scholarly journals THE SIGNIFICANCE OF MECONIUM STAINED AMNIOTIC FLUID – A CROSS SECTIONAL STUDY IN A RURAL SETUP

2013 ◽  
Vol 3 (12) ◽  
Author(s):  
Surekha Tayade
Keyword(s):  
Amniotic Fluid ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Meconium Stained Amniotic Fluid

scholarly journals Prevalence and contributing factors of Birth asphyxia among the neonates delivered at Nigist Eleni Mohammed Memorial Teaching Hospital, Southern Ethiopia: A cross-sectional study

2019 ◽  
Author(s):  
Ritbano Ahmed Abdo ◽  
Hassen Mosa Halil ◽  
Biruk Assefa Kebede ◽  
Abebe Alemu Anshebo ◽  
Negeso Gebeyehu Gejo
Keyword(s):  
Preterm Birth ◽  
Amniotic Fluid ◽  
Teaching Hospital ◽  
Birth Asphyxia ◽  
Cross Sectional Study ◽  
Southern Ethiopia ◽  
Sectional Study ◽  
Contributing Factors ◽  
Cross Sectional ◽  
Meconium Stained Amniotic Fluid

Abstract Background: Birth asphyxia is a major contributor to neonatal mortality worldwide. In Ethiopia, birth asphyxia remains a severe condition that leads to significant mortality and morbidity. This study aims to assess the prevalence and contributing factors of birth asphyxia among the neonates delivered at the Nigist Eleni Mohammed Memorial Teaching Hospital, Southern Ethiopia. Methods: This hospital-based cross-sectional study was carried out on 279 participants using the systematic sampling method during June 1- 30, 2019. Data were collected using a pretested structured interviewer administered questionnaire, check list and chart review, which was used to retrieve medical information and mother’s test results that could not be captured by the interview. Data were entered into EpiData (version 3.1) and analyzed using SPSS software (version 24). Multivariable regression analysis was used to identify the association between the independent variables and outcome variable with a 95% confidence interval (CI). Result: The overall prevalence of birth asphyxia among newborns was found to be 15.1%. Factors that were significantly associated with birth asphyxia included mothers aged ≥ 35 (AOR=6.4; 95% CI = 2.0-20.5), primigravida (AOR=5.1; 95% CI =2.0-13.3), prolonged second stage of labor (AOR=4.6; 95%CI =1.6-13.3), preterm birth (AOR=4.7; 95% CI =1.5-14.1), meconium stained amniotic fluid (AOR=7.5; 95% CI =2.5-21.4) and tight nuchal (AOR=3.1; 95% CI =1.2- 9.3). Conclusion: Birth asphyxia is still prevalent in the study setting. The obtained findings indicated that the mothers aged , being primigravida, preterm birth, meconium stained amniotic fluid and tight nuchal were the factors associated with birth asphyxia. The results of this study show the need for better maternal care, creating awareness about contributing factors of birth asphyxia to the maternity health professionals, careful monitoring of labor, and identifying and taking proper measures that could help in reducing the occurrence of birth asphyxia.

scholarly journals Prevalence and contributing factors of birth asphyxia among the neonates delivered at Nigist Eleni Mohammed memorial teaching hospital, Southern Ethiopia: a cross-sectional study

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Ritbano Ahmed Abdo ◽  
Hassen Mosa Halil ◽  
Biruk Assefa Kebede ◽  
Abebe Alemu Anshebo ◽  
Negeso Gebeyehu Gejo
Keyword(s):  
Preterm Birth ◽  
Amniotic Fluid ◽  
Teaching Hospital ◽  
Birth Asphyxia ◽  
Cross Sectional Study ◽  
Southern Ethiopia ◽  
Sectional Study ◽  
Contributing Factors ◽  
Cross Sectional ◽  
Meconium Stained Amniotic Fluid

Abstract Background Birth asphyxia is a major contributor to neonatal mortality worldwide. In Ethiopia, birth asphyxia remains a severe condition that leads to significant mortality and morbidity. This study aims to assess the prevalence and contributing factors of birth asphyxia among the neonates delivered at the Nigist Eleni Mohammed Memorial Teaching Hospital, Southern Ethiopia. Methods This hospital-based cross-sectional study was carried out on 279 participants using the systematic sampling method during June 1–30, 2019. Data were collected using a pretested structured interviewer administered questionnaire, check list and chart review, which was used to retrieve medical information and mother’s test results that could not be captured by the interview. Data were entered into EpiData (version 3.1) and analyzed using SPSS software (version 24). Multivariable regression analysis was used to identify the association between the independent variables and outcome variable with a 95% confidence interval (CI). Result The overall prevalence of birth asphyxia among newborns was found to be 15.1%. Factors that were significantly associated with birth asphyxia included mothers aged ≥35 (AOR = 6.4; 95% CI = 2.0–20.5), primigravida (AOR = 5.1; 95% CI =2.0–13.3), prolonged second stage of labor (AOR = 4.6; 95%CI =1.6–13.3), preterm birth (AOR = 4.7; 95% CI =1.5–14.1), meconium stained amniotic fluid (AOR = 7.5; 95% CI =2.5–21.4) and tight nuchal (AOR = 3.1; 95% CI =1.2–9.3). Conclusion Birth asphyxia is still prevalent in the study setting. The obtained findings indicated that the mothers aged ≥35, being primigravida, preterm birth, meconium stained amniotic fluid and tight nuchal were the factors associated with birth asphyxia. The results of this study show the need for better maternal care, creating awareness about contributing factors of birth asphyxia to the maternity health professionals, careful monitoring of labor, and identifying and taking proper measures that could help in reducing the occurrence of birth asphyxia.

scholarly journals Maternal risk factors and perinatal outcome in meconium stained amniotic fluid: a cross sectional study

2018 ◽  
Vol 7 (10) ◽  
pp. 4103
Author(s):  
Meera Mohan ◽  
Deepak A. V.
Keyword(s):  
Amniotic Fluid ◽  
Perinatal Outcome ◽  
Mode Of Delivery ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Maternal Risk Factors ◽  
Cross Sectional ◽  
Maternal Risk ◽  
Grade 3 ◽  
Meconium Stained Amniotic Fluid

Background: Meconium staining of amniotic fluid has long been regarded as a sign of fetal distress and fetal asphyxia. Although exact cause is unknown, meconium is thought to be passed from fetal gastro-intestinal tract as a response to hypoxia, mesenteric vasoconstriction induced gut hyper peristalsis, vagal stimulation and normal physiologic function of a mature fetus. Overall frequency has ranged from 5 to 24.6%. Present study is undertaken to detect incidence, mode of delivery, fetal heart rate variability and neonatal outcome in neonates born through MSAF. The objective of the study was to maternal risk factors, mode of delivery and perinatal outcome in labors complicated with meconium stained amniotic fluid.Methods: This is a cross sectional study done at Government Medical College, Thrissur on term, singleton pregnancies complicated with meconium stained amniotic fluid satisfying the inclusion criteria. Patients detailed history, gestational age, per abdominal examination, per speculum and per vaginal examination, admission tests including intrapartum cardiotocography (CTG) was recorded in a predesigned proforma.Results: The age of the patients varied between above 19 and 30 years. Majority of the study population were 69.3% Primi gravidas. Out of 130 cases, 56.2% were grade 2 meconium stained liquor, 30.7% were grade 3 meconium stained and 13.1% were grade 1 meconium stained. Association between neonatal complications in relation to grades of meconium was found to be statistically significant (p = 0.001). NICU admission was 24.7% in grade 2 meconium group. Hypoxic Ischemic encephalopathy was high in grade 3 meconium group, 45%. Majority of babies born through grade 1 meconium were asymptomatic and 10% of babies in grade 3 meconium groups were asymptomatic. Meconium aspiration syndrome, Respiratory distress were more in babies born through deliveries complicated with grade 3 meconium.Conclusions: The study indicated meconium stained amniotic fluid during labour increases the prevalence of abnormal intrapartum CTG, Caesarean section, lower Apgar score, increased duration of NICU and hospital stay, poor perinatal outcome and non-significant difference in incidence of lower birth weight in babies.

CLINICAL, SUB-CLINICAL CHARACTERISTICS AND MANAGEMENT OF ACUTE FETAL DISTRESS AT MATERNITY DEPARTMENT OF HUE CENTRAL HOSPITAL

2018 ◽  
Vol 8 (5) ◽  
pp. 20-25
Author(s):  
Giang Truong Thi Linh
Keyword(s):  
Amniotic Fluid ◽  
Apgar Score ◽  
Clinical Characteristics ◽  
Fetal Distress ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Central Hospital ◽  
Cross Sectional ◽  
Natural Childbirth ◽  
Dark Green

Objective: Examination ofclinical, sub-clinical characteristics and attitudes of management of acute fetal distress at Maternity Department, Hue Central Hospital. Methods and Material: Descriptive cross sectional study on 208 acute fetal distress patients at Maternity Department of Hue Central Hospital from 06/2016 – 03/2017. Results: DIP II: 35.6% and Apgar score after birth < 7: 4.1%, variability < 5 bpm: 7.2%, and Apgar score after birth < 7: 6.7%. Dark green amniotic fluid: 25.0% and increase after birth. Apgar score/1 minute < 7: 1.9%, Apgar/5 minutes < 7: 0.5%. Medical treatment: infusion, oxygen, lying on the left side are the most used methods. Management of obstetric use including caesarean (94.2%), Forceps (1.5%), natural childbirth (4.3%). Conclusions: Follow Monitoring changes and amniotic fluid color are very valuable in the diagnosis of acute fetal distress. Treatment of acute fetal distress is a combination of medical and obstetric treatment. Key words: Acute fetal distress, green amniotic fluid, cardiotocography

scholarly journals AFI IN PREGNANT PATIENTS;

2017 ◽  
Vol 24 (01) ◽  
pp. 102-105
Author(s):  
Farkhunda Akhtar ◽  
Arooj Aziz ◽  
Arfa Hamid ◽  
Tooba Hamid
Keyword(s):  
Amniotic Fluid ◽  
Fluid Intake ◽  
Cross Sectional Study ◽  
Cold Weather ◽  
Military Hospital ◽  
Sectional Study ◽  
Amniotic Fluid Index ◽  
Cross Sectional ◽  
Hydration Therapy ◽  
Patient Department

Background: Amniotic fluid plays major role in fetal growth & development.Abnormalities of fluid volume can affect fetal development causing many structural anomalies.Maternal dehydration leads to changes in amniotic fluid index by changing net movement of fluidinto or from the fetus. Study Design: Cross sectional study was carried out to asses increaseincidence of reduced amniotic fluid index in Quetta due to dehydration. Period: Year of 2015.Method: The study was a cross sectional study for this purpose 50 pregnant patients referringto obstetric Out Patient Department of Combined Military Hospital Quetta were investigatedfor changes (improvement, or no change) in amniotic fluid index after hydration therapy. Theunder studied population was pregnant women between 20th_ 38th week of gestation referringto obstetric Out Patient Department of Combined Military Hospital Quetta with amniotic indexless than 10.The study was conducted after approval of ethical committee. Result: Patientsshowed significant improvement in AFI after hydration therapy. Conclusion: QUETTA region,a combination of dry and cold weather leads to decrease fluid intake and greater insensiblelosses that results in reduced AFI. Increased incidence of reduced AFI is highly due to maternaldehydration that can be improved with maternal hydration.

Assessment of 22 inorganic elements in human amniotic fluid: a cross-sectional study conducted in Canary Islands (Spain)

2018 ◽  
Vol 29 (2) ◽  
pp. 130-139 ◽  
Author(s):  
Luis Alberto Henríquez-Hernández ◽  
Octavio P. Luzardo ◽  
Luis D. Boada ◽  
Ana González-Antuña ◽  
Ana Isabel Domínguez-Bencomo ◽  
...  
Keyword(s):  
Amniotic Fluid ◽  
Canary Islands ◽  
Cross Sectional Study ◽  
Inorganic Elements ◽  
Sectional Study ◽  
Human Amniotic Fluid ◽  
Cross Sectional

scholarly journals Association between non-invasive nursing care technologies during childbirth and neonatal vitality: a cross-sectional study

2019 ◽  
Vol 23 (4) ◽  
Author(s):  
Octavio Muniz da Costa Vargens ◽  
Carlos Sérgio Corrêa dos Reis ◽  
Juliana Amaral Prata ◽  
Avany Maura Gonçalves de Oliveira ◽  
Jane Márcia Progianti
Keyword(s):  
Amniotic Fluid ◽  
Quality Care ◽  
Secondary Data ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Care Model ◽  
Cross Sectional ◽  
Midwifery Care ◽  
Non Invasive ◽  
Traditional Care

Abstract Objective: to compare the use of non-invasive midwifery care technologies (TNICEO) with the use of traditional care model practices, having as parameters the presence of meconium in the amniotic fluid and its repercussion on the newborn’s vitality. Method: a cross-sectional study with secondary data of 10,219 parturients who delivered by midwives between September 2004 and October 2016. Logistic regression was used to assess Apgar> 8 Odds Ratio in exposure to noninvasive midwifery care technologies when compared to traditional care. Results: there were higher percentages of light amniotic fluid and neonates with good vitality in parturients who used only TNICEO compared with those exposed only to traditional care. Conclusion: nurse midwives’ provision of TNICEO and its use by women are efficient strategies to reduce unfavorable neonatal outcomes. Implications of practice: investments in the performance of these experts is important, as their know-how to make them not medicalized through TNICEO confirms a process of humanized, safe and quality care that meets official recommendations and contributes to the change in the care model.

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