Abstract
PURPOSE: to analyze obstetrical and perinatal data in 26 cases of meconium aspiration syndrome (MAS). METHODS: a retrospective review was performed in 26 newborn records diagnosed with meconium aspiration syndrome. Patients were studied emphasizing average days in neonatal intensive care unit and main maternal findings and neonatal complications, correlating them with each other. RESULTS: Eighteen babies were delivered at GH-CSUF and eight out of this hospital. At this time 3,976 deliveries occurred at GH-CSUF, with an incidence of MAS of 0.45%. Nine of 18 babies were born by vaginal delivery; weight was >2,500 g in 16 cases. One-minute Apgar score was >7 in three cases (16.7%), between 4 and 6 in seven cases (38.9%), and between 0 and 3, in eight cases (44.4%). At 5 minutes, seven babies remained <7. Anoxia was the main neonatal complication (36%). The mortality rate was 7.7% and the average hospital stay was 19.9 days. CONCLUSION: MAS is a very important neonatal pathology correlated with high neonatal mortality rates, thick meconium in at least half of the cases, and with a majority of depressed newborns at delivery.
Highlights
Methods: a retrospective review was performed in 26 newborn records diagnosed with meconium aspiration syndrome
Eighteen babies were delivered at GH-CSUF and eight out of this hospital
At this time 3,976 deliveries occurred at GH-CSUF, with an incidence of meconium aspiration syndrome (MAS) of 0.45%
Summary
José Mauro Madi, Edson Nunes de Morais Erinéia Locatelli, Sônia Regina Cabaral Madi, Renato Luis Rombaldi. Objetivos: analisar os resultados obstétricos e perinatais de 26 casos de síndrome de aspiração de mecônio (SAM). Conclusão: a SAM constitui grave entidade clínica neonatal, relacionando-se com altas taxas de mortalidade neonatal, mecônio espesso em pelo menos a metade dos casos e nascimento de fetos deprimidos na sua maioria. A justificativa principal para a investigação realizada está na gravidade da síndrome da aspiração do mecônio (SAM), quase sempre associada a fetos de termo e com peso adequado para a idade gestacional, e na íntima associação da doença a altos índices de operação cesariana, depressão neonatal grave, resultados perinatais adversos e incremento nas taxas de internação em ambiente de intensivismo neonatal. O objetivo do presente trabalho foi o de estudar, retrospectivamente, casos de síndrome de aspiração de mecônio ocorridos em população de um hospital-escola, sob os aspectos obstétricos e neonatais
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