Abstract
Background: Meconium stained amniotic fluid (MSAF), especially observed before term, is considered a sign of fetal jeopardy. Although many studies characterized this condition and associated it with delivery mode, data is lacking in this area, Saudi Arabia. Thus, we attempted to study it. Methods: All data were retrieved from pregnant patients with MSAF who delivered at King Abdul, Saudi Arabia, from January 2015 to December 2018. Results: 758 showed MSAF, of which 83% had vaginal delivery, whereas remaining 17% had an emergency caesarean section. Of them, 32 (4.2%) infants developed meconium aspiration syndrome, and 7 (21.8%) were admitted to the NICU. Conclusion: It was reconfirmed that MSAF is associated with a newborn risk, especially meconium aspiration syndrome. Patients had a higher rate for emergent caesarean section and baby admission to NICU. These data may be useful to make health/reproductive-health poly-making in this area.
Highlights
Meconium is the name given to elements which have collected in the fetal gut in the time of intrauterine life
All data were retrieved from pregnant patients with Meconium stained amniotic fluid (MSAF) who delivered at King Abdul, Saudi Arabia, from January 2015 to December 2018
We found that normal delivery was two times the caesarean section 2:1 ratio in patient complicated by Meconium aspiration syndrome (MAS)
Summary
Meconium is the name given to elements which have collected in the fetal gut in the time of intrauterine life. Amniotic fluid Meconium staining is classified as grade 1, 2, and 3. Incidence of Meconium-stained amniotic fluid ranges from 7% - 22%, while Meconium aspiration syndrome (MAS) happens in just about fifth of all cases of MSAF [3]. Meconium stained amniotic fluid (MSAF), especially observed before term, is considered a sign of fetal jeopardy. Conclusion: It was reconfirmed that MSAF is associated with a newborn risk, especially meconium aspiration syndrome. Patients had a higher rate for emergent caesarean section and baby admission to NICU. These data may be useful to make health/reproductive-health poly-making in this area
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