DOI: 10.36347/sjams.2021.v09i12.020

Pages: 1891-1895

Background: Meconium stained amniotic fluid has been considered a sign of fetal distress in presentations other than breech and associated with poor fetal outcome but others considered meconium passage by fetus as physiological phenomenon and produces environmental hazards to fetus before birth. Such magnitude of different opinion was the object behind taking up of this study. Aims and objectives: To study maternal risk factors responsible for meconium stained amniotic fluid and its correlation with the fetal outcome in terms of morbidity and mortality. Meterial and methods: 100 women in labour with meconium stained amniotic fluid studied considering the inclusion criteria in the Department of Obstetrics and Gynecology, Pravara Rural Hospital, Loni. Cases divided into two -‘thin’ and ‘thick’ meconium stained group. Maternal and Fetal monitoring, uterine contraction assessed and Apgar score, birth weight, resuscitation of baby noted. All babies of both group followed up to first week neonatal life. Results: In our study, among 100 cases, 45% of the cases had thin meconium and 55% had thick meconium. Increased incidence of meconium staining was seen in crossed dates. The other risk factors were hypertension, anemia, oligohydramnios, IUGR. 56% went in for cesarean section due to intrapartum fetal distress. 33% of the cases went into NICU in view of low APGAR score due to birth asphyxia and meconium aspiration syndrome. Perinatal death was seen in 4 cases, one due to birth asphyxia and the other three due to MAS. Conclusion: Based on this study we conclude that meconium stained amniotic fluid is associated with increased incidence of caesarean section, low APGAR score, meconium aspiration syndrome and increased NICU admission.