Correlation of Meconium Stained Liquor with Cardiotocography and Its Foetal Outcome.

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dc.contributor.authorKhan, Anam Khusrauen_US
dc.contributor.authorPajai, Sandhya Pralhaden_US
dc.date.accessioned2020-11-18T10:18:20Z
dc.date.available2020-11-18T10:18:20Z
dc.date.issued2020-05
dc.description.abstractMeconium stained liquor is considered as a sign of non-reassuring foetal status and is associated with adverse foetal outcome. We wanted to evaluate the correlation of Meconium Stained Liquor (MSL) with cardiotocography (CTG) and observe the mode of delivery and foetal outcome in term pregnancy (37-42 weeks).METHODSThis is an observational study, conducted at A.V.B.R.H., Sawangi, Meghe, Wardha from September 2017 to August 2019 (2 years) among 140 pregnant women with Meconium Stained Amniotic Fluid (MSAF) in labour after artificial or spontaneous rupture of membranes. Continuous cardiotocography was done; foetal outcome and mode of delivery were recorded.RESULTSThe distribution of women according to grades of MSL, shows that 40.7 % had grade 1 MSL, 34.3% had grade 2 MSL, and 25% had grade 3 MSL. The distribution of women according to CTG characteristics, shows that 43.57% had normal CTG, 49.29 % had pathologic CTG, and 7.14% had suspicious CTG. The percentage of normal CTG was maximum in grade 1 MSL (80.70%), percentage of suspicious CTG was maximum in grade 2 MSL (10.42%), and percentage of pathologic CTG was maximum in grade 3 MSL (88.57%). Maximum women with grade 1 MSL had normal vaginal delivery (70.18%), while maximum women with grade 2 (79.17%) and grade 3 MSL (82.86%) had caesarean section. 93 (66.43%) neonates required only routine care at birth and 47 (33.57%) neonates required NICU admission. Out of these 47 neonates who were admitted in NICU, 7 (14.89%) neonates had birth asphyxia, 17 (36.17%) neonates required ventilator support, 15 (31.91%) later on developed meconium aspiration syndrome, 1 (2.13%) neonate developed hypoxic ischemic encephalopathy (HIE), 1 (2.13%) neonate developed neonatal sepsis, 1 (2.13%) neonate developed pneumonia, 2 (4.26%) neonates died on their day 2 of life; i.e. neonatal mortality is 1.4% out of total cases.CONCLUSIONSIncreasing grades of meconium stained liquor was associated with cardiotocography abnormalities and with low APGAR score at 1 min and 5 min, increased need for NICU admissions, longer duration of NICU stay, and neonatal morbidity and mortality.en_US
dc.identifier.affiliationsDepartment of Obstetrics and Gynaecology, Datta Meghe Institute of Medial Sciences (Deemed to be University), Wardha, Maharashtra, Indiaen_US
dc.identifier.affiliationsDepartment of Obstetrics and Gynaecology, Datta Meghe Institute of Medial Sciences (Deemed to be University), Wardha, Maharashtra, India.en_US
dc.identifier.citationKhan Anam Khusrau, Pajai Sandhya Pralhad. Correlation of Meconium Stained Liquor with Cardiotocography and Its Foetal Outcome.. Journal of Evolution of Medical and Dental Sciences. 2020 May; 9(20): 1585-1589en_US
dc.identifier.issn2278-4802
dc.identifier.issn2278-4748
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/214917
dc.languageenen_US
dc.publisherAkshantala Enterprises Private Limiteden_US
dc.relation.issuenumber16en_US
dc.relation.volume9en_US
dc.source.urihttps://dx.doi.org//10.14260/jemds/2020/346en_US
dc.subjectAnam Khusrau Khanen_US
dc.subjectSandhya Pralhad Pajaien_US
dc.titleCorrelation of Meconium Stained Liquor with Cardiotocography and Its Foetal Outcome.en_US
dc.typeJournal Articleen_US
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