| Meconium Staining; A Five Year Retrospective Review. |
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Kei Hag Son, Kyun Woo Lee, Hong Bae Kim, Soom Ok Byun, Ji Sub Oh |
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Department of Pediatrics, Wallace Memorial Baptist Hospital, Pusan, Korea |
| 태변 착색아의 임상 통계적 관찰 |
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손계학, 이균우, 김홍배, 변순옥, 오지섭 |
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왈레스기념 침례회병원 소아과 |
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| Abstract |
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Among a total of 15,250 newborns delivered at wallace memorial Baptist Hospital in a 5 year period
from January 1980 to December 1984, a clinical study was done regarding meconium stained babies.
The results were summarized as follows;
1) The incidence of meconium staining was 10.94% (1,669 babies).
2) Most of the meconium group (95.08%) had a birth weight exceeding 2,500 grams. The incidence
of meconium staining by birth weight was 4.71% in babies weighing 2,000 grams or less, 16.2% in
babies weighing over 4,000 grams, compared to 9.89% in babies weighing 2,501-3,000 gm.
3) Most of the meconium group (93.17%) had a gestational period over 38 weeks. The incidence of
meconium staining by gestational age was 6.2% in those less than 37 weeks and 24.36% in those over
42 weeks, compared to 10.54% in those bom during a 38-42 week gestation.
4) The incidence of meconium staining related to labor duration was 12.82% in the group laboring
13-24 hours and 17.53% in those laboring over 24 hours compared to 7.3% in those delivering within
4 hours of the onset of labor.
5) The incidence of meconium staining was higher in primiparous (13.45%) than multiparous (8.04%)mothers.
6) The mean one-and five-minutes apgar scores were lower in the meconium group (7.5 ±2.6, 6.7 ±2.0) than in the non-meconium stained group (8.1 ±1.6, 8.4 ±1.4).
7) The incidence of meconium staining by mode of delivery was 4.88% in the cesarean section
delivery group, 19.12% in the vacuum delivery group and 16.67% in breech delivery group compared to 11.78% in spontaneous vaginal delivery group.
8) The incidence of combined perinatal and maternal problems (e. g. eclampsia, pre-eclampsia,
diabetes mellitus, chorioamnionitis, etc.) was higher in the meconium group than in the
non-meconium stained group.
9) The neonatal death rate was higher in the meconium group (2.94%) than in the control group (1.02%)
Among all newborns, the incidence of meconium aspiration syndrome was 1.86% and of these,29.03% died. |
| Key Words:
Meconium stained babies. |
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