Journals / The European Research Journal / 2019 / Cilt: 5 - Sayı: 5

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

Pages
776–780
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

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.

📌 3 Key Takeaways

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Objective & Hypothesis: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.
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Key Findings & Data: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.
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Conclusion & Impact: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.
🔬Design:Review & Systematic Survey
📍Scope:2015 Verileri
⚙️Variables:Meconium aspiration syndrome · meconium stained amniotic fluid · newborn

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.

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Cite This Article

FEDAKAR, A. (2019). The incidence and clinical features of meconium aspiration syndrome: a two-year neonatal intensive care experience. The European Research Journal, Cilt: 5 - Sayı: 5, 776–780. https://ajindex.com/articles/361310

References (14)

  1. Khazardoost S, Hantoushzadeh S, Khooshideh M, Borna M. Risk factors for meconium aspiration in meconium stained amniotic fluid. J Obstet Gynaecol 2007;27:577-9
  2. Toptan HH, Karadağ N, Karatekin G. [Meconium aspiration syndrome and innovation in the approach]. Zeynep Kamil Tıp Bülteni 2016;47:4;132-8. [Article in Turkish] [3] Çetin H, Altın H. [Meconium aspiration syndrome]. Süleyman Demirel Üniversitesi Tıp Fakültesi Dergisi 2006;13:42-6. [Article in Turkish] [4] Pulmonary Diseases. In: Neonatology. Gomella TL, Cunningham MD, Eyal FG, Zenk KE. Eds., 4th, Appleton&Lange. 1999:pp. 506-10
  3. Uslu S, Dursun M, Bülbül A. [Meconium aspiration syndrome]. Şişli Etfal Hastanesi Tıp Bülteni 2015;49:85-95. [Article in Turkish] [6] Wiswell TE, Bent RC. Meconium staining and the meconium aspiration syndrome. Unresolved issues. Pediatr Clin North Am 1993;40:955-81
  4. Yuksel B, Greenough A, Gamsu HR. Neonatal meconium aspiration syndrome and respiratory morbidity during infancy. Pediatr Pulmonol 1993;16:358-61
  5. Fanaroff AA. Meconium aspiration syndrome: historical aspects. J Perinatol 2008;28:3-7
  6. Xu H, Calvet M, Wei S, Luo ZC, Fraser WD. Amnioinfusion Study Group. Risk factors for early and late onset of respiratory symptoms in babies born through meconium. Am J Perinatol 2010;27:271-8
  7. Bhat RY, Rao A. Meconium-stained amniotic fluid and meconium aspiration syndrome: a prospective study. Ann Trop Paediatr 2008;28:199-203
  8. Akar M. Perinatal asfiksi. İçinde: Dilmen U (ed). Yenidoğan Rehberi: Sarıyıldız Ofset, 2010:pp. 354-56
  9. Karatekin G, Kesim Dönmez M, Nuhoğlu A. Risk factors for meconium aspiration syndrome. Int J Gynecol Obstetr 1999;65:295-7
  10. Walsh MC, Fanaroff JM. Meconium stained fluid: approach to the mother and the baby. Clin Perinatol 2007;34:653-65
  11. Vain NE, Szyld EG, Prudent LM, Aguilar AM. What (not) to do at and after delivery? Prevention and management of meconium aspiration syndrome. Early Human Dev 2009;85:621-6
  12. David AN, Njokanma OF, Iroha E. Incidence of and factors associated with meconium staining of the amniotic fluid in a Nigerian University Teaching Hospital. J Obstet Gynaecol 2006;26:518-20
  13. Peng TC, Gutcher GR, Van Dorsten JP. A selective aggressive approach to the neonate exposed to meconiumstained amniotic fluid. Am J Obstet Gynecol 1996;175:296-301
  14. Dargaville PA, Copnell B; Australian and New Zealand Neonatal Network. The epidemiology of meconium aspiration syndrome: incidence, risk