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一份综合病例报告,强调剖宫产、抗生素预防及术后护理在胎粪污染胎儿窘迫综合征中的作用。

A Comprehensive Case Report Emphasizing the Role of Caesarean Section, Antibiotic Prophylaxis, and Post-operative Care in Meconium-Stained Fetal Distress Syndrome.

作者信息

E Arun, S Nirenjen, Subramanian Arunkumar, T Tamilanban, Vellapandian Chitra, J Narayanan

机构信息

Pharmacology and Therapeutics, SRM College of Pharmacy, SRM Institute of Science and Technology, Chennai, IND.

Pharmacology, SRM College of Pharmacy, SRM Institute of Science and Technology, Chennai, IND.

出版信息

Cureus. 2024 Aug 4;16(8):e66123. doi: 10.7759/cureus.66123. eCollection 2024 Aug.

Abstract

Meconium-stained amniotic fluid (MSAF) presents a complex medical scenario with significant implications for maternal and neonatal health. This case report explores the intricacies surrounding MSAF, focusing on its diagnosis, treatment, and the associated meconium aspiration syndrome (MAS). The report emphasizes the critical role of antibiotic prophylaxis in lower segment cesarean sections (LSCS) in balancing infection prevention in the mother with neonatal considerations. Additionally, it highlights personalized pain management and post-operative care regimens, contributing to a comprehensive strategy for maternal and neonatal well-being. A 27-year-old primigravida (primi) underwent a cesarean section due to the presence of meconium in the amniotic fluid, indicating fetal distress. The report meticulously documents vital signs, laboratory findings, and the timeline of events. The case report underscores the importance of diagnosing and treating MAS, offering valuable insights into management strategies and their impact on maternal and neonatal health. This case report emphasizes the critical role of antibiotic prophylaxis in LSCS to prevent maternal infection while considering neonatal well-being. The personalized pain management approach and post-operative care regimens contribute significantly to a comprehensive strategy for maternal and neonatal well-being. The findings provide valuable insights into diagnosing and treating MAS, highlighting the importance of timely intervention in similar clinical scenarios.

摘要

胎粪污染羊水(MSAF)呈现出一种复杂的医学情况,对孕产妇和新生儿健康具有重大影响。本病例报告探讨了围绕MSAF的复杂情况,重点关注其诊断、治疗以及相关的胎粪吸入综合征(MAS)。该报告强调了在低位剖宫产(LSCS)中预防性使用抗生素在平衡预防母亲感染与新生儿因素方面的关键作用。此外,它突出了个性化疼痛管理和术后护理方案,为孕产妇和新生儿的福祉制定了全面策略。一名27岁的初产妇因羊水存在胎粪而接受剖宫产,提示胎儿窘迫。该报告详细记录了生命体征、实验室检查结果和事件时间表。该病例报告强调了诊断和治疗MAS的重要性,为管理策略及其对孕产妇和新生儿健康的影响提供了有价值的见解。本病例报告强调了在LSCS中预防性使用抗生素以预防母亲感染同时考虑新生儿福祉的关键作用。个性化疼痛管理方法和术后护理方案对孕产妇和新生儿福祉的全面策略有显著贡献。这些发现为诊断和治疗MAS提供了有价值的见解,突出了在类似临床情况下及时干预的重要性。

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本文引用的文献

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Meconium-stained amniotic fluid.胎粪污染的羊水。
Am J Obstet Gynecol. 2023 May;228(5S):S1158-S1178. doi: 10.1016/j.ajog.2022.11.1283. Epub 2023 Apr 1.
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Meconium Aspiration Syndrome: A Narrative Review.胎粪吸入综合征:一篇叙述性综述
Children (Basel). 2021 Mar 17;8(3):230. doi: 10.3390/children8030230.
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Fetal outcome in meconium stained deliveries.胎粪污染分娩中的胎儿结局
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