Retrospective Study of Meconium Stained Liquor and Its Fetal Outcome

Abstract

Aims and Objectives: To determine the fetal outcome and mode of delivery in patient with meconium stained liquor during labour. Materials and Methods: This retrospective study was conducted from December 2018 to May 2019 on patients admitted to labour room, KGH. Out of 3548 deliveries, patients who met the inclusion criteria were enrolled in our study. The data was collected in a predesigned proforma. Results: Incidence of meconium stained amniotic fluid (MSAF) was 8.82%(313), Out of which 46.9%(147) required SNCU admission. 25.85%(38) developed meconium aspiration syndrome (MAS) among who got admitted, in which 8.84%(13) had neonatal mortality. There was significant association between grades of meconium and MAS, babies with thick meconium were prone to develop MAS. Postdated pregnancy, preeclampsia were significant factors associated with MSAF. Conclusion: MSAF alone is not associated with an adverse outcome. 53%(166) babies remained asymptomatic. There is increased chance of operative delivery in presence of meconium especially when associated with abnormal CTG. Increasing grades of MSL and abnormal CTG are associated with poor outcome.