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Scholars Journal of Applied Medical Sciences | Volume-4 | Issue-10
A Study of Clinico -Epidemiological Profile of Meconium Aspiration Syndrome in Newborn Admitted in NICU of Gauhati Medical College & Hospital
Dr. Gayatri Bezboruah, Dr. Abhishek Chakraborty, Dr. Niladri Sekhar Bhunia
Published: Oct. 31, 2016 |
195
85
DOI: 10.36347/sjams.2016.v04i10.001
Pages: 3553-3556
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Abstract
The objective is to determine the clinical & epidemiological profile of Meconium Aspiration Syndrome (MAS) in neonates admitted in NICU, Gauhati Medical College & Hospital. A prospective study was designed in a Tertiary care Hospital using 119 newborn babies who met the inclusion criteria were studied over a period of 12 months. The incidence of MAS was 4.03/1000 live births. Males are (63%) affected more. Primigravida, vaginal deliveries, term newborns were important risk factors. Fetal distress (94.29% mortality) prolonged labour (54.29% mortality) was associated with poor outcome.43.96% had severe MAS needed mechanical ventilation. Overall mortality was 38.46%. Mortality was very high despite interventions in severe MAS. Some simple but important measures which will help to bring down this are: Early detection of high risk pregnancy and early referral to higher Centre with proper facility, early detection of fetal distress, management of fetal distress, vigorous resuscitation at birth.