To study the perinatal outcome in meconium stained amniotic fluid

Objective: To study the fetal outcome and mode of delivery in patients with meconium stained amniotic fluid. Material and methods :This is a prospective observational study carried out in department of obstetric and gynaec at P.V.P.G.H.sangli. over a period of 6 months.Total 200 cases of more than 37 weeks of gestation with singleton pregnancies and cephalic presentation were included in the study with thin or thick meconium stained liquor during labour. The data was collected on predesigned proforma and analysed using SPSS version 10. Chisquare test was applied with 95% interval and P value less than 0.05 was considered significant. Result: Among 200 cases 60% were not booked and came as emergency.Primigravida constituted 62% ,with PIH being 28% and postdate 21%. APGAR score was > 7 for 82 % of babies and only 18 % had APGAR score <7. At 1 minute .111 patients (56%) delivered by L.S.C.S., 49 patients(24%) had instrumental delivery (more with forceps 18% and vaccume 6%), and 40 patients (20 %) delivered normally. Conclusion: Meconium stained amniotic fluid has importance both for obstretician and paediatrician point of view.It increases the casarean section rate causes birth asphyxia and increases NICU admission rate.