Department of Obstetrics and Gynecology, Adama Hospital Medical College, Adama, Ethiopia.
Department of Public Health, Adama Hospital Medical College, Adama, Ethiopia.
Ethiop J Health Sci. 2023 Mar;33(2):219-226. doi: 10.4314/ejhs.v33i2.6.
Meconium stained amniotic fluid (MSAF) is a commonly observed phenomenon in day-to-day practice of obstetrics. The reported prevalence of MSAF was 7-22% of all term deliveries. Some of the factors that increases the risk of meconium stained amniotic fluid includes; advanced gestational age at delivery, prolonged rupture of membranes, intra-amniotic infection, pre-eclampsia, oligohydroamnios, and diabetes mellitus. The study aimed to determine the prevalence of meconium stained amniotic fluid and its associated factors among women who gave birth at term, from January 1 to July 30, 2020, at Adama Hospital Medical College.
Institutional based cross-sectional study was conducted on 314 laboring women who gave birth at term. Systematic random sampling was used to select the study participants. Data entry and analysis were made by using Epi- info 7 and SPSS version 20, respectively.
The prevalence of meconium stained amniotic fluid was 23.9%. Late term pregnancy, Oligohydraminos, Antepartum hemorrhage, Premature rupture of membrane, and Non-reassuring fetal heart rate pattern were significantly associated with meconium-stained amniotic fluid.
The prevalence of MSAF was comparable with other studies. Late-term pregnancy, oligohydramnios, antepartum hemorrhage, non-reassuring fetal heart rate pattern, and premature rupture of the membrane were factors associated with an increased risk of MSAF.
胎粪污染羊水（MSAF）是产科日常实践中常见的现象。MSAF 的报告发生率为所有足月分娩的 7-22%。增加胎粪污染羊水风险的一些因素包括：分娩时的胎龄较大、胎膜破裂时间延长、羊膜内感染、子痫前期、羊水过少和糖尿病。本研究旨在确定 2020 年 1 月 1 日至 7 月 30 日在阿达玛医院医学院足月分娩的妇女中胎粪污染羊水的流行率及其相关因素。
对 314 名足月分娩的产妇进行了基于机构的横断面研究。采用系统随机抽样选择研究对象。数据录入和分析分别使用 Epi- info 7 和 SPSS 版本 20 进行。
胎粪污染羊水的发生率为 23.9%。晚期妊娠、羊水过少、产前出血、胎膜早破和胎心监护不良与胎粪污染羊水明显相关。
MSAF 的发生率与其他研究相当。晚期妊娠、羊水过少、产前出血、胎心监护不良和胎膜早破是与 MSAF 风险增加相关的因素。
