title: Meconium Amniotic Fluid is Associated with Endomyometritis.
abstract: OBJECTIVE
  This study aimed to determine whether MSAF is associated with endometritis after delivery.
  
  
  METHODS
  This cohort study was conducted from 2012 to 2013 in Kosar Hospital of Qazvin, Iran. All women with cesarean delivery (1239 women) beyond 37 weeks of gestational age participated in the study. Data were collected on rates of endomyometritis, quality of amniotic fluid and were analyzed with bivariate and multivariate statistics. Probability values of <.05 were considered statistically significant.
  
  
  RESULTS
  We found that among 1239 women with cesarean delivery at term 2.34 % were diagnosed with endometritis. Compared with deliveries with clear amniotic fluid, those with MSAF had higher rates of endomyometritis (1.5 vs 3.2 %, P < .04).
  
  
  CONCLUSIONS
  We found that the presence of MSAF is associated with puerperal infection even when being controlled for confounders.
authors.affiliation: Department of Obstetric and Gynecology, School of Medical, Qazvin University of Medical Science, Qazvin, Iran.
authors.forename: Hamideh
authors.initials: H
authors.lastname: Pakniat
authors.affiliation: Department of Midwifery, School of Nursing and Midwifery, Qazvin University of Medical Sciences, Qazvin, Iran.
authors.forename: Fatemeh
authors.initials: F
authors.lastname: Mohammadi
authors.affiliation: Department of Midwifery, Faculty of Nursing and Midwifery, School of Nursing and Midwifery, Qazvin University of Medical Sciences, Qazvin, Iran.
authors.forename: Fatemeh
authors.initials: F
authors.lastname: Ranjkesh
keywords: Amniotic fluid; Endomyometritis; Meconium; Puerperal infection