DOI: 10.36347/sjams.2017.v05i03.053

Pages: 990-994

The purpose of the study was to know the fetal heart rate pattern, timing and mode of delivery in meconium stained amniotic fluid and to study the fetal and early neonatal outcome in meconium stained amniotic fluid. In this hospital based observational study, after applying exclusion and inclusion criteria; women were divided into two groups, study and control group. Study group consist of women with thin and thick meconium respectively and control group with clear liquor..88% cases of thick meconium liquor had suspicious CTG findings all of them required caesarean section and rest delivered vaginally.75% cases of thick meconium had APGAR scores <7/10 at one minute which improved at five minute after resuscitative measures. Birth asphyxia, meconium below vocal cords, meconium aspiration syndrome was seen in 16.67% cases with thick meconium and there were 5.5% cases of neonatal mortality in thick meconium cases. Both mode of delivery and fetal outcome were affected by the presence of thick meconium stained liquor as compared to clear and thin meconium. Thick MSAF in presence of low APGAR score is directly responsible for high neonatal morbidity and mortality.