羊水粪染新生儿在三级医疗中心分娩中的描述性横断面研究。
Neonates Born Through Meconium-stained Amniotic Fluid among Deliveries in a Tertiary Care Centre: A Descriptive Cross-sectional Study.
机构信息
Department of Pediatrics, Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, Nepal.
Department of Obstetrics and Gynaecology, Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, Nepal.
出版信息
JNMA J Nepal Med Assoc. 2022 Dec 1;60(256):1004-1007. doi: 10.31729/jnma.7917.
INTRODUCTION
The mortality and morbidity of meconium aspiration syndrome in neonates born with meconium-stained amniotic fluid in developing countries are still high. In Nepal, few studies have estimated the prevalence of meconium-stained amniotic fluid among newborns. The study aimed to find out the prevalence of neonates born through meconium-stained amniotic fluid among deliveries in a tertiary care centre.
METHODS
This descriptive cross-sectional study was conducted among neonates born in a tertiary care centre from November 2021 to March 2022. Neonates born during the study period with meconium-stained amniotic fluid were studied. Ethical approval was obtained from the Institutional Review Committee. Convenience sampling method was used. With permission from the Department of the Neonatal Intensive Care Unit, the data were collected and entered in a Microsoft Excel sheet. Point estimate and 95% Confidence Interval were calculated.
RESULTS
Among 576 neonates, the prevalence of neonates born through meconium-stained amniotic fluid was 77 (13.37%) (10.59-16.15, 95% Confidence Interval).
CONCLUSIONS
The prevalence of neonates born through meconium-stained amniotic fluid was found to be similar to other studies done in similar settings.
KEYWORDS
meconium; neonate; Nepal.
引言
在发展中国家，胎粪吸入综合征在羊水胎粪污染新生儿中的死亡率和发病率仍然很高。在尼泊尔，很少有研究估计新生儿羊水胎粪污染的患病率。本研究旨在了解三级保健中心分娩中胎粪污染羊水新生儿的患病率。
方法
这是一项描述性的横断面研究，于 2021 年 11 月至 2022 年 3 月在一家三级保健中心进行。研究对象为在研究期间胎粪污染羊水的新生儿。本研究获得了机构审查委员会的伦理批准。采用便利抽样法。在新生儿重症监护病房的许可下，收集和输入数据到 Microsoft Excel 表中。计算点估计值和 95%置信区间。
结果
在 576 名新生儿中，胎粪污染羊水分娩的新生儿患病率为 77 例（13.37%）（10.59-16.15，95%置信区间）。
结论
胎粪污染羊水分娩的新生儿患病率与其他类似环境下进行的研究相似。
关键词
胎粪；新生儿；尼泊尔。
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