DOI: 10.36347/sjams.2016.v04i09.076

Pages: 3548-3552

A cross-sectional observational study to Evaluate neonatal outcome and antenatal, intrapartum and neonatal attributes of meconium stained amniotic fluid (MSAF) as well as there incidence in 200 Inborn neonates born with meconium stained amniotic fluid who were admitted in NICU and with mother in PNC ward in a period of one year (April 2015-March 2016) excluding those who born with congenital abnormalities. Detail history of babies and mother with MSAF noted with emphasis on antepartum and intrapartum risk factors and outcome in terms of morbidity and mortality taken. Incidence of MSAF in present study was 11.8%. Out of 1685 inborn neonates, 200 babies with MSAF admitted to NICU with most common indications being birth asphyxia (32.5%) and Meconium Aspiration Syndrome (27.5%). Majority babies were delivered through thin Meconium Stained Liquor (65%) followed by thick (35%). Total number of deaths were 35 and most of these babies (34) had thick meconium with severe HIE and MAS. Oligohydramnios, PIH, anemia and fetal distress were common antenatal and intranatal factors associated with MSAF. Major morbidity and indication for NICU admission was Birth asphyxia and MAS. Mortality rate was 17.5% which is commonly associated with thick meconium and severe HIE.