Peripartum effect of meconium-stained amniotic fluid (MSAF)  and  relation to perinatal outcomes

Hatice Akkaya; Rahime Bedir Fındık; Eyüp Gökhan Turmuş; Yasemin Taşçı; Esra Yaşar Çelik; Salim Erkaya

doi:10.21601/ortadogutipdergisi.407330

ORTADOĞU TIP DERGİSİ - ORTADOGU MEDICAL JOURNAL

Peripartum effect of meconium-stained amniotic fluid (MSAF) and relation to perinatal outcomes

Mekonyumla boyalı amnionun peripartum etkileri ve perinatal sonuçlarla ilişkisi

Hatice Akkaya ¹ ^* , Rahime Bedir Fındık ¹, Eyüp Gökhan Turmuş ¹, Yasemin Taşçı ¹, Esra Yaşar Çelik ², Salim Erkaya ³

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Ortadogu Tıp Derg, Volume 10, Issue 3, pp. 274-278

https://doi.org/10.21601/ortadogutipdergisi.407330

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Abstract

Aim: To determine any possible relationship between fetal distress signs on electronic fetal monitoring and birth outcomes, in case of meconium stained amniotic fluid.
Material and Method: This retrospective cohort study included 107 pregnant women at the gestational age of 35-42 weeks, who were admitted to the labor room with signs of active labor process and meconium stained amniotic fluid leakage, between June and September 2016.
Results: There were no statistically significant difference between the groups in terms of gestational week at birth, gender of baby, birth length and weight, mode of delivery, and low 5th minute APGAR score (≤5). However, low 1st minute APGAR score (≤5) values, emergency cesarean delivery and neonatal intensive care unit admission were significantly higher in the fetal distress group (p=0.037, p<0.0001, p = 0.002, respectively).
Conclusion: Active labor management and induction of labor can be implemented with closely electronic fetal monitoring in the presence of meconium. However, the presence of stress findings should be taken into account. Cases with fetal distress findings are associated with increased poor perinatal outcomes in relation to chronic stress. Moreover, to choose cesarean section as the mode of delivery did not seem to improve perinatal outcomes.

Keywords: Apgar score, fetal distress, meconium stained amniotic fluid, thick meconium, perinatal outcome

Öz

Amaç: Koyu mekonyum varlığında elektronik fetal monitorizasyonda fetal sıkıntı olup olmama durumuna göre travay özellikleri ile doğum sonuçları arasındaki ilişkiyi değerlendirmektir.
Gereç ve Yöntem: Bu retrospektif çalışmada, tersiyer bir merkezde Haziran-Eylül 2016 tarihlerinde 35-42 hafta arası sancılı gebelik endikasyonuyla doğum salonuna yatırılan ve koyu mekonyumlu amniyon sıvısı saptanan 107 gebenin klinik özellikleri ve doğum sonuçları değerlendirildi.
Bulgular: İstatistiksel olarak doğumun gerçekleştiği gebelik haftası, yenidoğan cinsiyet, boy ve kilo, doğum şekilleri, düşük 5. dakika APGAR skoru(≤ 5) değerleri açısından gruplar arasında anlamlı farklılık yoktu. Ancak düşük 1. dakika APGAR skoru (≤ 5) değerleri, acil şartlarda sezaryen olma ve yenidoğan yoğun bakım kabulü fetal distres grubunda anlamlı olarak daha fazlaydı(p değerleri verilen sırası ile p=0.037, p <0.0001, p=0.002).
Sonuç: Mekonyum varlığında elektronik fetal monitorizasyonla yakın takiple aktif travay yönetimi ve doğum indüksiyonu denenebilir. Ancak stres bulguları varlığında dikkatli olunmalıdır. Bu olgular kronik stresle ilişkili olarak artmış kötü perinatal sonuçlarla birliktedir. Artmış sezaryen oranları fetal sonuçların düzelmesinde yeterli olmamıştır.

Keywords: Apgar skoru, fetal sıkıntı, koyu mekonyum, mekonyumla boyalı amnion sıvısı, doğum sonuçları

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Citation

Akkaya H, Fındık RB, Turmuş EG, Taşçı Y, Çelik EY, Erkaya S. Peripartum effect of meconium-stained amniotic fluid (MSAF) and relation to perinatal outcomes. Ortadogu Tıp Derg. 2018;10(3):274-8. https://doi.org/10.21601/ortadogutipdergisi.407330

Akkaya, H., Fındık, R. B., Turmuş, E. G., Taşçı, Y., Çelik, E. Y., & Erkaya, S. (2018). Peripartum effect of meconium-stained amniotic fluid (MSAF) and relation to perinatal outcomes. Ortadoğu Tıp Dergisi, 10(3), 274-278. https://doi.org/10.21601/ortadogutipdergisi.407330

Akkaya, H., Fındık, R. B., Turmuş, E. G., Taşçı, Y., Çelik, E. Y., and Erkaya, S. (2018). Peripartum effect of meconium-stained amniotic fluid (MSAF) and relation to perinatal outcomes. Ortadoğu Tıp Dergisi, 10(3), pp. 274-278. https://doi.org/10.21601/ortadogutipdergisi.407330

Akkaya H, Fındık RB, Turmuş EG, Taşçı Y, Çelik EY, Erkaya S. Peripartum effect of meconium-stained amniotic fluid (MSAF) and relation to perinatal outcomes. Ortadogu Tıp Derg. 2018;10(3), 274-278. https://doi.org/10.21601/ortadogutipdergisi.407330

Akkaya, Hatice, Rahime Bedir Fındık, Eyüp Gökhan Turmuş, Yasemin Taşçı, Esra Yaşar Çelik, and Salim Erkaya. "Peripartum effect of meconium-stained amniotic fluid (MSAF) and relation to perinatal outcomes". Ortadoğu Tıp Dergisi 2018 10 no. 3 (2018): 274-278. https://doi.org/10.21601/ortadogutipdergisi.407330

Akkaya, Hatice et al. "Peripartum effect of meconium-stained amniotic fluid (MSAF) and relation to perinatal outcomes". Ortadoğu Tıp Dergisi, vol. 10, no. 3, 2018, pp. 274-278. https://doi.org/10.21601/ortadogutipdergisi.407330