Shaikh Erum Majid, Mehmood Sadaf, Shaikh Majid Ahmed
Gynaecology & OBG-Unit-I, SZWH.
J Pak Med Assoc. 2010 Sep;60(9):711-4.
To determine the effect of clear liquor and meconium stained liquor on mode of delivery, and to evaluate neonatal outcome.
It was a Cross sectional analytical study, conducted in the department of Obstetrics and Gynaecology, Shaikh Zyed Federal Postgraduate Medical Institute/Hospital, Lahore and Shaikh Zaid Women Hospital Larkana, from April 2006 to March 2007. Two hundred and fifty patients from Larkana and 250 patients from Lahore in clear liquor group were included in the study. Similarly 125 patients from each city, that is 250 patients which had meconium stained liquor were included in group 2. The subjects with meconium stained amniotic fluid and clear amniotic fluid were registered as group 1 and 2. The socio demographic information, fertility history and gestational age of subjects were recorded. The investigations and information regarding mode of delivery and duration of labour were also noted. All babies delivered were attended by paediatricians.
In this study 500 cases with clear liquor and 250 cases of meconium stained liquor were selected from two cities, Lahore and Larkana. Out of these 55 (22%) patients had grade I meconium stained liquor, 140 (56%) patients and 55 (22%) patients had grade II and grade III meconium stained liquor respectively. The mode of delivery is significantly affected by meconium staining of liquor. The effect of meconium stained liquor was significant on time of delivery. There were 40 (16%) post date deliveries in meconium stained liquor as compared to 1% in subjects with clear liquor. The effect of meconium staining of liquor was significant on Apgar score, neonatal admission, meconium aspiration syndrome and neonatal deaths.
Meconium stained amniotic fluid (MSAF), is associated with increased neonatal morbidity and mortality. Caesarean sections were performed twice as frequently in women presenting with MSAF.
确定羊水清和羊水胎粪污染对分娩方式的影响，并评估新生儿结局。
这是一项横断面分析研究，于2006年4月至2007年3月在拉合尔的谢赫·齐德联邦研究生医学研究所/医院妇产科以及拉尔卡纳的谢赫·扎伊德女子医院进行。来自拉尔卡纳的250例羊水清的患者和来自拉合尔的250例羊水清的患者被纳入研究。同样，每个城市各有125例患者，即250例羊水胎粪污染的患者被纳入第2组。羊水胎粪污染和羊水清的受试者分别登记为第1组和第2组。记录受试者的社会人口统计学信息、生育史和孕周。还记录了有关分娩方式和产程的调查及信息。所有分娩的婴儿均由儿科医生照料。
本研究从拉合尔和拉尔卡纳两个城市选取了500例羊水清的病例和250例羊水胎粪污染的病例。其中，55例（22%）患者为I度羊水胎粪污染，140例（56%）患者和55例（22%）患者分别为II度和III度羊水胎粪污染。分娩方式受羊水胎粪污染的显著影响。羊水胎粪污染对分娩时间有显著影响。羊水胎粪污染组有40例（16%）过期产，而羊水清组为1%。羊水胎粪污染对阿氏评分、新生儿入院、胎粪吸入综合征和新生儿死亡有显著影响。
羊水胎粪污染与新生儿发病率和死亡率增加有关。出现羊水胎粪污染的女性行剖宫产的频率是前者的两倍。
