregnancy Outcome*
Retrospective Studies
Suburban Population

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