羊水胎粪污染患者的胎儿结局

Foetal outcome in patients with meconium stained liquor.

作者信息

Kumari Rekha, Srichand Pushpa, Devrajani Bikha Ram, Shah Syed Zulfiquar Ali, Devrajani Tarachand, Bibi Ishrat, Kumar Rattan

机构信息

Department of Gynaecology and Obstetrics, Liaquat University of Medical and Health Sciences, Jamshoro, Hyderabad.

出版信息

J Pak Med Assoc. 2012 May;62(5):474-6.

PMID:22755313

Abstract

OBJECTIVE

To determine the foetal outcome and mode of delivery in patients with meconium stained liquor during labour.

METHODS

The observational study was carried out at the Obstetrics and Gynaecology Unit-II of Liaquat University of Medical Health Sciences from June to November 2007. The patients with gestational age more than 37 weeks who presented with meconium stained liquor and cephalic presentation were included and the foetal outcome and mode of delivery was assessed in all such subjects. The data was collected on pre-designed proforma and analysed using SPSS version 10. Chi square test was applied with 95% confidence interval and p-value < or = 0.05 was considered significant.

RESULTS

A total of 75 patients with meconium stained liquor were identified during the study period. The patients with reactive cardiotocography (CTG) were 50 (66.7%) and with non-reactive CTG, 25 (33.36%). Of the total, 45 (60%) patients were delivered through normal vaginal delivery, while 30 (40%) were delivered by caesarean section. The rate of instrumental delivery was also increased which was 12 (26.7%). Among the neonates exposed to meconium stained liquor, 62 (82.7%) babies were delivered with apgar score > 7. Only 13 (17.3%) babies were delivered with apgar score < 7 in one minute.

CONCLUSION

Meconium stained amniotic fluid is a common occurrence during labour and is associated with increased caesarean section rate and foetal morbidity and mortality.

摘要

目的

确定分娩期羊水粪染患者的胎儿结局及分娩方式。

方法

2007年6月至11月在利亚卡特医科大学第二妇产科进行了一项观察性研究。纳入孕周超过37周、羊水粪染且头先露患者，评估所有此类受试者的胎儿结局及分娩方式。数据收集于预先设计的表格，并使用SPSS 10版进行分析。应用卡方检验，95%置信区间，p值≤0.05被认为具有统计学意义。

结果

研究期间共确定75例羊水粪染患者。胎心监护（CTG）反应型患者50例（66.7%），非反应型患者25例（33.36%）。其中，45例（60%）患者经阴道正常分娩，30例（40%）行剖宫产。器械助产率也有所增加，为12例（26.7%）。在暴露于羊水粪染的新生儿中，62例（82.7%）婴儿出生时阿氏评分>7分。只有13例（17.3%）婴儿出生1分钟时阿氏评分<7分。