FETAL OUTCOME IN DELIVERIES OF PATIENTS WITH MECONIUM STAINED LIQUOR
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Abstract
Objective: This study was carried out to look for the perinatal outcome of deliveries in pregnant women with
meconium stained liquor.
Material and Methods: The study was undertaken in Obstetrics and Gynaecology Unit “C” of Khyber Teaching
Hospital, Peshawar from February 2008 to October 2008. This was a prospective observational study. A total of 80
pregnant women with 37 weeks or more gestational age, who presented with meconium stained amniotic fluid, were
enlisted in the study.
Results: A total of 80 cases were included in the study. Mean gestational age was taken as 38.7 weeks. Forty-seven
(58.75%) cases underwent cesarean section wherefore 04 neonates had Apgar score < 7 out of which 02 (50%)
survived while 02 (50%) could not be saved. Out of the 33 (41.25%) cases had vaginal deliveries, 19 (57.6%) had
normal vaginal deliveries and 14 (42.4%) had instrumental vaginal intervention. There were 4 (5%) cases of
pregnancy induced hypertension, 01 (1.25%) case of gestational Diabetes Mellitus; in both the mentioned
conditions the Apgar score was > 7 in first 5 minutes and the neonates successfully survived. 02 (2.5 %) cases had
Meconium Aspiration Syndrome however the neonates were recovered. 02 (2.5%) cases had birth asphyxia with
100% perinatal mortality. The results denote comparatively bad prognosis in pregnant women having meconium
stained amniotic fluid.
Conclusion: Meconium stained amniotic fluid is associated with higher rate of caesarean sections, increased birth
asphyxia and Meconium Aspiration Syndrome emphasizing the need to be careful in dealing with such pregnancies
and to ensure the availability of resuscitation equipment at the time of delivery.
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