Anuragamayi Yelamanchili1, Usha Sree Dasari2, Karuna Cherukuri3
This is to evaluate the effectiveness of amnio infusion in cases of thick and particulate meconium stained liquor to reduce the incidence of fetal distress and meconium aspiration syndrome in neonates and compare neonatal outcome with control group. METHODS: A prospective comparative case control study was conducted in the Department of Obstetrics and gynecology, Government General Hospital, Kakinada. A total of 100 cases of labour complicated with thick meconium stained liquor were studied of which in 50 cases Transcervical Amnioinfusion was given and remaining 50 cases without amnioinfusion were taken as controls. The statistical analysis of neonatal outcome was done by Chi square test analysis of variance and paired t test. Liquor to reduce the incidence of fetal distress and meconium aspiration syndrome in neonates and compare neonatal. RESULTS: Operative interventions for fetal distress were significantly less in infusion group (p<0.01). APGAR scores at 1min, 5min and 10min of >7 were observed in more cases of infusion group with significant difference in control group. Use of resuscitative measures for neonates were relatively more in control group with higher incidence of meconium at and below vocal cords (p<0.01). In amnioinfusion group, admissions in NICU were less (p<0.01) CONCLUSION: Transcervical amnioinfusion during labour is a safe, simple, inexpensive and effective procedure in improving the obstetric and perinatal outcome in patients labouring with thick meconium stained liquor
