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What is the amniotomy effect on non stress test in patients meconium stained amniotic fluid?

Yıl 2018, Cilt: 5 Sayı: 5, 207 - 210, 30.05.2018
https://doi.org/10.17546/msd.421389

Öz

Objective: Meconium
stained amniotic fluid is a frequently encountered situation, it can really
disturb an obstetrician, as it increases the rates of neonatal morbidity and
mortality and it is difficult to prevent meconium passage in utero. Noninvasive
tests are needed to predict the meconium staining of the amnion fluid without
making amniotomy or making a fetal invasive procedure. Non stress test is a
commonly used method to determine the status of intrapartum fetal wellbeing.
The purpose of this study was to predict fetal meconium release during labor by
examining the fetal heart rate traces without performing an amniotomy
procedure.

Materials and Methods: A total
of 280 patients who have been diagnosed with active labor were included in the
study. 140 of them demonstrated meconium stained fluid and 140 of them clear
amniotic fluid. The patients’ labor courses have been watched and non-stress
test results have been recorded besides obstetric outcomes.

Results: Non-stress
tests performed before amniotomy; 52 (37.1%) of the non-stress tests in the
meconium group were non-reactivated, whereas in the control group this count
was 19 (13.5%) before amniotomy. When we accepted the deceleration entity as
fetal distress; fetal distress was seen in 62(44.3%) of the patients in the
meconium group and in 21(15.1%) of the patients in the control group.







Conclusion: In the
presence of non-reactive non stress test pattern; we should be suspicious of
meconium-stained amniotic fluid. In this case, caution should be taken in terms
of fetal distress. 

Kaynakça

  • 1. Maymon E, Chaim W, Furman B, Ghezzi F, Shoham Vardi I, Mazor M. Meconium stained amniotic fluid in very low risk pregnancies at term gestation. Eur J Obstet Gynecol Reprod Biol. 1998; 80: 169-7.
  • 2. Karatekin G, Kesim MD, Nuhoglu A. 1999. Risk factor for meconium aspiration syndrome. International Journal of Gynecology and Obstetrics 65:295 – 297.
  • 3. Ahanya SN, Lakshmanan J, Morgan BL, Ross MG. Meconium passage in utero: mechanisms, consequences, and management. Obstet Gynecol Surv 2004; 60: 45-56
  • 4. Cleary GM, Wiswell TE. Meconium-stained amniotic fluid and the meconium aspiration syndrome. An update. Pediatr Clin North Am 1998;45:511–529.
  • 5. Ashfaq F, Shah AA, Effect of aminoinfusion for meconium stained amniotic fluid on perinatal outcome. J Pak Med Assoc 2004; 54: 322-5.
  • 6. Shaikh EM, Mehmood S, Shaikh MJ. Neonatal outcome in meconium stained amniotic fluid- One year experience. J Pak Med Assoc. 2010;60(9):711-14.
  • 7. Balchin I, Whittaker JC, Lamont RF, Steer PJ. Maternal and fetal characteristics associated with meconium-stained amniotic fluid. Obstet Gynecol 2011;117:828-35
  • 8. Khazardoost S, Hantoushzadeh S, Khooshideh M, Borna S. Risk factors for meconium aspiration in meconium stained amniotic fluid. J Obstet Gynaecol 2007; 27(6):577-9.
  • 9. Xu H, Wei S, Fraser WD. Obstetric approaches to the prevention of meconium aspiration syndrome. J Perinatol 2008;28 Suppl 3:S14-8.
  • 10. Mundhra R, Agarwal M. Fetal outcome in meconium-stained deliveries. J Clin Diagn Res 2013; 7: 2874-2876.
  • 11. Sunoo C, Kosasa TS, Hale RW. Meconium aspiration syndrome without evidence of fetal distress in early labor before elective cesarean delivery. Obstet Gynecol 1989;73:7079.
  • 12. Wong SF, Chow KM, Ho LC. The relative risk of 'foetal distress' in pregnancy associated with meconium-stained liquor at different gestation. J Obstet Gynaecol 2002; 22: 594-9.
  • 13. Paz Y, Solt I Zimmer EZ. Variables associated with meconium aspiration syndrome in labour with thick meconium. Eur J Obstet Gynaecol Reprod Biol 2001; 94: 27-30.
  • 14. Becker S, Solomayer E, Dogan C, Wallwiener D, Fehm T. Meconium-stained amniotic fluid-perinatal outcome and obstetrical management in a low-risk suburban population. Eur J Obstet Gynecol Reprod Biol 2007; 132: 46-50.
  • 15. Barbosa da Silva FM, Koiffman MD, Osava RH, Junqueira SMVO, Gonzalez Riesco ML. Centro de Parto Normal como estratégia de incentivo del parto normal: estudo descriptivo. Enferm Glob. 2008;(14):1-13
  • 16. Karim R, Jabeen S, Pervaiz F, Wahab S, Yasmeen S, Raees M. Decreased amniotic fluid index and adverse foetal out come at term. J Postgrad Med Institute 2010; 24: 307-11.
Yıl 2018, Cilt: 5 Sayı: 5, 207 - 210, 30.05.2018
https://doi.org/10.17546/msd.421389

Öz

Kaynakça

  • 1. Maymon E, Chaim W, Furman B, Ghezzi F, Shoham Vardi I, Mazor M. Meconium stained amniotic fluid in very low risk pregnancies at term gestation. Eur J Obstet Gynecol Reprod Biol. 1998; 80: 169-7.
  • 2. Karatekin G, Kesim MD, Nuhoglu A. 1999. Risk factor for meconium aspiration syndrome. International Journal of Gynecology and Obstetrics 65:295 – 297.
  • 3. Ahanya SN, Lakshmanan J, Morgan BL, Ross MG. Meconium passage in utero: mechanisms, consequences, and management. Obstet Gynecol Surv 2004; 60: 45-56
  • 4. Cleary GM, Wiswell TE. Meconium-stained amniotic fluid and the meconium aspiration syndrome. An update. Pediatr Clin North Am 1998;45:511–529.
  • 5. Ashfaq F, Shah AA, Effect of aminoinfusion for meconium stained amniotic fluid on perinatal outcome. J Pak Med Assoc 2004; 54: 322-5.
  • 6. Shaikh EM, Mehmood S, Shaikh MJ. Neonatal outcome in meconium stained amniotic fluid- One year experience. J Pak Med Assoc. 2010;60(9):711-14.
  • 7. Balchin I, Whittaker JC, Lamont RF, Steer PJ. Maternal and fetal characteristics associated with meconium-stained amniotic fluid. Obstet Gynecol 2011;117:828-35
  • 8. Khazardoost S, Hantoushzadeh S, Khooshideh M, Borna S. Risk factors for meconium aspiration in meconium stained amniotic fluid. J Obstet Gynaecol 2007; 27(6):577-9.
  • 9. Xu H, Wei S, Fraser WD. Obstetric approaches to the prevention of meconium aspiration syndrome. J Perinatol 2008;28 Suppl 3:S14-8.
  • 10. Mundhra R, Agarwal M. Fetal outcome in meconium-stained deliveries. J Clin Diagn Res 2013; 7: 2874-2876.
  • 11. Sunoo C, Kosasa TS, Hale RW. Meconium aspiration syndrome without evidence of fetal distress in early labor before elective cesarean delivery. Obstet Gynecol 1989;73:7079.
  • 12. Wong SF, Chow KM, Ho LC. The relative risk of 'foetal distress' in pregnancy associated with meconium-stained liquor at different gestation. J Obstet Gynaecol 2002; 22: 594-9.
  • 13. Paz Y, Solt I Zimmer EZ. Variables associated with meconium aspiration syndrome in labour with thick meconium. Eur J Obstet Gynaecol Reprod Biol 2001; 94: 27-30.
  • 14. Becker S, Solomayer E, Dogan C, Wallwiener D, Fehm T. Meconium-stained amniotic fluid-perinatal outcome and obstetrical management in a low-risk suburban population. Eur J Obstet Gynecol Reprod Biol 2007; 132: 46-50.
  • 15. Barbosa da Silva FM, Koiffman MD, Osava RH, Junqueira SMVO, Gonzalez Riesco ML. Centro de Parto Normal como estratégia de incentivo del parto normal: estudo descriptivo. Enferm Glob. 2008;(14):1-13
  • 16. Karim R, Jabeen S, Pervaiz F, Wahab S, Yasmeen S, Raees M. Decreased amniotic fluid index and adverse foetal out come at term. J Postgrad Med Institute 2010; 24: 307-11.
Toplam 16 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Kurumları Yönetimi
Bölüm Araştırma Makalesi
Yazarlar

Gul Nihal Buyuk

Serkan Kahyaoglu Bu kişi benim

Merve Didem Esgin Bu kişi benim

Ceren Tutkun Bu kişi benim

Caner Kose Bu kişi benim

Yaprak Ustun Bu kişi benim

Yayımlanma Tarihi 30 Mayıs 2018
Yayımlandığı Sayı Yıl 2018 Cilt: 5 Sayı: 5

Kaynak Göster

APA Buyuk, G. N., Kahyaoglu, S., Esgin, M. D., Tutkun, C., vd. (2018). What is the amniotomy effect on non stress test in patients meconium stained amniotic fluid?. Medical Science and Discovery, 5(5), 207-210. https://doi.org/10.17546/msd.421389
AMA Buyuk GN, Kahyaoglu S, Esgin MD, Tutkun C, Kose C, Ustun Y. What is the amniotomy effect on non stress test in patients meconium stained amniotic fluid?. Med Sci Discov. Nisan 2018;5(5):207-210. doi:10.17546/msd.421389
Chicago Buyuk, Gul Nihal, Serkan Kahyaoglu, Merve Didem Esgin, Ceren Tutkun, Caner Kose, ve Yaprak Ustun. “What Is the Amniotomy Effect on Non Stress Test in Patients Meconium Stained Amniotic Fluid?”. Medical Science and Discovery 5, sy. 5 (Nisan 2018): 207-10. https://doi.org/10.17546/msd.421389.
EndNote Buyuk GN, Kahyaoglu S, Esgin MD, Tutkun C, Kose C, Ustun Y (01 Nisan 2018) What is the amniotomy effect on non stress test in patients meconium stained amniotic fluid?. Medical Science and Discovery 5 5 207–210.
IEEE G. N. Buyuk, S. Kahyaoglu, M. D. Esgin, C. Tutkun, C. Kose, ve Y. Ustun, “What is the amniotomy effect on non stress test in patients meconium stained amniotic fluid?”, Med Sci Discov, c. 5, sy. 5, ss. 207–210, 2018, doi: 10.17546/msd.421389.
ISNAD Buyuk, Gul Nihal vd. “What Is the Amniotomy Effect on Non Stress Test in Patients Meconium Stained Amniotic Fluid?”. Medical Science and Discovery 5/5 (Nisan 2018), 207-210. https://doi.org/10.17546/msd.421389.
JAMA Buyuk GN, Kahyaoglu S, Esgin MD, Tutkun C, Kose C, Ustun Y. What is the amniotomy effect on non stress test in patients meconium stained amniotic fluid?. Med Sci Discov. 2018;5:207–210.
MLA Buyuk, Gul Nihal vd. “What Is the Amniotomy Effect on Non Stress Test in Patients Meconium Stained Amniotic Fluid?”. Medical Science and Discovery, c. 5, sy. 5, 2018, ss. 207-10, doi:10.17546/msd.421389.
Vancouver Buyuk GN, Kahyaoglu S, Esgin MD, Tutkun C, Kose C, Ustun Y. What is the amniotomy effect on non stress test in patients meconium stained amniotic fluid?. Med Sci Discov. 2018;5(5):207-10.