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Association of Paediatric Surgeons of Bangladesh
Journal of Paediatric Surgeons of Bangladesh
Original Articles · Vol. 4 No. 2 (2013)

Perinatal Outcome Associated with Meconium Stained Amniotic Fluid In Pregnancy

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JPSB
Journal of
Paediatric Surgeons of Bangladesh
Published : July 2013
CONTENTSVolume 04Number 2July 2013
Editorial
Birth Defect
Mohammod Shahidullah
36
Review Articles
Birth Defect: An Over view
Nasrin Begum, Sharmeen Mahmood, Parvin Akhter Shamsun Nahar, Sabiha Islam, Begum Sharifun Naher, Md Ashraf Ul Huq
58
Original Articles
Use of Probiotics as Prophylaxis for Postoperative Infections of Under- 5 Children Following Gastrointestinal Surgery
SM Sabbir Enayet, Kaniz Hasina, Abdul Hanif Tablu
38
Perinatal Outcome Associated with Meconium Stained Amniotic Fluid In Pregnancy
Nasrin Begum, Sharmeen Mahmood, Salma Akhter Munmun, MS Haque, KN Nahar, SB Chowdhury
44
Effects of multiple micronutrients (MMN) on ovulation inductionin subfertile women with PCOS
Jesmin Banu, Farzana Deeba, Parveen Sultana, ASM Alamgir Chowdhury, Md Abul Hashem Khan
50
Risk Factors Analysis in Asphyxiated Newborn and Their Neurological Outcome in Relation to Hypoxic-Ischaemic Encephalopathy
Begum Sharifun Nahar, Syeda Afroza, Zakia Naher
54
Case Reports
Torsion of Ovarian Cyst During Pregnancy (Laparoscopic Cystectomy): A Case Report
Parveen Akhter Shamsunnahar, Abdul Motaleb, Khairunnahar, Nurjahan Begum, Tarafder Runa Laila
67
Successful Pregnancy in a DWARF : A Rare Case Report
Nahid Yusuf, Hasina Akter, Md Ahmed Ali, Latifur Rahman
72
The Official Journal of the
ASSOCIATION OF PAEDIATRIC SURGEONS OF BANGLADESH (APSB)
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Authors

  • Nasrin BegumAssociate professor, Dept of Obs & Gynae, BSMMU, Dhaka
  • Sharmeen MahmoodAssistant professor, Dept of Obs & Gynae, BSMMU, Dhaka
  • Salma Akhter MunmunMedical officer, Dept of Obs & Gynae, BSMMU, Dhaka
  • MS HaqueFCPS student, Dept of Obs & Gynae, BSMMU, Dhaka
  • KN NaharAssociate professor, Dept of Obs & Gynae, BSMMU, Dhaka
  • SB ChowdhuryProfessor & Chairman, Dept of Obs & Gynae, BSMMU, Dhaka

Abstract

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.

Journal of Paediatric Surgeons of Bangladesh (2013) Vol. 4 (2): 44–49

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