Incidental finding of meconium-stained amniotic fluid in elective cesarean deliveries: Features and perils.

Autor: Itzhaki-Bachar L; Sackler School of Medicine, Tel-Aviv University, Tel Aviv, Israel., Meyer R; Sackler School of Medicine, Tel-Aviv University, Tel Aviv, Israel.; Department of Obstetrics and Gynecology, Sheba Medical Center, Tel-Hashomer, Ramat Gan, Israel., Levin G; Department of Gynecologic Oncology, Faculty of Medicine, Hadassah Medical Center, Hebrew University of Jerusalem, Jerusalem, Israel., Weissmann-Brenner A; Sackler School of Medicine, Tel-Aviv University, Tel Aviv, Israel.; Department of Obstetrics and Gynecology, Sheba Medical Center, Tel-Hashomer, Ramat Gan, Israel.
Jazyk: angličtina
Zdroj: International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics [Int J Gynaecol Obstet] 2022 Aug; Vol. 158 (2), pp. 418-423. Date of Electronic Publication: 2021 Nov 06.
DOI: 10.1002/ijgo.13997
Abstrakt: Objective: To characterize pregnancies in which meconium-stained amniotic fluid (MSAF) was incidentally discovered during elective caesarean delivery (CD), and to evaluate the association with adverse neonatal outcomes.
Methods: A retrospective study was performed on all patients who underwent elective CD with singleton pregnancies between March 2011 and June 2020. Data analyzed included maternal, pregnancy, and neonatal characteristics. A comparison was made between pregnancies with clear amniotic fluid, MSAF, and thick MSAF.
Results: During the study period, 10 445 patients with singleton pregnancies underwent elective CD. Of them, 368 (3.5%) had MSAF and 31 (0.3%) had thick MSAF. Patients with MSAF gained more weight during pregnancy and suffered more from diabetes compared with patients with clear fluid. Significantly more pregnancies with MSAF had either oligohydramnios or polyhydramnios. Pregnancies in the thick-MSAF group had more intrahepatic cholestasis of pregnancy. No differences were found between the groups in the composite adverse neonatal outcome, including 5-min Apgar score, need for mechanical ventilation, and admission to the neonatal intensive care unit.
Conclusion: The incidental finding of MSAF during elective CD is not associated with increased risks of adverse neonatal outcomes.
(© 2021 International Federation of Gynecology and Obstetrics.)
Databáze: MEDLINE
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