Ávila RR, Marroquín VJL, Herrera PM, Camacho RRI, Velázquez QNI

Language: Spanish
References: 9
Page: 38-44
PDF size: 161.91 Kb.

ABSTRACT

Introduction: There is controversy in that the presence of meconium is synonymous with hypoxia/fetal distress; on the contrary it is considered a physiological process that can be managed as a normal delivery, without reaching the point of losing the care and handling possible emergency alternatives.
Material and methods: We analyze the presence of clear amniotic fluid and meconium amniotic fluid and their association with risk of asphyxia, fetal distress, meconium aspiration syndrome.
Results: 32% was reported as meconium-stained amniotic fluid. Fetal distress, obstetric dystocia, and asphyxia were associated significantly in infants with meconium stained amniotic fluid. According to the fluid or thick meconium, Apgar scores less than 6, asphyxia, admission to NICU and intubation were mostly associated to thick meconium. The practice of cesarean section is associated mostly in patients with meconium. The meconium aspiration syndrome was 11% and mortality of 2.2%.
Discussion: Although our results seem to suggest that asphyxia and fetal distress are associated with the presence of meconium, in other hands considered otherwise. Even when the cesarean section was mostly associated with the presence of meconium, the patient should be closely monitored when there is meconium and has to show signs for fetal distress in order to perform a cesarean section, instead of performing one simply because of the presence of meconium. Complications mostly occur as the meconium becomes thicker.

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