Role of Amnioinfusion among the Women in Labour with Meconium Stained Liquor
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2019, Vol 18, Issue 1
Abstract
Objectives: Meconium stained liquer is commonly associated with increased neonatal morbidity and mortality. Objective of this study is to assess the effects of amnioinfusion in labour with meconium stained amniotic fluid. Materials and methods: This is prospective Case-Control study. The study was carried out in the Department of Obstetrics and Gynaecology of NRS Medical College and Chittaranjan Seva Sadan, Kolkata. Labouring term and post term pregnant mothers with singleton vertex presentation with ruptured membrane associated with meconium stained liquor were included in this study. Usually two to three bottles of normal saline was infused through the catheter. Progress of labour was monitored by Partograph. Apgar Score at 1 minutes and 5 minutes were recorded. Results and Analysis: All the mothers under the study were given amnioinfusion in active labour with meconium stained liquor and mean delivery time (in hours) from onset of the procedure upto delivery by any route was 5±0.13. The rate of caesarean section was less in case group compared to control group which is statistically significant. Amnioinfusion also improved the Apgar Score at 1minute and 5 minutes(P=0.038). Conclusions: Amnioinfusion in labour with meconium stained liquor decrease the rate of caesarean section and improves the neonatal outcome. It is a cheap, easy and effective procedure without serious side effects.
Authors and Affiliations
Dr Pallab Kumar Mistri, Dr Aridam Halder, Professor Hiralal Konar
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