Abstract

The performance of amniocentesis is considered an alarming sign of possible harm to the fetus, and it has recently been reported that neonatal results correlate with the degree of meconium thickness. We retrospectively studied 400 term infants classified into the clear amniotic fluid group and MSAF grades 1, 2 and 3 based on the color and severity of atrial fibrillation. A multivariate logistic regression analysis was performed to assess the potential independent impact of different MSAF grade births on the risk of combined adverse neonatal outcomes. In MSAF, delivery was Grade 2 (OR 16.82, 95% Cl 2.12-33.52; p=0.008) and Grade 3 (OR 33.79, 95% Cl 4.24-69.33; p<0.001) regardless of risk of adverse neonatal disease Met. The following events are known to correlate with results, such as occurring at least]once: Need for delivery room resuscitation, blood cord pH < 7.100, meconium aspiration syndrome (MAS), persistent pulmonary hypertension (PPH), transient neonatal tachypnea (TTN), acute respiratory distress syndrome (ARDS), hypoxia, development of ischemic encephalopathy (HIE), sepsis. There is a positive association between severity of meconium staining and amniotic fluid thickness and outcome in term infants. Therefore, evaluation and grading of herMSAF during labor will help the neonatologist plan obstetric care for prompt and appropriate neonatal care.