DOI: 10.36347/sjams.2016.v04i06.036

Pages: 2048-2051

The study was undertaken to assess and compare the perinatal outcome in women with meconium stained amniotic fluid with or without transcervical intrapartum amnioinfusion. In this hospital based interventional randomized study, study group (35 cases) received transcervical amnio infusion while control group (35 cases) did not receive amnio infusion. FHR monitoring was done using cardiotocography. Apgar score at 1 minute showed significant difference in study group and controls (Apgar <7/10- 28.57% v/s 54.28%, p- value<0.05). On the contrary Apgar score at 5 minute did not show significant difference (2.86% v/s 14.29%, p-value>0.05). Meconium below the vocal cards was seen in significantly fewer cases in study group (20%) compared to controls (45.71%). Meconium aspiration syndrome (MAS) was developed and endotracheal intubation was required in more cases (8.57%) in controls compared to Study group (28.57%) (p<0.05). Two neonates died in the control group due to meconium aspiration syndrome. Thus concluding that amnio infusion of normal saline in meconium stained liquor improves the fetal outcome.