Rabeea Sadaf, Mehrun Nisa, Farhat Khanum, Mohammad Zahid, Sartaj Khan.
Fetal outcome in deliveries of patients with meconium stained liquor.
J Med Sci Jan ;20(4):165-7.

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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