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dc.contributor.authorRodriguez Fernandez, Vanesa
dc.contributor.authorLópez Ramón y Cajal, Carlos 
dc.contributor.authorMartin Ortiz, Elena
dc.contributor.authorCouceiro Naveira, Emillio 
dc.date.accessioned2018-07-19T09:48:00Z
dc.date.available2018-07-19T09:48:00Z
dc.date.issued2018
dc.identifier.issn0301-2115
dc.identifier.otherhttps://www.ncbi.nlm.nih.gov/pubmed/29909265es
dc.identifier.urihttp://hdl.handle.net/20.500.11940/10761
dc.description.abstractOBJECTIVE: To determine the intrapartum and perinatal results associated with different degrees of staining of meconium stained amniotic fluid (MSAF). STUDY DESIGN: In a retrospective cohort study of all singleton deliveries over a period of one year (2015) in a tertiary hospital, we compared different degrees of MSAF (yellow, green and thick) to clear amniotic fluids, and analysed in each group maternal, intrapartum and neonatal variables as well as umbilical cord blood gas analysis. RESULTS: Of the 3590 deliveries included, 503 (14%) had MSAF. The incidence of MSAF rises with gestational age at delivery, reaching 20.7% in gestations above 41 weeks compared to 4.3% below 37 weeks. As the amniotic fluid staining progresses we found a higher proportion of intrapartum fevers (p < 0.001), pathological fetal heart rate patterns (p < 0.05), operative vaginal deliveries and cesarean sections (p < 0.001), as well as the need for advanced neonatal resuscitation (p < 0.001). There was also a correlation between MSAF and low Apgar scores at five minutes (p < 0.001) and fetal-neonatal mortality (p < 0.001) but there was not a higher proportion of neonatal intensive care admissions (p > 0.05). We have observed a similar distribution of umbilical artery pH ranges in all groups (p > 0.05). CONCLUSIONS: MSAF was associated with an increase in the rate of pathological fetal heart rate patterns, intrapartum fevers, operative vaginal and cesarean section deliveries, need for neonatal resuscitation, low Apgar scores and higher fetal-neonatal mortality. Moreover, we found that the risks increase as the staining and consistency of the amniotic fluid evolves so it should alert the obstetrician and paediatrician to the potential adverse outcomes.es
dc.language.isoenges
dc.subject.meshFetal Blood*
dc.subject.meshGynecology*
dc.subject.meshObstetrics*
dc.subject.meshBlood Gas Analysis*
dc.titleIntrapartum and perinatal results associated with different degrees of staining of meconium stained amniotic fluides
dc.typeArtigoes
dc.rights.holderElsevier Inces
dc.bbddEmbase*
dc.bbddWOK*
dc.identifier.doi10.1016/j.ejogrb.2018.03.035
dc.identifier.pmid29909265
dc.journal.titleEuropean Journal of Obstetrics & Gynecology and Reproductive Biologyes
dc.organizationServizo Galego de Saúde::Estrutura de Xestión Integrada (EOXI)::EOXI de Vigo - Complexo Hospitalario Universitario de Vigo::Xinecoloxía y Obstetriciaes
dc.page.initial65es
dc.page.final70es
dc.rights.accessRightsopenAccesses
dc.subject.decsginecología*
dc.subject.decsgasometría sanguínea*
dc.subject.decsobstetricia*
dc.subject.decssangre fetal*
dc.subject.keywordcordon umbilicales
dc.subject.keywordmeconioes
dc.typefidesArtigo Científico (inclue Orixinal, Orixinal breve, Revisión Sistemática e Meta-análisis)es
dc.typesophosArtículo Originales
dc.volume.number228es


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