Article Text

PDF
Meconium-stained amniotic fluid: discharge vigorous newborns
  1. Y van Ierland,
  2. M de Boer,
  3. A J de Beaufort
  1. Division of Neonatology, Juliana Children’s Hospital, The Hague, The Netherlands
  1. Correspondence to Dr Y van Ierland, Erasmus MC/Sophia Children's Hospital, PO Box 2060, 3000 CB Rotterdam, The Netherlands; y.vanierland{at}erasmusmc.nl

Abstract

Background: Most infants born through meconium-stained amniotic fluid (MSAF) are observed clinically for 24 h postnatally. Only 5% of infants born through MSAF develop the meconium aspiration syndrome (MAS), a serious condition requiring medical intervention.

Objective: To evaluate the value of 24-h postnatal observation of infants born through MSAF.

Methods: A cohort of 394 term neonates born through MSAF was studied. Data were collected on Apgar scores, the development of MAS and other perinatal factors.

Results: Nineteen of the 394 (4.8%) infants born through MSAF developed MAS. 298 (76%) infants had a 5-minute Apgar score (5′AS) of ⩾9. In this group the number of infants developing MAS (1; 0.3%) was significantly lower compared with the 5′AS ⩽8 group (18; 19%).

Conclusion: MAS develops rarely in infants born through MSAF with 5′AS above 8. These infants can be safely discharged from the hospital shortly after birth.

Statistics from Altmetric.com

Footnotes

  • Competing interests None.

  • Provenance and Peer review Not commissioned; externally peer reviewed.

Request permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

Linked Articles

  • Fantoms
    Ben Stenson
  • Perspective
    Sam J Oddie