Background: Meconium stained amniotic fluid (MSAF) is a common occurrence at birth and birth of non– vigorous baby born through MSAF is associated with more nicu admissions, Respiratory distress, Meconium aspiration syndrome (MAS) and various complications of MAS. Hence this study was undertaken to contribute to the existing knowledge about clinical profile of babies born through MSAF and to study various factors associated with the birth of nonvigorous babies and their final outcome. Study Setting: This was aprospective study, conducted in the Department of Pediatrics, MGIMS Sevagram, a rural based hospital in Central India, from June 2015 to May 2016. Materials and Methods: All the babies born through MSAF with singleton pregnancy and with cephalic presentation in the absence of any congenital anomalies were included in the study and history of various maternal risk factors was enquired. Babies were either grouped as vigorous or nonvigorous at birth and both the groups were followed for their final outcome. Statistical Analysis: The analysis was done using software used in the analysis were SPSS17.0 version and Graph Pad Prism 5.0 version. Total incidence was analyzed with respect to total meconium stained amniotic fluid deliveries. All complications were observed and an outcome of the babies was studied with respect to morbidity and mortality. Data was processed and analysis was done using chi square test. Results: No significant association was observed between various maternal risk factors and birth of Non vigorous babies .It was observed that birth of nonvigorous at birth was associated with development of respiratory distress, MAS and other complications associated with MAS. Conclusion: This study was aimed at improving the knowledge related to risk factors associated with the birth of babies with MSAF and also to study the clinical profile and final outcome of the babies born through MSAF. The information obtained can be utilised for proper management and resuscitation of nonvigorous babies at birth and also during nicu stay.
Keywords: Meconium Aspiration Syndrome; Meconium stained amniotic fluid (MSAF); Meconium Stained Liquor
: Varsha H. Chauhan, Associate Professor, Department of Pediatrics, Mahatma Gandhi Institute of Medical Sciences, Sevagram, Wardha, Maharashtra 442102.