TY - JOUR
T1 - Meconium-stained amniotic fluid-risk factors and immediate perinatal outcomes among SGA infants
AU - Pariente, Gali
AU - Peles, C.
AU - Perri, Zvi H.
AU - Baumfeld, Yael
AU - Mastrolia, Salvatore Andrea
AU - Koifman, Arie
AU - Weintraub, Adi Y.
AU - Hershkovitz, Reli
N1 - Publisher Copyright:
© 2014 Informa UK Ltd. All rights reserved: reproduction in whole or part not permitted.
PY - 2015/6/1
Y1 - 2015/6/1
N2 - Objective: To detect factors that are associated with meconium-stained amniotic fluid (MSAF) among deliveries of small for gestational age (SGA) neonates and to identify perinatal outcomes of deliveries of SGA infants complicated with MSAF. Methods: A population-based study comparing deliveries of SGA neonates with and without MSAF was conducted. Deliveries occurred during the years 1988-2007 at the Soroka University Medical Center. Risk factors for MSAF among SGA infants were evaluated. Incidence of adverse pregnancy outcomes were compared between deliveries of SGA neonates with and without MSAF. Results: During the study period 9583 deliveries were of SGA neonates. Of these, 16.6% (n=1597) were complicated with MSAF. Among SGA neonates, older maternal age, multiparty, lack of prenatal care and weight were significantly associated with MSAF. Having delivered an SGA infant with MSAF was associated with decreased rates of induction of labor and increased rates of labor dystocia, delivery by cesarean section and fetal distress. Using multivariable regression models, having delivered an SGA infant with MSAF was independently associated with fetal distress. Conclusion: Among SGA neonates, deliveries complicated with MSAF are associated with additional adverse pregnancy outcomes.
AB - Objective: To detect factors that are associated with meconium-stained amniotic fluid (MSAF) among deliveries of small for gestational age (SGA) neonates and to identify perinatal outcomes of deliveries of SGA infants complicated with MSAF. Methods: A population-based study comparing deliveries of SGA neonates with and without MSAF was conducted. Deliveries occurred during the years 1988-2007 at the Soroka University Medical Center. Risk factors for MSAF among SGA infants were evaluated. Incidence of adverse pregnancy outcomes were compared between deliveries of SGA neonates with and without MSAF. Results: During the study period 9583 deliveries were of SGA neonates. Of these, 16.6% (n=1597) were complicated with MSAF. Among SGA neonates, older maternal age, multiparty, lack of prenatal care and weight were significantly associated with MSAF. Having delivered an SGA infant with MSAF was associated with decreased rates of induction of labor and increased rates of labor dystocia, delivery by cesarean section and fetal distress. Using multivariable regression models, having delivered an SGA infant with MSAF was independently associated with fetal distress. Conclusion: Among SGA neonates, deliveries complicated with MSAF are associated with additional adverse pregnancy outcomes.
KW - Fetal growth restriction
KW - Intra-uterine growth retardation
KW - Meconium
KW - Meconium aspiration syndrome
KW - Meconium-stained amniotic fluid
KW - Small for gestational age
UR - http://www.scopus.com/inward/record.url?scp=84935471354&partnerID=8YFLogxK
U2 - 10.3109/14767058.2014.942634
DO - 10.3109/14767058.2014.942634
M3 - Article
C2 - 25005860
AN - SCOPUS:84935471354
SN - 1476-7058
VL - 28
SP - 1064
EP - 1067
JO - Journal of Maternal-Fetal and Neonatal Medicine
JF - Journal of Maternal-Fetal and Neonatal Medicine
IS - 9
ER -
