The incidence and clinical features of meconium aspiration syndrome: a two-year neonatal intensive care experience

Year 2019, , 776 - 780, 04.09.2019

Atiye Fedakar

https://doi.org/10.18621/eurj.419427

Abstract

Objectives:
The aim of this present study was to review the
clinical characteristics, risk factors, frequency of meconium aspiration syndrome
(MAS), development and maternal demographic characteristics of the newborns
born with meconium stained amniotic fluid (MSAF) in our neonatal intensive care
unit.

Methods: The
files of the patients hospitalized in our neonatal intensive care unit between
July 31, 2015 and July 31, 2017 and who were diagnosed with MAS or MBAS were
examined retrospectively.

Results: A
total of 1410 patients were included during this period. Of these patients, 98
were term infants and 3 (34 weeks) were preterm infants. One hundred and one
infants (7.1%) had MSAF and/or MAS. Of the patients, 63 were boys, 38 were
girls. MAS developed in 61 patients (60.3%) who were hospitalized due to MBAS.
No difference was detected between two groups in terms of the systemic
diseases, age, pregnancy number, gestation week, delivery type, length of hospital
stay of mother and birth weight of infant. The fifth minute Apgar score and
need for resuscitation were found to be statistically significant in patients
with MAS. We did not have any mortality.

Conclusion: MAS frequency decreases
in parallel with the developments in neonatal care but  it is still a major cause of mortality and
morbidity. We believe that chance of mortality and morbidity will decrease
thanks to the close follow-up and early treatment in infants born with MSAF who
are likely to develop MAS. 

Keywords

Meconium aspiration syndrome, meconium stained amniotic fluid, newborn

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