To compare neonatal outcome in fetal distress on cardiotocography in clear liquor versus meconium stained liquor.

Objectives: To compare neonatal outcome in laboring patients having fetal distress on cardiotocography in clear liquor vs meconium stained liquor. Study Design: Cohort study. Setting: Department of Obstetrics and Gynaecology, Military Hospital, Rawalpindi. Period: Six months from 31-01-2016 to 30-07-2016. Patients and Methods: One hundred and eighty two patients (91 in each group) were included in this study. All relevant information was recorded on a preset data collection proforma that included gestational age, cardiotocography (CTG) details, color of liquor and Apgar score at 1 and 5 minutes after birth. In all admitted patients CTG was carried out. Results: The age ranged from 20-40 years of the patients with Mean±SD age of 29.8±6.1 and 30.4±5.7 year in group-A and B, respectively. Regarding Apgar score at 1 minute, 2 (2.1%) babies from group-A and 9 babies (9.8%) from group-B had Apgar score <4. Similarly, Apgar score at 5 minutes, 1 baby (1.1%) from group-A and 10 babies (10.9%) were having Apgar score < 4. Conclusion: Meconium staining with CTG changes is a more significant sign of fetal distress as compared to CTG changes alone.