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Meconium-stained amniotic fluid: discharge vigorous newborns
  1. Yvette van Ierland (y.vanierland{at}hagaziekenhuis.nl)
  1. Juliana Children's Hospital, The Hague, Netherlands
    1. Matthijs de Boer
    1. Juliana Children's Hospital, The Hague, Netherlands
      1. Arnout Jan de Beaufort
      1. Juliana Children's Hospital, The Hague, Netherlands

        Abstract

        Background: Most infants born through meconium-stained amniotic fluid (MSAF) are observed clinically for 24 hours 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-hour 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, 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)≥9. In this group the number of infants developing MAS (1; 0.3%) was significantly lower compared to the 5'AS≤8 group (18; 19%).

        Conclusion: MAS develops rarely in infants born through MSAF with 5-minute Apgar scores above 8. We suggest that these infants can be safely discharged from the hospital shortly after birth.

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