Sudha H. C1
INTRODUCTION: Meconium stained amniotic fluid has traditionally heralded imminent or existing fetal compromise yet neonatal passage of the first meconium stool signals the onset of healthy gastro intestinal function. Meconium if aspirated complicates perinatal asphyxia. The significance and management of meconium passage in utero continues to be a challenge to the obstetrician although a sizeable body of information exists. Concerning the pathophysiology of meconium stained amniotic fluid the practicing clinician must understand that these data are far from complete and often contradictory. Presence of meconium during first stage of labour has been associated with increased risk of fetal acidemia. The presence of meconium with fetal heart rate abnormalities is more likely to be associated with acidosis which then increases the risk of meconium aspiration. Hence it is necessary to monitor FHR during the first stage of labour and timely intervention by available methods if there are heart rate abnormalities. The mode of delivery chosen depends on maternal and labour characteristics and severity of distress. Each method of intervention has certain pros & cons which reflects in maternal & fetal outcome. The present study was carried out on 300 patients admitted in labour ward At K. C. general hospital and Dr. B. R. Ambedkar medical college hospital Bangalore. An attempt is made to know FHR pattern in meconium stained liquor, timing and mode of delivery and neonatal outcome in meconium stained liquor.
