PERINATAL OUTCOMES ASSOCIATED WITH MECONIUM STAINED NON VIGOROIUS BABIES IN A TERTIARY CENTRE OF UTTARAKHAND (INDIA)

Abstract

We examined the perinatal outcomes in singleton pregnancies associated with meconium-stained amniotic fluid (MSAF) in non vigorous neonates.The study was performed during one year (2012-2013) in new borns admitted at our tertiary referral centre, department of pediatrics Dr. Sushila Tiwari government hospital (Government medical college & hospital) Haldwani distt- nainital (Uttarakhand) India . Mothers in labour were studied when meconium was found at the time of rupture of membranes or clear amniotic fluid turned meconium stained during course of labour. Number of cases were 75 and number of controls were 100. The incidence of non vigorous MSAF newborns was 4.9%. The incidence of intrauterine fetal death, low Apgar score, low umbilical artery pH and need of NICU admission at delivery in cases with MSAF were significantly higher than those without MSAF. Incidences of early neonatal death were higher in study group (18.66%) as compared to control group (2%). Obstetric management should be affected by meconium in the amniotic fluid.