Journal of the Korean Pediatric Society 1987;30(1):26-34.
Published online January 31, 1987.
Meconium Staining; A Five Year Retrospective Review.
Kei Hag Son, Kyun Woo Lee, Hong Bae Kim, Soom Ok Byun, Ji Sub Oh
Department of Pediatrics, Wallace Memorial Baptist Hospital, Pusan, Korea
태변 착색아의 임상 통계적 관찰
손계학, 이균우, 김홍배, 변순옥, 오지섭
왈레스기념 침례회병원 소아과
Abstract
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.




Close layer
prev next