Abstract: The significance of meconium in the amniotic fluid in fetal outcome is uniformly depressing, the thicker the meconium, the poorer is the prognosis for the newborn, Meconium stained amniotic fluid complicates 7 to 22% of live births. This case – control study involved patients admitted to the labour room, with thick meconium in amniotic fluid. 100 patients participated in the study and were randomly assigned into two groups of 50 each, one group received standard obstetric care with amnioinfusion while the other group received standard obstetric care without amnioinfusion. The study period was for two years. The method adopted was one suggested by Wenstrom and Parson consisting of a bolus infusion of average 500ml of pre-warmed normal saline over 20-30 minutes drained by gravity using no: 14 Foley’s catheter for infusion. Neonatal parameters were 1 – minute Apgar, 5-minute Apgar, meconium in the oropharynx, and trachea, incidence of meconium aspiration syndrome and admission to neonatal intensive care unit and maternal factors were operative interference for foetal distress and puerperal fever.92% of babies who received amnioinfusion had one minute Apgar of more than 7 compared to only 72% among the controls. This was found to be statistically significant, 5 minute Apgar score between the amnioinfused group and control group was not significant. From our study it is clear that saline amnioinfusion is a simple, safe and relatively inexpensive procedure without much complications which have significant effect in decreasing perinatal mortality and morbidity from Meconium aspiration syndrome.
Keywords: Meconium, Amnioinfusion.
Title: A Comparative study- Amnioinfusion for reduction of severity of meconium aspiration syndrome
Author: Kadri Yogesh Bangera, Fousiya Jamal, Chethan K, Vijaya Kumar
International Journal of Healthcare Sciences
ISSN 2348-5728 (Online)
Research Publish Journals
