Predictive value of new onset versus primary meconium‐stained amniotic fluid

Background Transition of clear amniotic fluid to meconium‐stained fluid is a relatively common occurrence during labor. However, data regarding the clinical significance and the prognostic value of the presence of meconium‐stained amnionic fluid (MSAF) are scarce. This study aimed to investigate del...

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Bibliographic Details
Published in:Birth (Berkeley, Calif.) Calif.), 2022-12, Vol.49 (4), p.805-811
Main Authors: Shai, Daniel, Mazaki‐Tovi, Shali, Hendler, Israel, Meyer, Raanan, Cahan, Tal, Shapira, Moran, Sivan, Eyal, Barzilay, Eran, Haas, Jigal
Format: Article
Language:English
Subjects:
active labor
Amniotic fluid
Apgar score
Births
Blood
cesarean delivery
Childbirth & labor
Clinical significance
Cohort analysis
Feces
fetal acidosis
Hospitalization
Intensive care
meconium‐stained amniotic fluid
Multivariate analysis
neonatal outcomes
Neonatal units
Newborn babies
Well being
Women
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Summary:Background Transition of clear amniotic fluid to meconium‐stained fluid is a relatively common occurrence during labor. However, data regarding the clinical significance and the prognostic value of the presence of meconium‐stained amnionic fluid (MSAF) are scarce. This study aimed to investigate delivery and neonatal outcomes according to the presence of MSAF and the timing of the meconium passage. Methods We used an historical cohort study at a single tertiary medical center in Israel between the years 2011 and 2018. Women were divided into two groups according to timing of meconium passage: primary MSAF (MSAF present at membrane rupture) and secondary MSAF (clear amnionic fluid that transitioned to MSAF during labor). Neonatal complication rates were compared between groups. Composite adverse neonatal outcome was defined as arterial cord blood pH
ISSN:0730-7659
1523-536X
DOI:10.1111/birt.12648