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A clinical and Statistical study of Meconium Stained Baby: A Two Year Prospective Study.

Journal of the Korean Pediatric Society 1990;33(9):1173-1179.
Published online September 30, 1990.
A clinical and Statistical study of Meconium Stained Baby: A Two Year Prospective Study.
Joo Hyun Ham, Sang Yoon Ahn, In Joon Seol, Soo Jee Moon, Hahng Lee
Department of Pediatrics, College of Medicine, Hanyang University, Seoul, Korea
태변 착색아의 임상통계적 고찰*
한주현, 안상윤, 설인준, 문수지, 이항
한양대학교 의과대학 소아과학교실
Received: 5 June 1990   • Accepted: 31 July 1990
Abstract
Among the total of 2,483 Newborns delivered at Hanyang University Hospital from January 1987 to December 1988, a clinical study was performed of meconium stained baby. The results are summerized as follows: 1) The incidence of meconium staining was 13.4% (333 cases) in total 2,483 newborns. 2) In the groups that the birth weight is 2501 ~ 4000 gm and up to 4001 gm, the incidence of meconium staining was 13.5% and 22.5%. 3) As the gestational age increased, the incidence of meconium staining was higher, 14.3% in those during 38〜42 weeks, 8.4% in those less than 37 weeks and 19.3% in those over 42 weeks. 4) The difference of both mean l-and 5-minute Apgar scores between the meconium and the non-meconium group was no significant. 5) The peripheral blood examination was performed of meconium stained baby, the mean Hb was 18.2±0.2 g/d/, the mean platelet count was (295.6±6.2)x 10/ mm3, and the mean nucleated RBC count was 1.5±0.3/100 WBC. The positive rate of blood culture was zero. 6) There was no difference in mother's age and parity between the meconium and non-meconium group. 7) The incidence of combined perinatal and maternal problems (e.g. eclampsia, pre-eclampsia, cord prolapse, etc.) was higher in the meconium stained group than in the non-meconium stained group. 8) The incidence of meconium staining by mode of delivery was 15.7% in spontaneous vaginal delivery group, 11.3% in vacuum delivery group, 11.0% in the cesarean section delivery group and 28. 6% in the breech delivery group. 9) The incidence of fetal distress was 3.6% in the meconium stained group compared to 1.6% in the non-meconium stained group. 10) The neonatal death rate was 0.6% in the meconium stained group compared to 2.2% in the non-meconium stained group.
Key Words: Meconium stained baby


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