| A clinical and Statistical study of Meconium Stained Baby: A Two Year Prospective Study. |
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Joo Hyun Ham, Sang Yoon Ahn, In Joon Seol, Soo Jee Moon, Hahng Lee |
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Department of Pediatrics, College of Medicine, Hanyang University, Seoul, Korea |
| 태변 착색아의 임상통계적 고찰* |
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한주현, 안상윤, 설인준, 문수지, 이항 |
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한양대학교 의과대학 소아과학교실 |
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Received: 5 June 1990 • Accepted: 31 July 1990 |
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| Abstract |
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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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