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Meconium‐stained amniotic fluid and the need for paediatrician attendance
Author(s) -
MaayanMetzger Ayala,
Leibovitch Leah,
SchushanEisen Irit,
Strauss Tzipora,
Kuint Jacob
Publication year - 2013
Publication title -
acta paediatrica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.772
H-Index - 115
eISSN - 1651-2227
pISSN - 0803-5253
DOI - 10.1111/apa.12053
Subject(s) - medicine , attendance , pediatrics , obstetrics , meconium , amniotic fluid , vaginal delivery , gestational age , pregnancy , fetus , biology , economics , genetics , economic growth
Aim To determine perinatal parameters among term newborn infants born by vaginal delivery with meconium‐stained amniotic fluid ( MSAF ) that needed paediatrician assistance. Methods Paediatricians who were in attendance in the delivery room due to MSAF among term infants completed 775 reports regarding the infants' delivery conditions, and the assistance provided. We defined ‘paediatrician attendance needed’ for a subgroup of infants for whom we retrospectively determined that paediatrician attendance in the delivery room was required. Results ‘Paediatrician attendance needed’ was determined in 31 (4%) cases. Among cases with documented normal foetal monitor, only 10 (1.8%) were defined as ‘paediatrician attendance needed’, a percentage significantly lower than among infants born following non‐reassuring foetal monitor: 21 (9.7%) (p < 0.001). ‘Paediatrician attendance needed’ was predicted by non‐reassuring foetal monitor [ OR 6.02 ( CI 2.72–13.31), p < 0.001], maternal fever [ OR 6.34 (1.92–20.92), p = 0.002] and younger maternal age (for every year) [ OR 0.889 ( CI 0.82–0.96), p = 0.003]. Conclusions Term newborn infants born by vaginal delivery with MSAF with documented normal tracing foetal monitor are at low risk of the need for paediatrician assistance. Paediatrician attendance in the delivery room in labour involving MSAF should be recommended when non‐reassuring foetal monitor tracing is observed and should also be considered when maternal fever is recorded, and/or thick meconium is observed.