%0 Journal Article
%T Maternal and Fetal Outcomes Following Labour at Term in Singleton Pregnancies with Meconium-Stained Amniotic Fluid: A Prospective Cohort Study
%A Julius Sama Dohbit
%A Evelyne M. Mah
%A Felix Essiben
%A Edmond Mesumbe Nzene
%A Esther U. N. Meka
%A Pascal Foumane
%A Joel Noutakdie Tochie
%A Benjamin Momo Kadia
%A Felix A. Elong
%A Philip Njotang Nana
%J Open Journal of Obstetrics and Gynecology
%P 790-802
%@ 2160-8806
%D 2018
%I Scientific Research Publishing
%R 10.4236/ojog.2018.89082
%X <strong>Background:</strong> <span style=\"font-family:;\" \"=\"\"><span style=\"font-family:Verdana;\">Meconium stained amniotic fluid (MSAF) is frequently encountered in
obstetric practice. Literature on the subject is still poorly documented in the
African setting. </span><b><span style=\"font-family:Verdana;\">Objective</span></b></span><b><span style=\"font-family:Verdana;\">:</span></b><b><span style=\"font-family:;\" \"=\"\"> </span></b><span style=\"font-family:;\" \"=\"\"><span style=\"font-family:Verdana;\">The aim of this study was to determine the maternal and fetal outcomes in
case of meconium stained amniotic fluid observed during term labour. </span><b><span style=\"font-family:Verdana;\">Materials
and Methods: </span></b><span style=\"font-family:Verdana;\">We conducted a prospective cohort study enrolling all
consenting pregnant women with term singleton fetus in cephalic presentation
admitted for labour with ruptured fetal membranes in the maternity units of the
Yaound¨¦ Central Hospital (YCH) and the Yaound¨¦ Gynaeco-Obstetric and Pediatric
Hospital (YGOPH) of Cameroon between December 2014 and April 2015. The exposed
grouped was considered as participants having MSAF, while the non-exposed group
comprised those with clear amniotic fluid (CAF). The two groups were monitored
during labor using the WHO partograph, and then followed up till 72</span></span><span style=\"font-family:;\" \"=\"\"> </span><span style=\"font-family:Verdana;\">hours after delivery.
Variables studied included the colour and texture of amniotic fluid as well as
maternal and fetal complications. Data was analyzed using Epi-info version
3.5.4. The chi-square and Fischer¡¯s exact tests were appropriate</span><span style=\"font-family:Verdana;\">ly</span><span style=\"font-family:;\" \"=\"\"><span style=\"font-family:Verdana;\"> used to compare the two
groups. A p-value less than 5% was considered statistically significant. </span><b><span style=\"font-family:Verdana;\">Results: </span></b><span style=\"font-family:Verdana;\">2376 vaginal deliveries were recorded during the study period among which
MSAF was observed in 265 cases, hence a prevalence rate of MSAF of 11.15%.
Among these cases of MSAF, 52.1% was thick meconium and 47.9% was light meconium.
Maternal morbidity was high in the group with MSAF</span></span><span style=\"font-family:Verdana;\">;</span><span style=\"font-family:Verdana;\"> these included</span><span style=\"font-family:Verdana;\">:</span><span style=\"font-family:;\" \"=\"\"><span style=\"font-family:Verdana;\"> Higher proportions of caesarean
%K Meconium Stained Amniotic Fluid
%K Labour
%K Maternal and Neonatal Outcomes
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=86477