COMPARATIVE ANALYSIS OF PERINATAL OUTCOMES IN MECONILY STAINED AMNIOTIC FLUID

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Abstract

A number of publications describe a strong relationship between fetal hypoxia and meconium-stained waters, while others refute this relationship, but emphasize the role of infection. Purpose: Based on dynamic cardiotocography, to determine whether there is an association between meconium fluid and negative perinatal results. patients and methods: A prospective cohort study of perinatal outcomes was performed in 27 parturient women with a hyperechoic suspension in the amniotic fluid detected in the antenatal period based on transvaginal sonography. Conclusion. It is important to note that childbirth complicated by the presence of meconium in the amniotic fluid increases the risk of operative delivery by caesarean section for fetal indications, since it can cause the development of aspiration syndrome in newborns, and increase the birth of children in a state of severe asphyxia.

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List of references

Hiersch L, Melamed N, Rosen H, Peled Y, Wiznitzer A, Yogev Y. New onset of meconium during labor versus primary meconium-stained amniotic fluidis there a difference in pregnancy outcome? J Matern Fetal Neonatal Med 2013:1–7. https://pubmed.ncbi.nlm.nih.gov/24147619/

Balchin I, Whittaker JC, Lamont RF, Steer PJ. Maternal and fetal characteristics associated with meconium-stained amniotic fluid. Obstet Gynaecol, 2011;117(4):828–35. https://pubmed.ncbi.nlm.nih.gov/21383642/

CG55 Внутриродовой уход: руководство NICE. http://guidance.nice.org.uk/CG55/NICEGuidance

Cuff RD, Carter E, Taam R, et al. American Journal of Obstetrics & Gynecology MFM /Volume 2, Issue 1, February 2020, 100073/. https://www.sciencedirect.com/science/article/abs/pii/S2589933319301132

Dargaville P.A., Copnell В. The epidemiology of meconium aspiration syndrome: incidence, risk factors, therapies, and outcome // Pediatrics.-2006. – Vol.117. - P. 1712-1713. https://pubmed.ncbi.nlm.nih.gov/16651329/

Atladottir H.O., Parner E.T., Schendel D., Dalsgaard S., Thomsen P.H., Thorsen P. Variation in incidence of neurodelopmental disorders with season of birth // Epidemiology. - 2007. - Vol. 18. - P. 241-242. https://pubmed.ncbi.nlm.nih.gov/17202868/

Akhmedova Д., Inakova Б., Inamov К., & Kadirov Х. (2022). Clinical characteristics of the neonatal period and microelemental composition of the blood serum in premature infants with post-hypoxic encephalopathy and internutral development rest. International Journal of Scientific Pediatrics, (2), 16–30. https://doi.org/10.56121/2181-2926-2022-2-16-30

Kaoru O., Kondo М., Kato М., Kakinuma R., Nishida A., Noda M., Taniguchi K., Kimura H. Serum Cytokine and Chemokine Profiles in Neonates With Meconium Aspiration // Pediatrics. — 2008. Vol.121. -P.750-751.

.Maddipati KR, Romero R, Chaiworapongsa T, et al. Clini-cal chorioamnionitis at term: the amniotic fluid fatty acyl lipidome. J Lipid Res. 2016;57(10):1906-1916. https://doi.org/10.1194/jlr.P069096.

Oliveira FR, Barros EG, Magalhaes JA. Biochemical profile of amniotic fluid for the assessment of fetal and renal deve-lopment. Braz J Med Biol Res. 2002; 35(2):215-222. https://onlinelibrary.wiley.com/doi/10.1111/aji.13108

Payne MS, Bayatibojakhi S. Exploring preterm birth as a polymicrobial disease: an overview of the uterine microbi-ome. Front Immunol. 2014;5:595. https://doi.org/10.3389/fimmu.2014.00595.

Shackelford GD, Kees-Folts D, Cole BR. Imaging the urinary tract. Clin Perinatol. 1992; 19(1):85-119. https://doi.org/10.1016/S0095-5108(18)30477-917.

Bauk FA, Moron AF, Novo Y. Estudo comparativo das dosagens de sódio, potássio, uréia, creatinina e ácido úrico no líquido amniótico entre 15-20 semanas e 38-42 semanas. Rev Assoc Med Bras (1992). 1996;(42):7-10.

Makhmudova A., Berger. I., Madasheva A. and Ulugova S. (2022). Combined genetic disorders in patients with coagulopathy. International Journal of Scientific Pediatrics, (1), 23–29. https://doi.org/10.56121/2181-2926-2022-1-23-29

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