Document Type : Original Article
Author
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 our country, Sudan. So we organized for this study. Objectives: To determine the prevalence of meconium-stained amniotic fluid at term pregnancies who attended delivery at Bashair Teaching Hospital and the associated risk factors. To determine & discuss fetal and maternal outcomes in term pregnancies with meconium-stained amniotic fluid in Bashair Teaching Hospital. Methodology: This study is a descriptive, observational, cross-sectional and hospital-based study. It was conducted from May to October 2021, at Bashair Teaching Hospital. Out of 290 term deliveries during the study period, 73 patients were diagnosed with MSAF. Caretakers were interviewed through a detailed questionnaire. Data was processed using the SPSS program (Version. 26). Results: Meconium-stained amniotic fluid prevalence was 7.9%. The mean caretaker's age was 28.04 ± 5.1 years (range was 16-40 years). Parity one was in 34 (46.6%) and gestational age among caretakers was as follows: 28 (38.4%) were in GA 39 weeks, followed by 19 (26%) in GA 38 weeks. Cesarean section was done in 23 (31.5%). Maternal complications were reported in 2 (2.7%) of women, both suffering from bleeding. Regarding fetal outcome: The mean birth weight was 3.0 ± 0.46 ( 2- 4.2 kg). Apgar score was < 7 in 17 (22.6%) at 1 min, and 9 in (12%) at 5 mins. 13 (17.3%) of fetuses needed NICU admission, due to acute respiratory distress in 10 (76.9%), followed by apnea in 2 (7.7%). The death among neonates was 1 (1.4%). Conclusion: The prevalence of MSAF was 7.9% . The maternal complication rate was 2.7%, with no deaths. The neonatal NICU admission was 17.3%, and the death rate was 1.4%.
Keywords
)