scholarly journals MECONIUM STAINED LIQUOR;

2013 ◽  
Vol 20 (02) ◽  
pp. 202-207
Author(s):  
IRAM ASLAM,
Keyword(s):  
Risk Factor ◽  
Amniotic Fluid ◽  
Vocal Cord ◽  
Apgar Score ◽  
Neonatal Outcome ◽  
Perinatal Death ◽  
Descriptive Study ◽  
Memorial Hospital ◽  
Apgar Scores ◽  
Speculum Examination

The Presence of meconium in amniotic fluid is a risk factor for intrapartum hypoxia. It had been considered as an indicatorof poor neonatal outcome. Objective: To determine neonatal outcome in meconium stained liquor. Design: Descriptive Study. Setting:Department of Gynae and Obstetrics, Fatima Memorial Hospital, Lahore. Period: 06 months from 21-01-2009 to 20-07-2009. Subjectsand Methods: The patients with meconium stained liquor were assessed by per speculum examination and were followed till the time ofdelivery. Neonatal outcome was assessed by APGAR scores at 1 minute, vocal cord staining, admission to ICU Nursery, perinatal death,need of resuscitation and total stay in ICU Nursery. Results and Conclusion: During the study period, 140 patients were included in study.Among these, 97 babies had APGAR score < 5 at 1 minute, 102 babies had staining of vocal cord while 119 babies were admitted to ICUNursery. Incidence of perinatal death was 8.6%. Conclusions: Meconium stained liquor is associated with poor neonatal outcome.

scholarly journals Correlation of reduced amniotic fluid index with neonatal outcome

2017 ◽  
Vol 6 (6) ◽  
pp. 2401 ◽  
Author(s):  
Rachna Chaudhary ◽  
Vandana Dhama ◽  
Shakun Singh ◽  
Madhumita Singh
Keyword(s):  
Heart Rate ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Amniotic Fluid ◽  
Fetal Heart Rate ◽  
Neonatal Death ◽  
Neonatal Outcome ◽  
Fetal Heart ◽  
Birth Asphyxia ◽  
Apgar Scores

Background: Amniotic fluid assessment is an essential part of evaluation of fetus health in terms of fetal distress, meconium aspiration, IUGR, Non-reassuring fetal heart rate patterns, birth asphyxia, low birth weight, low Apgar-scores and NICU Admissions.Methods: This prospective observational study included 200 antenatal patients of term gestation of which 100 cases with AFI<8 and 100 controls with AFI ≥8 but ≤ 15 were included in study. Ultrasonography and NST were done and results of both groups compared for the presence of meconium passage, non-reactive NST, birth asphyxia, low Apgar-scores, low birth weight, NICU admissions and neonatal deaths.Results: There was increased incidence of non-reactive NST (40% vs 12%), meconium stained (33% vs 10%) in oligohydramnios group. In cases 49% of patients had vaginal delivery while in controls 78%. 51% underwent LSCS in cases while in controls 22%. Apgar score <7 was found in 7% vs 4%. Birth weight was <2.5 kg in 35% vs 13%. NICU admissions in study group was 15% vs 11%. The neonatal death was similar in both cases groups.Conclusions: Oligohydramnios affect the neonatal outcome in terms of meconium stained liquor, non-reassuring fetal heart rate, low birth weight, birth asphyxia, low Apgar-scores and NICU Admissions and neonatal death but the difference was not statistically significant. Early detection of oligohydramnios and its management may help in reduction of perinatal morbidity and decreased caesarean deliveries.

scholarly journals Perinatal Outcome Associated with Meconium Stained Amniotic Fluid In Pregnancy

2015 ◽  
Vol 4 (2) ◽  
pp. 44-49 ◽  
Author(s):  
Nasrin Begum ◽  
Sharmeen Mahmood ◽  
Salma Akhter Munmun ◽  
MS Haque ◽  
KN Nahar ◽  
...  
Keyword(s):  
Birth Weight ◽  
Amniotic Fluid ◽  
Apgar Score ◽  
Perinatal Outcome ◽  
Perinatal Death ◽  
Mode Of Delivery ◽  
Neonatal Resuscitation ◽  
Meconium Aspiration Syndrome ◽  
Meconium Aspiration ◽  
Meconium Stained Amniotic Fluid

Objectives: To evaluate perinatal outcome associated with meconium stained amniotic fluid in pregnant women.Methods: It was a prospective cross sectional study, conducted in the Department of Obstetrics and Gynecology in Bangabandhu Sheikh Mujib Medical University, Dhaka, from January 2013 to December 2013. Total 50 pregnant women admitted in the labour ward for delivery with meconium stained amniotic fluid were the study population. Singleton pregnancy of more than 34 weeks duration was included and pregnancy with APH, breech presentation, congenital malformation of fetus, IUD were excluded from the study. Out of 50 patients two did not provide all the information needed to analyze the data and hence were excluded. Outcome Variables were gestational age, antenatal checkup, medical diseases of mother (HTN, Diabetes mellitus, Heart disease), obstetric complication (oligohydramnios, prolonged labour), mode of delivery, neonatal details (weight of the baby in kg, APGAR scoring at 1 min & 5 min), neonatal resuscitation, admission in neonatal ICU(NICU), neonatal complications (RDS, MAS, Neonatal death).Results: Over half (52.1%) of the neonates needed resuscitation and 54.2% admitted in ICU. About 90% of the neonates had normal birth weight and only 10.4% were of low birth weight. 14.6% of the neonates developed meconium aspiration syndrome and 10.4% respiratory distress syndrome. Neonatal jaundice and neonatal sepsis were observed in 4.2% neonates each. Four neonates (8.3%) died early in the neonatal life, while 1 (2.1 %) was still-born. Low APGAR score (<7) at 1 and 5 minutes of birth was found in 64.7% and 52.9% of the cases respectively with thick meconium stained amniotic fluid as opposed to 25.8% and 16.1% of the cases respectively having thin meconium stained amniotic fluid (p = 0.008 and p = 0.007 respectively). Thick meconium was significantly associated with meconium aspiration syndrome (p = 0.003). Neonates needing immediate resuscitation and admission in ICU was staggeringly higher in the former group than those in the later group (p = 0.002). The incidence of perinatal death was significantly higher in patients with thick meconium stained amniotic fluid than that in patients with thin meconium ( p= 0.021).Conclusion: Meconium stained amniotic fluid was associated with low APGAR score, higher incidence of MAS, ICU admission and perinatal death.J. Paediatr. Surg. Bangladesh 4(2): 44-49, 2013 (July)

scholarly journals Maternal and fetal outcome of prelabor rupture of membranes at term expectant management

2016 ◽  
Vol 10 (2) ◽  
Author(s):  
Tayyiba Wasim ◽  
Shazia Najibullah
Keyword(s):  
Wound Infection ◽  
Conservative Management ◽  
Apgar Score ◽  
Neonatal Outcome ◽  
Expectant Management ◽  
Neonatal Infection ◽  
Descriptive Study ◽  
Fetal Outcome ◽  
Prelabor Rupture Of Membranes

This descriptive study was carried out to analyze the maternal and fetal outcome of 24 hours expectant management`: in patients of PROM at term. 100 women presenting with prelabor rupture of membranes at term were included. All the patients were managed conservatively for 24 hours, followed by induction if labor did not start spontaneously, or if signs of chorioamnionitis developed at any stage. Magnitude of PROM during the year 2002 was` 7.008%. Spontaneous labor rate with in 24 hours was 84%. 2% patients developed signs of chorioamnionitis in less than 24 hours and 14% patient did not enter into spontaneous labor after 24 hours of PROM. 94% patients with PROM delivered vaginally while 6 caesarian sections were carried out. Postnatal complications were observed in 17% of patients. These included chorioamnionitis 2%, PPH 7%, puerperal pyrexia 4%, wound infection 3%, and DVT in 1% patient. Mean Apgar score of babies was 5.90, 1 min after birth and 8.7, 5 min after birth. Maximum babies had APGAR score of 9 at 5 min after birth, 8 babies were admitted to ICU and only 1 baby developed proven neonatal infection. This study shows that conservative management is safe with excellent maternal and neonatal outcome.

scholarly journals Neonatal outcome in meconium stained amniotic fluid: a hospital based study

2017 ◽  
Vol 4 (2) ◽  
pp. 356 ◽  
Author(s):  
Gurmeet Singh ◽  
Onkar Singh ◽  
Karuna Thapar
Keyword(s):  
Respiratory Distress ◽  
Amniotic Fluid ◽  
Apgar Score ◽  
Perinatal Outcome ◽  
Neonatal Outcome ◽  
Mode Of Delivery ◽  
Age At Onset ◽  
In Utero ◽  
Severe Thrombocytopenia ◽  
Meconium Stained Amniotic Fluid

Background: Amniotic fluid surrounds the baby in utero and provides a protective and low resistance environment and acts as a cushion for the baby. It is secreted by amniotic membranes, foetal skin and fetal urine. The objectives of this study was to identify the incidence of meconium stained amniotic fluid, perinatal outcome and the risks during pregnancy leading to in utero passage of meconium.Methods: A prospective study conducted in Sri Guru Ram Das University, Amritsar, between 1st December 2014 to 1st June 2016. All live births with meconim stained amniotic fluid without congenital malformation, twin or multiple organ dysfunction were taken as subjects of this study. Maternal obstetric history and risk factors were asked and foetal parameters including gestational age, fetal presentation, mode of delivery, birth weight, sex, Apgar score, age at onset of respiratory distress, treatment and outcome were observed.Results: Out of 1121 admissions in NICU, 12% of inborn and 9.6% of outborn were with MSAF, out of which 34% developed MAS. Majority of neonates were observed to be males (73.6%), term neonates (67.2%), weight 2.5-3.5 kg (76.9%) with mean weight being 2.701 kg±0.558 kg and 16% mortality including 9 inborn and 11 outborn neonates. Mean age at onset of respiratory distress was 18.43 minutes±11.52 minutes. Neonatal outcome was significantly related to weight, APGAR score at 5 mins, and development of complications like MAS, hypoxic ischemic encephalopathy, necrotizing enterocolitis, acute renal failure and severe thrombocytopenia. Culture proven septicaemia was seen in 21.6% cases. Mean duration of stay in NICU was 6.48 days±0.54 days.Conclusions: MSAF has significant effect on perinatal outcome and close observation is required to prevent and treat complications thus reducing mortality.

scholarly journals Neonatal Outcome among the Misoprostol Induced Term Pregnant women

2015 ◽  
Vol 2 (1) ◽  
pp. 3-6
Author(s):  
Aftabun Nahar ◽  
Afroza Ghani ◽  
Ashia Khatun ◽  
Rifat Sultana ◽  
Fatema Mahbooba Akter ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Vaginal Delivery ◽  
Apgar Score ◽  
Neonatal Outcome ◽  
Perinatal Death ◽  
Induction Of Labour ◽  
Singleton Pregnancy ◽  
Medical College ◽  
Adverse Result ◽  
Usual Manner

Background: Use of misoprostol in term pregnancy can give some adverse result. Objective: The purpose of the present study was to see the neonatal outcome among the term pregnant women. Methodology: This cohort study was carried out in the Department of Obstetrics and Gynaecology at Sir Salimullah Medical College and Mitford Hospital during the period from 1st September 2005 to 28th February 2006. Primi or second gravida patients with the gestational age between 37 weeks to 42 weeks in singleton pregnancy with cephalic presentation and not in labour who came for delivery purposes during the study period at any age were selected as study population. After proper selection of the cases, induction of labour (IOL) was done by applying Tab Misoprostol 50mcg in the posterior vaginal fornix. Purpose of induction of labour was successful when vaginal delivery occurred without any untoward side effects and without any surgical interference and with good APGAR score of the newborn. Result: A total number of 60 pregnant women were recruited in this study. 60% patients were within 23-30 years of age. This table shows that out of 43 cases of vaginal delivery 22 cases needed 1 dose of Misoprostol 21 cases needed more than 1 dose. This table shows that all the baby were live born. Among them 55 (92%) baby were healthy and 5 (8%) baby were asphyxiated. the depressed babies were well after resuscitation in usual manner and after 5" mean Apgar score was 9.46. Mean birth weight was 2.94 kg. Conclusion: There is no perinatal death in the misoprostol induced delivery; however, neonatal asphyxia is found in few cases as an adverse outcome.Journal of Current and Advance Medical Research 2015;2(1):3-6DOI: http://dx.doi.org/10.3329/jcamr.v2i1.22579

scholarly journals The Association between the Five-Minute Apgar Score and Neurodevelopmental Outcomes among Children Aged 8−66 Months in Australia

2021 ◽  
Vol 18 (12) ◽  
pp. 6450
Author(s):  
Tahir Ahmed Hassen ◽  
Catherine Chojenta ◽  
Nicholas Egan ◽  
Deborah Loxton
Keyword(s):  
Apgar Score ◽  
Generalized Estimating Equations ◽  
Entire Range ◽  
Neurodevelopmental Outcomes ◽  
Apgar Scores ◽  
Neurodevelopmental Delay ◽  
Australian State ◽  
Perinatal Data ◽  
Data Collections ◽  
Minute Apgar Score

This study aimed to evaluate the association of the five-minute Apgar score and neurodevelopmental outcomes in children by taking the entire range of Apgar scores into account. Data from the Australian Longitudinal Study of Women’s Health (ALSWH) and Mothers and their Children’s Health (MatCH) study were linked with Australian state-based Perinatal Data Collections (PDCs) for 809 children aged 8−66 months old. Generalized estimating equations were used to model the association between the five-minute Apgar scores and neurodevelopmental outcomes, using STATA software V.15. Of the 809 children, 614 (75.3%) had a five-minute Apgar score of 9, and 130 (16.1%) had an Apgar score of 10. Approximately 1.9% and 6.2% had Apgar scores of 0−6 and 7−8, respectively. Sixty-nine (8.5%) of children had a neurodevelopmental delay. Children with an Apgar score of 0−6 (AOR = 5.7; 95% CI: 1.2, 27.8) and 7−8 (AOR = 4.1; 95% CI: 1.2, 14.1) had greater odds of gross-motor neurodevelopment delay compared to children with an Apgar score of 10. Further, when continuously modelled, the five-minute Apgar score was inversely associated with neurodevelopmental delay (AOR = 0.75; 95% CI: 0.60, 0.93). Five-minute Apgar score was independently and inversely associated with a neurodevelopmental delay, and the risks were higher even within an Apgar score of 7−8. Hence, the Apgar score may need to be taken into account when evaluating neurodevelopmental outcomes in children.

Effect of Amniotic Fluid Volume on Neonatal Outcome in Diamniotic Twin Pregnancies

1998 ◽  
Vol 91 (10) ◽  
pp. 942-945 ◽  
Author(s):  
EVERETT F. MAGANN ◽  
NEIL S. WIITWORTH ◽  
PHILIP G. RHODES ◽  
J. DAVID BASS ◽  
SUNEET P. CHAUHAN ◽  
...  
Keyword(s):  
Amniotic Fluid ◽  
Neonatal Outcome ◽  
Fluid Volume ◽  
Amniotic Fluid Volume ◽  
Twin Pregnancies

scholarly journals Influence of Spinal and General Anesthesia on Newborn’s Status

2015 ◽  
Vol 69 (2) ◽  
pp. 65-70
Author(s):  
Emilija Ivanov ◽  
Dafina Karadzova ◽  
Sotir Nikolovski ◽  
Atanas Sivevski ◽  
Kiro Curlinov ◽  
...  
Keyword(s):  
Caesarean Section ◽  
General Anesthesia ◽  
Spinal Anesthesia ◽  
Apgar Score ◽  
Base Excess ◽  
Rocuronium Bromide ◽  
Apgar Scores ◽  
Ph Values ◽  
Vital Parameters

AbstractIntroduction. The number of caesarean sections has drastically increased and thus arose the idea to examine the effect of the type of anesthesia on the neonates. The objective was to compare vital parameters in the neonates, born under general and spinal anesthesia.Method. A total of 120 patients with need for caesarean section have been divided in two groups of 60, of which the first was lead in general and the second one in spinal anesthesia. The first one was given propophol (2.0-2.5 mg/kg/tt) and succinil colin (1-1.5 mg/kg/tt). The anesthesia was lead with fentanil 0,005 mg/kg/tt and rocuronium bromide 0.4-0.6 mg/kg/tt. O2:N2O was 3:3 l/min. The second group was lead in spinal anesthesia. 2-3 ml Bupivacain 0.5% was spinally applied between L2-L3. Apgar score was defined in the neonates in the first and fifth minutes. The acido-basic status of the neonate was examined through pH values in the blood and the base excess.Results. In the first minute after birth giving with Apgar, 8 newborns 37(61,67%) were born to the group of patients with SA and 29 (48.33%) to the group of patients with GA. In 11 (18.33%) newborns born to the patients led with SA had Apgar score of 9-10, while only 3 (5%) of the newborns born to the patients led with GA had Apgar score of 9-10. Similar ratio was noted in the fifth minute after birth. Ph of the newborns’ blood as well as the base excess (BE) demonstrated significantly lower values in the group of patients led with SA than in the group of patients led with GA. Ph = 7.33 vs 7.37; BE=-4.57±1.8 vs -2.96±2.3.Conclusion. The newborns from the second group had significantly higher Apgar scores than those in the first group. The newborns’ relative acidose (lower SpO2and BE) did not affect the newborns’ Apgar score in the first and fifth minute.

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