Peripartum effect of meconium-stained amniotic fluid (MSAF) and relation to perinatal outcomes

Abstract

Aim: To determine any possible relationship between fetal distress signs on electronic fetal monitoring and birth outcomes, in case of meconium stained amniotic fluid. Material and Method: This retrospective cohort study included 107 pregnant women at the gestational age of 35-42 weeks, who were admitted to the labor room with signs of active labor process and meconium stained amniotic fluid leakage, between June and September 2016. Results: There were no statistically significant difference between the groups in terms of gestational week at birth, gender of baby, birth length and weight, mode of delivery, and low 5th minute APGAR score (≤5). However, low 1st minute APGAR score (≤5) values, emergency cesarean delivery and neonatal intensive care unit admission were significantly higher in the fetal distress group (p=0.037, p<0.0001, p = 0.002, respectively). Conclusion: Active labor management and induction of labor can be implemented with closely electronic fetal monitoring in the presence of meconium. However, the presence of stress findings should be taken into account. Cases with fetal distress findings are associated with increased poor perinatal outcomes in relation to chronic stress. Moreover, to choose cesarean section as the mode of delivery did not seem to improve perinatal outcomes.