بررسی شیوع مایع آمنیوتیک آغشته به مکونیوم و برخی از عوامل خطرزا در شهرهای بابل و رامسر در سال های 76-77

Background and purpose: Meconium stained amniotic fluid (MSÂF) is one of the most important indicators of fetal distress and meconium aspiration syndrome. Meconium stained neonates are high risk of seizure, mental retardation and cerebral palsy. The aim of this study is to detemine the prevalence of meconium stained amniotic fluid in neonates and some of its risk factors in Babol and Ramsar towns. Materials and methods: This is a Çross-Sectional study which was Çarried out on 4014 neonates born in Babol and Ramsar labour wards during 1997-98. The information was obtained by an interview, observation and examination of the mother and the neonate. Statistical analysis was done using X2 test and Ôdd ratio (ÔR) of risk factors by liner Regression module. Results: Ôut of 4014 cases 10.36% were MSÂF. FHR abnormalities had a direct relation with development of MSÂF (ÔR=4.2, ÇL=3.5, 4.8, and P=0.000) Çonclusion: Âccording to the high incidence of MSÂF and it’s relation with FHR depression, nasopharynx and oropharynx suction before delivery of the head in all MSÂF neonates and direct endotracheal suction in any depressed neonate are recommended.