A one year cross sectional study of management practices of meconium stained amniotic fluid and perinatal outcome

RESULTS: Total number of live births in the institute during this period was 3002 and the incidence of meconium stained amniotic fluid was 8.3% (249/3002). 12.9% of the babies developed meconium aspiration syndrome. Thick meconium stained liquor had higher incidence of meconium aspiration syndrome (19% vs 2%) than that in thin meconium stained group. In the amnioinfusion group the perinatal mortality was 1.2%, compared to 9.5% in the group which did not receive amnioinfusion and this was statistically significant (R R 0.13, 95% CI-0.03 – 0.59). Neonatal morbidity was 25% and mortality 31.25% in cases of meconium aspiration syndrome. CONCLUSION(S) : Amnioinfusion plays an important role in reducing meconium aspiration syndrome and perinatal mortality.