[Perinatal outcome in patients with meconial amniotic fluid in labor].
OBJECTIVE
To evaluate the perinatal morbidity and mortality with the presence of meconial amniotic fluid.


METHODS
Retrospective study of case review, performed from 1st of June 1995 to May 1997. The patients included were at delivery, with a pregnancy of 32 weeks or older and had meconial amniotic fluid. The variables analyzed were: motherhood age, pre-existing associated illness, resolution of the pregnancy, PSS interpretation, fetal weight, Apgar and final destiny of the product.


RESULTS
Of the 432 patients the motherhood aged varied from 13 to 43 years old, mean 27.4; with a number of pregnancies from 1 to 10, mean 2.25. The gestational age went from 32.2 to 42.4 weeks. The fetal weight varied form 1025 to 5080 g. The Apgar grade mean was 7 at the first minute and 8 at the fifth. The pregnancy was interrupted by cesarean in 52.5%. Although there was not a significant difference with the arterial gas, the density of the amniotic fluid did determine the final destiny of the product.


CONCLUSIONS
There is a relation between the presence of amniotic fluid and the Apgar grade; both determining the final destiny of the product. When the amniotic fluid had thick meconium the products had a greater morbidity.
Simon Pereira
Luis A
LA
Gorbea
Viridiana
V
Lira Plascencia
Josefina
J
Ahued Ahued
Roberto
R
García Benítez
Carlos Quesnel
CQ
Rosas Priego
Paola Iturralde
PI
D000293:Adolescent; D000328:Adult; D000653:Amniotic Fluid; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007743:Labor, Obstetric; D008470:Meconium; D011247:Pregnancy; D011256:Pregnancy Outcome; D012189:Retrospective Studies