Effect of Amnioinfusion on Outcome of Neonates Born With Meconium Stained Amniotic Fluid
Journal Title: National Journal of Integrated Research in Medicine - Year 2012, Vol 3, Issue 2
Abstract
Background & Objective: Meconium stained amniotic fluid (MSAF) is associated with significant morbidity and mortality. Amnioinfusion can decrease complications of MSAF. The objective was to study role of Amnioinfusion on outcome of babies born with MSAF. Methods: Design: Prospective Interventional Study Setting: Medical college and SSG Hospital, Baroda, Gujarat. Study Period: from 1st March 2003 to 31st December 2003 Inclusion criteria: evidence of Thick MSAF AND station of the head is zero or above. Patients were grouped randomly in to two groups. In Group A amnioinfusion was performed while in Group B amnioinfusion was not done. Amnioinfusion was done by inserting foley catheter transcervically and infusing normal saline or ringer lactate at the rate of 100ml/min till the coming liquor became clear. Outcome was studied. Results: Out of total 227 babies with thick MSAF amnioinfusion was performed in 52 patients (Group A), rest 175 patients were controls (Group B). Incidence of MAS was significantly lower 7.7% in Group A compared to 25.7% of Group B (P < 0.005). There was significantly lower incidence of birth asphyxia 1.92% in Group A compared to 34.8% in Group B (P value < 0.0001). Incidence of HIE was significantly lower in group A. Incidence of Air leaks and PPHN was similar in both groups. Rate of NICU admission was significantly lower in group A (13.4%) compared to group (51.4%), P value < 0.001. Mortality in Group A was much lower 5.8% compared to 14.85% in Group B (p =0.08). Amnioinfusion did not increase risk of maternal or neonatal sepsis. Conclusion: Amnioinfusion significantly decreases complications of MSAF and improves perinatal survival [ Thakkar P et al NJIRM 2012; 3(2) : 86-90].
Authors and Affiliations
Dr Pareshkumar A. Thakkar, Dr Sheila Aiyer
Keywords
Related Articles
- EP ID EP40211
- DOI -
- Views 346
- Downloads 0
Study of Antibiotic Sensitivity Pattern In Urinary Tract Infection At A Tertiary Hospital
This study was conducted in a tertiary hospital at Bareilly, Uttar Pradesh between Aug 2009 and July 2010 to check the changing pattern of antibiotic sensitivity among uropathogens causing urinary tract infections (UTI...
Dynamics Of Listserv Discussion On Educational Research
Background: PSG –FAIMER Regional Institute Listserv generates discussions among faculty, fellows and scholars working and interested in the field of Medical education research. The online programme is designed to teach...
A Study Of Supraorbital Notches And Foramina In Gujarati Human Skulls
The anatomy of the supraorbital notches and foramina has been studied in 249 human skulls. Of 233 skulls, 35.62% had bilateral supraorbital notches, 21.45% had bilateral supraorbital foramina and 16.73% had a notch on o...
Diplopia as an alarm sign in orbital traumatisms
Orbital fractures represent between 10 and 25% of all facial fractures. They may be classified into 3 types: a) orbital rim fractures; b) comminuted fractures of the orbital wall; and c) "trap door" fractures of the orbi...
Serum PSA level in Prostatic lesions with Histopathological correlation in Gujarat
Background: Prostate specific antigen (PSA) has been widely used in the diagnosis and management of patients with prostate cancer. It may be elevated in other prostatic diseases and surgical procedures. PSA exists in t...