| Clinical Observation of Meconium Aspiration Syndrome : In Relation to Fetal Heart Rate Monitoring |
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Young Ran Yoon, Jin Sook Kim, Mi Kyung Kim, Sun Young Kho, Seong Ja Lee, Mi Jung Kim, Hye Kyung Han, Kyung Hoon Choi, Mi Na Lee |
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Department of Pediatrics, Cheil General Hospital, Seoul, Korea |
| 태변 흡인증후군의 임상적 고찰 - 전자태아감시 결과를 중심으로 - |
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윤영란, 김진숙, 김미경, 고선영, 이성자, 김미정, 한혜경, 최경훈, 이미나 |
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제일병원 소아과 |
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| Abstract |
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To identify the neonates at the risk of having meconium aspiration syndrome, the perinatal characteristics and finding of fetal heart rate monitorings in 366 neonates who had meconium-stained amniotic fluid were retrospectively reviewed. The results were as follows ;
1) Overall incidence of MAS was 0.7%.
2) Mortality rate of MAS was 5.8%.
3) The mean Apgar scores at 1-and 5-minute were significantly different in the two groups with and without meconium aspiration syndrome (MAS) (p<0.001).
4) PROM, postterm delivery and IUGR were the major obstetric risk factors associated with MAS.
5) Although severe variable decelaeration and decreased variability on FHR monitoring were present more often in the group with MAS, it showed no statistically significant difference, between the two groups.
6) The presence of above findings on monitoring and thick meconium in amniotic fluid should alert clinicians to the possibility of a fetus requires intervention. |
| Key Words:
Meconium aspiration syndrome (MAS), Fetal heart rate monitoring |
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