FETOMATERNAL OUTCOME IN MECONIUM STAINED AMNIOTIC FLUID IN A TERTIARY RURAL HEALTH CARE CENTRE

2021 ◽  
pp. 31-33
Author(s):  
Yeshwanthini J ◽  
Mahendra G ◽  
Ravindra S Pukale
Keyword(s):  
Heart Rate ◽  
Fetal Heart Rate ◽  
Fetal Heart ◽  
Birth Asphyxia ◽  
Well Being ◽  
Fetal Outcome ◽  
Meconium Aspiration Syndrome ◽  
Medical Sciences ◽  
Health Care Centre ◽  
Fetal Heart Rate Monitoring

Background: The study was undertaken to determine the correlation of amniotic uid stained with meconium (MSAF) with maternal and fetal outcome. Methods: This prospective observational study was carried out in the Department of Obstetrics and gynecology, Sri Adichunchanagiri Institute of Medical Sciences, BG Nagara for over a period of 6 months between July 2020 and December 2020. A total of 168 pregnant women were included in the study. MSAF on spontaneous or articial rupture of membranes were monitored during labour with fetal heart rate abnormality, consistency of liquor, 1 minute and 5 minute Apgar score, LSCS, instrumental delivery, NICU admissions and neonatal complications as outcome variables. Results: Women were divided into two groups: 69 were cases with meconium stained amniotic uid (MSAF) and 99 were controls with clear amniotic uid. Among 69 cases with MSAF 17.4% were unbooked & 82.6% were booked (at least 3 visits in rst trimester), 79.7% were between 20-30 years of age group. Primigravida's constituted 55.1% in the study group. Approximately 34.8% had gestational ages of >39- 40 weeks. Caesarean section done in cases of MSAF accounted for 55.1% Normal deliveries were 36.2% in cases and 45.5% in controls. Conclusions: Presence of MSAF is worrisome for both the obstetrician and pediatricians view as it increases surgical intervention, birth asphyxia, MAS & NICU admissions. Continuos fetal heart rate monitoring during labour and reassurance of fetal well-being by acid-base assessment were most signicant factors in the reduction of meconium aspiration syndrome

scholarly journals Prolonged Fetal Bradycardia as the Presenting Clinical Sign in Congenital Syphilis Complicated by Necrotizing Funisitis: A Case Report

2011 ◽  
Vol 2011 ◽  
pp. 1-3 ◽  
Author(s):  
Jun Kakogawa ◽  
Miyuki Sadatsuki ◽  
Norio Masuya ◽  
Hideto Gomibuchi ◽  
Shigeki Minoura ◽  
...  
Keyword(s):  
Heart Rate ◽  
Fetal Heart Rate ◽  
Fetal Heart ◽  
Congenital Syphilis ◽  
Histopathological Examination ◽  
Treponema Pallidum ◽  
Birth Asphyxia ◽  
Neonatal Morbidity ◽  
Fetal Heart Rate Monitoring ◽  
Histopathological Evidence

Syphilis remains a serious cause of neonatal morbidity and mortality worldwide. In this paper, we describe a case of congenital syphilis that was fully supported by abnormal fetal heart rate patterns and placental histopathological evidence. A 24-year-old para 4 woman, who did not attend antenatal care, was admitted to our hospital with a complaint of abdominal discomfort at an estimated 31-week gestation. Fetal heart rate monitoring showed prolonged bradycardia. A neonate weighting 1,423 g with severe birth asphyxia was immediately delivered by cesarean section. Following delivery, the mother and the neonate were diagnosed with syphilis. Histopathological examination confirmed severe chorioamnionitis and necrotizing funisitis with numerous Treponema pallidum. Conclusions. Challenges in establishing the diagnosis of necrotizing funisitis are essential for optimal management of a fetus with a systemic inflammatory response in utero.

Computerized fetal heart rate monitoring subpartum as a predictor for extreme fetal outcome

2005 ◽  
Vol 209 (S 2) ◽  
Author(s):  
C Frohnmayer ◽  
S Pildner von Steinburg ◽  
N Harner ◽  
M Scholz ◽  
KTM Schneider
Keyword(s):  
Heart Rate ◽  
Fetal Heart Rate ◽  
Fetal Heart ◽  
Fetal Outcome ◽  
Heart Rate Monitoring ◽  
Fetal Heart Rate Monitoring

scholarly journals Comparative analysis of maternal and fetal outcome in meconium stained amniotic fluid and clear liquor in primigravida

2020 ◽  
Vol 9 (2) ◽  
pp. 482
Author(s):  
Deepali S. Kapote ◽  
Apeksha M. Mohite ◽  
Anam Syed
Keyword(s):  
Heart Rate ◽  
Amniotic Fluid ◽  
Apgar Score ◽  
Fetal Heart Rate ◽  
Fetal Heart ◽  
Birth Asphyxia ◽  
Fetal Outcome ◽  
Control Group ◽  
Singleton Pregnancy ◽  
Meconium Staining

Background: The present study was undertaken to evaluate the significance of MSAF and its fetal outcome in parturients.Methods: A total of 121 pregnant women who had completed more than 37 weeks of gestation with live singleton pregnancy, spontaneous onset of labor and at term with adequate pelvis were included in the study. All (121) low risk primigravida with MSAF were studied to identify maternal and fetal outcome and compared with equal number of cases with clear amniotic fluid. Meconium stained cases were clinically classified into two groups- thin (54 cases) and thick (67 cases). MSAF on spontaneous or artificial rupture of membranes were monitored with fetal heart rate abnormality, 1- and 5-minutes Apgar score, NICU admissions and neonatal complications as outcome variables.Results: Overall incidence of meconium staining of AF during labour was 7.71%. The common fetal heart rate abnormalities i.e. bradycardia was seen in 36% in MSG. Apgar score of less than 7 was observed in MSG at 5 minutes in 5% of cases, in thick group. Major neonatal complication was birth asphyxia in MSG (18.18%) that was more in thick MSG (14.87%). MAS were observed in 6 cases in thick and 4 cases in thin meconium stained cases. NICU care was required in 18% cases in MSG and in control group it was required in 7% cases. Neonatal morbidity was more in newborn with thick meconium group (52%) compared to thin meconium group (20%).Conclusions: The present study confirmed that meconium staining of amniotic fluid adversely influences the fetal outcome.

scholarly journals Erroneous Recording of Maternal Heart Rate as Fetal Heart Rate During Second Stage of Labour: Isn’t it Time to Stop this?

2021 ◽  
Vol 2 (5) ◽  
pp. 315-319
Author(s):  
F Saeed ◽  
S Abeysuriya ◽  
E Chandraharan
Keyword(s):  
Heart Rate ◽  
Fetal Heart Rate ◽  
Fetal Heart ◽  
Well Being ◽  
Signal Loss ◽  
Large Signal ◽  
Fetal Heart Rate Monitoring ◽  
Maternal Heart Rate ◽  
Second Stage Of Labour ◽  
Ultrasound Technology

Electronic Fetal Heart Rate (FHR) monitoring is recommended to assess fetal well-being during labour in high risk pregnancies. This Cardiotocograph (CTG) monitoring relies on the ultrasound technology with the limitation of signal loss in 15% to 40% of the cases [1]. In the earlier versions of these CTG monitors, fetal heart tracings were generally of reasonable quality with many artefacts and some degree of occasional large signal noise. Subsequent models were improved by signal modulation and autocorrelation. Although, these new methodologies of signal processing have reduced the signal loss, the issues of inadvertent monitoring of the maternal heart rate as fetal heart rate and inaccurate evaluations of baseline fetal heart rate (i.e. doubling or halving) continue to pose difficulties during intrapartum fetal heart rate monitoring.

A Clinical Study of Fetal Outcome in Cases of Nuchal Cord

1970 ◽  
Vol 7 (1) ◽  
pp. 25-27 ◽  
Author(s):  
AA Begum ◽  
H Sultana ◽  
R Hasan ◽  
M Ahmed
Keyword(s):  
Heart Rate ◽  
Caesarean Section ◽  
Apgar Score ◽  
Fetal Heart Rate ◽  
Fetal Heart ◽  
Fetal Outcome ◽  
Normal Vaginal Delivery ◽  
Close Monitoring ◽  
Fetal Heart Rate Monitoring ◽  
Nuchal Cord

Introduction: The umbilical cord around the neck of the fetus at the time of birth is nuchal cord. Objectives : To study the perinatal events and fetal outcome in cases with nuchal cord and formulate a plan for safe delivery. Methods: This cross sectional prospective study of 152 cases of nuchal cord (out of 1646 deliveries) was carried out in department of Obstetrics and Gynaecology of a Combined Military Hospital of Bangladesh during the period of two years. The nuchal cords were classified as tight coils or loose coils. Apgar score at 1 and 5 minutes after birth were recorded. Birth weight and sex of all babies were noted. Cord length was measured and considered as long (>70 cm) and short (<35 cm). Results: Out of 152 cases 128 (84.21%) had normal vaginal delivery, 3 (1.97%) cases had instrumental delivery, 21 (13.82%) cases underwent caesarean section and fetal distress was the main indication (16 out of 21). Only 22 (14.47%) of fetuses manifested fetal heart rate variation mostly variable deceleration (10 out of 22). Neonates born with tight nuchal cord had low Apgar score in one minute in comparison to loose (p<0.05), whereas significantly low Apgar score after 5 minutes was observed in babies born with multiple nuchal cord. Conclusion: The presence of a nuchal cord per se is not found to be an indication of operative delivery. However, such patients require close monitoring during labour, preferably by continuous electronic fetal heart rate monitoring as well as strict maintenance of partogram. Key words: Nuchal cord; normal delivery; caesarean section; fetal outcome DOI: http://dx.doi.org/10.3329/jafmc.v7i1.8622 JAFMC Bangladesh. Vol 7, No 1 (June) 2011; 25-27

scholarly journals Study of length of umbilical cord and fetal outcome: a study of 1000 deliveries

2017 ◽  
Vol 6 (9) ◽  
pp. 3770
Author(s):  
Shiva Kumar H. C. ◽  
Chandrashekhar T. Tharihalli ◽  
Chandrashekhar K. ◽  
Suman F. Gaddi
Keyword(s):  
Heart Rate ◽  
Umbilical Cord ◽  
Apgar Score ◽  
Fetal Heart Rate ◽  
Fetal Heart ◽  
Birth Asphyxia ◽  
Fetal Outcome ◽  
The Body ◽  
Operative Interference ◽  
Cord Length

Background: Human embryo develops inside the body of the mother. One of the important part of the fetoplacental unit is the umbilical cord. The umbilical cord is the lifeline of the fetus. Objective of present study was to investigate the correlation of umbilical cord length with fetal parameters like APGAR score, sex, weight, and length, and its effect on labor.Methods: This prospective study conducted in the Department of OBG of VIMS, Bellary, from 1st February 2016 to 31st January 2017. The 1000 pregnant women of >37 weeks were studied following delivery for length of umbilical cord, any loop around neck, trunk, shoulder and number of loops of cord; knots of cord etc. Fetal parameters recorded were sex, weight, and length of the newborn and APGAR score at 1 and 5 min.Results: Cord length varied from 22 to 126 cm. The mean cord length was 66 cm (±10 cm). Maximum cases have cord length of 61and 70 cm. Lower 5th percentile and upper 5th percentile considered as short and long cord. Short-cord group was associated with significantly higher (p<0.05) incidence of LSCS cases. The incidence of all types of cord complications increases as the cord length increases (p<0.001). Nuchal cords had higher mean cord length and as the number of loops in a nuchal cord increases to two or more loops, the operative interference and fetal heart abnormalities increases. Fetal heart rate abnormalities and birth asphyxia increase with extremes of cord length (p<0.001).Conclusions: Short and long cords are associated with increased incidence of cord complications, operative interference, intrapartum complications, increased fetal heart rate abnormalities, and birth asphyxia. But cord length did not vary according to the weight, length, and sex of the baby.

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