PMID: 9527946Apr 7, 1998Paper

Meconium aspiration syndrome: importance of the monitoring of labor

Journal of Perinatology : Official Journal of the California Perinatal Association
M AdhikariP Gwamanda

Abstract

This study was conducted to identify the associated obstetric and neonatal factors in babies with meconium aspiration syndrome. All babies diagnosed with meconium aspiration were included in the study. Maternal details, monitoring of labor, and mode of delivery were recorded. The neonatal details included Apgar scores, resuscitation, weight, gestational age, and the grading of the radiographs for severity of meconium aspiration syndrome. Outcome was determined as survival or death, the need for mechanical ventilation, and the severity of the radiographic changes. Of the 55 patients entered into the study 8 babies (14.5%) died and 23 (42%) received mechanical ventilation. Fifty-four percent of the babies were born postterm. Univariate analysis revealed that the lack of monitoring of the labor was the most significant variable associated with moderate to severe radiographic changes (p = 0.008). Tracheal suction was significantly associated with more severe radiographic changes (p = 0.008). One (8.2%) of 12 babies with mild radiographic changes had an arterial pH < 7.2 (p = 0.032). Multivariate analysis showed that mortality and the need for mechanical ventilation were associated with monitoring of labor and with prolonged resusci...Continue Reading

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