Meconium Stained Liquor Amnii, Neonatal Mortality and Their Management Among High Risk Pregnancy

Abstract

Introduction: High-risk pregnancy cases can cause severe mental and physical burden on the mothers, along with their partners. Various factors can increase or decrease the risks faced by high-risk pregnancy cases, among which, amniotic fluid, or liquor amnii is an important factor. The present study was conducted to explore and compare perinatal mortality and management in high-risk pregnancies with meconium stained liquor and perinatal mortality and management in high- risk pregnancies meconium stained liquor. Aim of the study: The aim of the study was to observe neonatal mortality and management of high-risk pregnancy cases with and without meconium. Methods: This crosssectional comparative study was conducted at the Department of obstetrics and gynecology, Combined Military Hospital (CMH), Cantonment, Dhaka, Bangladesh. The study duration was 6 months, from February 2012 to July 2012. The study was conducted with a total of 86 women among those who were admitted at the high-risk antenatal ward of the study hospital. Result: Total 86 high risk cases were taken for the study. Among them 12 (14.0%) were found with meconium stained liquor (group-A) and 74 (86.0%) cases were found without meconium stained liquor (group-B). In group A common risk factors were prolonged pregnancy (33.3%), then hypertensive disorder 25.0%. In group B common risk factors were hypertensive disorder in 23.0% then diabetes in 18.9%. Regular antenatal care was observed for majority of the cases in both groups. Cord around the neck was observed 25.0% cases in group A in comparison to 8.1% in group B. In group A ,8.3% of cases were associated with short cord, 8.3% with long cord. In group B 4.1 % cases was found with long cord. The difference in cord size was statistically significant. Conclusion: The study observed that participants with meconium
stained liquor amnii were at higher risk in all factors. Severe high risk pregnancy cases had higher frequency among those with liquor amnii. Comparing the various factors of maternal and neonatal health among the participants, it was observed that umbilical cord size and neonatal management were the only significant factors among participants with and without
meconium stained liquor.