Background: Meconium stained amniotic fluid occurs in up to 20% of all deliveries and is reported to vary in different settings across the world. Babies delivered by these women are at high risk of low score and meconium aspiration syndrome. Limited studies have reported on the predictors for poor fetal outcomes in women presenting with meconium stained amniotic fluid. Methods: This was a cross sectional study involving 209 pregnant women with meconium stained amniotic fluid. Semi structured questionnaire was used for data collection. Data were analyzed using STATA version 12. Results: A total of 1202 women delivered during the study period from December 2017 to February 2018. Amongst, 209 (17.4%) women had meconium stained amniotic fluid. Of the 209 babies, 35 (16.7%) had low score, 41 (19.6%) were admitted due to meconium aspiration syndrome and 3 (1.4%) died due to meconium aspiration syndrome related complications. Predictors for poor fetal outcomes were found to be Thick meconium (Grade III), Meconium as a new event during labor monitoring and null parity. Conclusion: The prevalence of meconium stained amniotic fluid at Bugando Medical Centre was found to be 17.4%. Thick meconium, development of meconium as a new event and nullparous were found to predict for poor fetal outcomes. Immediate interventions are recommended for those with the identified predictors for poor fetal outcome.
| Published in | European Journal of Preventive Medicine (Volume 12, Issue 4) |
| DOI | 10.11648/j.ejpm.20241204.12 |
| Page(s) | 94-102 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2024. Published by Science Publishing Group |
Meconium Stained, Fetal Outcomes, Women Delivering, Amniotic Fluid
| [1] | Sori D, Belete A, Wolde M. Meconium Stained Amniotic Fluid: Factors affecting Maternal and Perinatal Outcomes at Jimma University Specialized Teaching Hospital, South West Ethiopia. GynecolObstet (Sunnyvale). 2016; 6(394): 2161-0932.1000394. |
| [2] | Mundhra R, Agarwal M. Fetal outcome in meconium stained deliveries. Journal of clinical and diagnostic research: JCDR. 2013; 7(12): 2874. |
| [3] | David A, Njokanma O, Iroha E. Incidence of and factors associated with meconium staining of the amniotic fluid in a Nigerian University Teaching Hospital. Journal of obstetrics and gynaecology. 2006; 26(6): 518-20. |
| [4] | Oyelese Y, Culin A, Ananth CV, Kaminsky LM, Vintzileos A, Smulian JC. Meconium-stained amniotic fluid across gestation and neonatal acid-base status. Obstetrics & Gynecology. 2006; 108(2): 345-9. |
| [5] | Klingner MC, Kruse J. Meconium aspiration syndrome: pathophysiology and prevention. The Journal of the American Board of Family Practice. 1999; 12(6): 450-66. |
| [6] | Wiswell TE, Gannon CM, Jacob J, Goldsmith L, Szyld E, Weiss K, et al. Delivery room management of the apparently vigorous meconium-stained neonate: results of the multicenter, international collaborative trial. Pediatrics. 2000; 105(1): 1-7. |
| [7] | Osava RH, Silva FMBd, Oliveira SMJVd, Tuesta EF, AmaralMCEd. Meconium-stained amniotic fluid and maternal and neonatal factors associated. Revista de saudepublica. 2012; 46(6): 1023-9. |
| [8] | Hofmeyr GJ, Xu H. Amnioinfusion for meconium-stained liquor in labour. Cochrane Database Syst Rev. 2010; 1. |
| [9] | Fraser WD, Hofmeyr J, Lede R, Faron G, Alexander S, Goffinet F, et al. Amnioinfusion for the prevention of the meconium aspiration syndrome. New England Journal of Medicine. 2005; 353(9): 909-17. |
| [10] | Firdaus U, Ali SM. Maternal and neonatal factors associated with meconium stained amniotic fluid. Current Pediatric Research. 2013; 17(1). |
| [11] | Dargaville PA, Copnell B. The epidemiology of meconium aspiration syndrome: incidence, risk factors, therapies, and outcome. Pediatrics. 2006; 117(5): 1712-21. |
| [12] | Asnani M, Singh S, Srivastava K, Gupta HP, Mittal A. Role of amnioinfusion in meconium stained liquor in relation to fetal outcome. International Journal of Reproduction, Contraception, Obstetrics and Gynecology. 2016; 5(1): 175-81. |
| [13] | Matthews TG, Warshaw JB. Relevance of the gestational age distribution of meconium passage in utero. Pediatrics. 1979; 64(1): 30-1. |
| [14] | Ahanya SN, Lakshmanan J, Morgan BL, Ross MG. Meconium passage in utero: mechanisms, consequences, and management. Obstetrical & gynecological survey. 2005; 60(1): 45-56. |
| [15] | Ashfaq F, Shah A. Effect of amnioinfusion for meconium stained amniotic fluid on perinatal outcome. JOURNAL-PAKISTAN MEDICAL ASSOCIATION. 2004; 54(6): 322-4. |
| [16] | Balchin I, Whittaker JC, Lamont RF, Steer PJ. Maternal and fetal characteristics associated with meconium-stained amniotic fluid. Obstetrics & Gynecology. 2011; 117(4): 828-35. |
| [17] | Lee KA, Mi lee S, Jin Yang H, Park C-W, Mazaki-Tovi S, Hyun Yoon B, et al. The frequency of meconium-stained amniotic fluid increases as a function of the duration of labor. The Journal of Maternal-Fetal & Neonatal Medicine. 2011; 24(7): 880-5. |
| [18] | Starks GC. Correlation of meconium-stained amniotic fluid, early intrapartum fetal pH, and Apgar scores as predictors of perinatal outcome. Obstetrics and gynecology. 1980; 56(5): 604-9. |
| [19] | Tayade S. The significance of meconium stained amniotic fluid–A cross sectional study in a rural setup. IJBAR. 2012; 12(3): 861-66. |
| [20] | Gupta V, Bhatia B, Mishra O. Meconium stained amniotic fluid: antenatal, intrapartum and neonatal attributes. Indian pediatrics. 1996; 33: 293-8. |
| [21] | Elsersy MA. Utility of amnioinfusion in deliveries complicated by meconium stained liquor: a randomized controlled trial. International Journal of Reproduction, Contraception, Obstetrics and Gynecology. 2016; 6(1): 65-71. |
| [22] | Waterstone M, Murphy JD, Bewley S, Wolfe C. Incidence and predictors of severe obstetric morbidity: case-control studyCommentary: Obstetric morbidity data and the need to evaluate thromboembolic disease. Bmj. 2001; 322(7294): 1089-94. |
| [23] | Swain P, Thapalial A. Meconium stained amniotic fluid–a potential predictor of meconium aspiration syndrome. Journal of Nepal Paediatric Society. 2008; 28(1): 3-6. |
| [24] | Samiyappa DP, Ghose S, John LB, Samal R. Maternal and perinatal outcome in meconium stained amniotic fluid at term: a case control study. International Journal of Reproduction, Contraception, Obstetrics and Gynecology. 2016; 5(10): 3404-10. |
| [25] | Khatun MHA, Arzu J, Haque E, Kamal M, Al Mamun MA, Khan MFH, et al. Fetal outcome in deliveries with meconium stained liquor. Bangladesh Journal of Child Health. 2009; 33(2): 41-5. |
| [26] | Trainak S, Siwadune T. Factors Associated with Meconium Aspiration Syndrome in Cases with Meconium-Stained Amniotic Fluid. Thai Journal of Obstetrics and Gynaecology. 2016; 24(4): 240-6. |
APA Style
Kamuli, S. M., Kaiza, I. L., Kihunrwa, A., Chibwe, E., Mabega, N. G. (2024). Prevalence of Meconium Stained Amniotic Fluid and Predictors for Poor Fetal Outcomes Among Women Delivering at Bugando Medical Centre Mwanza Tanzania. European Journal of Preventive Medicine, 12(4), 94-102. https://doi.org/10.11648/j.ejpm.20241204.12
ACS Style
Kamuli, S. M.; Kaiza, I. L.; Kihunrwa, A.; Chibwe, E.; Mabega, N. G. Prevalence of Meconium Stained Amniotic Fluid and Predictors for Poor Fetal Outcomes Among Women Delivering at Bugando Medical Centre Mwanza Tanzania. Eur. J. Prev. Med. 2024, 12(4), 94-102. doi: 10.11648/j.ejpm.20241204.12
AMA Style
Kamuli SM, Kaiza IL, Kihunrwa A, Chibwe E, Mabega NG. Prevalence of Meconium Stained Amniotic Fluid and Predictors for Poor Fetal Outcomes Among Women Delivering at Bugando Medical Centre Mwanza Tanzania. Eur J Prev Med. 2024;12(4):94-102. doi: 10.11648/j.ejpm.20241204.12
Share This Article
Twitter
Linked In
Facebook
Copy
Download@article{10.11648/j.ejpm.20241204.12,
author = {Simon Malihu Kamuli and Innocent Lutakyamilwa Kaiza and Albert Kihunrwa and Elieza Chibwe and Ndakibae Gabriel Mabega},
title = {Prevalence of Meconium Stained Amniotic Fluid and Predictors for Poor Fetal Outcomes Among Women Delivering at Bugando Medical Centre Mwanza Tanzania
},
journal = {European Journal of Preventive Medicine},
volume = {12},
number = {4},
pages = {94-102},
doi = {10.11648/j.ejpm.20241204.12},
url = {https://doi.org/10.11648/j.ejpm.20241204.12},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ejpm.20241204.12},
abstract = {Background: Meconium stained amniotic fluid occurs in up to 20% of all deliveries and is reported to vary in different settings across the world. Babies delivered by these women are at high risk of low score and meconium aspiration syndrome. Limited studies have reported on the predictors for poor fetal outcomes in women presenting with meconium stained amniotic fluid. Methods: This was a cross sectional study involving 209 pregnant women with meconium stained amniotic fluid. Semi structured questionnaire was used for data collection. Data were analyzed using STATA version 12. Results: A total of 1202 women delivered during the study period from December 2017 to February 2018. Amongst, 209 (17.4%) women had meconium stained amniotic fluid. Of the 209 babies, 35 (16.7%) had low score, 41 (19.6%) were admitted due to meconium aspiration syndrome and 3 (1.4%) died due to meconium aspiration syndrome related complications. Predictors for poor fetal outcomes were found to be Thick meconium (Grade III), Meconium as a new event during labor monitoring and null parity. Conclusion: The prevalence of meconium stained amniotic fluid at Bugando Medical Centre was found to be 17.4%. Thick meconium, development of meconium as a new event and nullparous were found to predict for poor fetal outcomes. Immediate interventions are recommended for those with the identified predictors for poor fetal outcome.
},
year = {2024}
}
TY - JOUR T1 - Prevalence of Meconium Stained Amniotic Fluid and Predictors for Poor Fetal Outcomes Among Women Delivering at Bugando Medical Centre Mwanza Tanzania AU - Simon Malihu Kamuli AU - Innocent Lutakyamilwa Kaiza AU - Albert Kihunrwa AU - Elieza Chibwe AU - Ndakibae Gabriel Mabega Y1 - 2024/08/15 PY - 2024 N1 - https://doi.org/10.11648/j.ejpm.20241204.12 DO - 10.11648/j.ejpm.20241204.12 T2 - European Journal of Preventive Medicine JF - European Journal of Preventive Medicine JO - European Journal of Preventive Medicine SP - 94 EP - 102 PB - Science Publishing Group SN - 2330-8230 UR - https://doi.org/10.11648/j.ejpm.20241204.12 AB - Background: Meconium stained amniotic fluid occurs in up to 20% of all deliveries and is reported to vary in different settings across the world. Babies delivered by these women are at high risk of low score and meconium aspiration syndrome. Limited studies have reported on the predictors for poor fetal outcomes in women presenting with meconium stained amniotic fluid. Methods: This was a cross sectional study involving 209 pregnant women with meconium stained amniotic fluid. Semi structured questionnaire was used for data collection. Data were analyzed using STATA version 12. Results: A total of 1202 women delivered during the study period from December 2017 to February 2018. Amongst, 209 (17.4%) women had meconium stained amniotic fluid. Of the 209 babies, 35 (16.7%) had low score, 41 (19.6%) were admitted due to meconium aspiration syndrome and 3 (1.4%) died due to meconium aspiration syndrome related complications. Predictors for poor fetal outcomes were found to be Thick meconium (Grade III), Meconium as a new event during labor monitoring and null parity. Conclusion: The prevalence of meconium stained amniotic fluid at Bugando Medical Centre was found to be 17.4%. Thick meconium, development of meconium as a new event and nullparous were found to predict for poor fetal outcomes. Immediate interventions are recommended for those with the identified predictors for poor fetal outcome. VL - 12 IS - 4 ER -
Department of Obstetrics and Gynecology, SekouTouré Regional Referral Hospital, Mwanza, United Republic of Tanzania
