| A Clinical Study of Meconium Stained Baby and Culture of the Tracheal and Gastric Meconium. |
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Dong Ryong Lee, Sung Ho Bae, Yeon Kyun Oh, San Ho Kim |
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Department of Pediatrics, School of Medicin, Won Kwang University, Iri, Korea |
| 태변 착색아의 임상 통계적 관찰과 기도 및
위액 태변 배양검사의 의의 |
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이동룡, 배성호, 오연균, 김산호 |
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원광대학교 의과대학 소아과학교실 |
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Received: 2 June 1988 • Accepted: 30 July 1988 |
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| Abstract |
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Among the total of 3,102 newborns delivered at Won Kwang University Hospital from September
1984 to December 1986, a clinical study was performed of meconium stained baby and culture of the
tracheal and gastric meconium.
The results were as follows:
1) The incidence of meconium staining was 8.8% (272 cases) and the positive rate of meconium
culture was 22.8% (62 cases).
2) The cultures of tracheal and gastric meconium showed E-coli (21 cases), Staphylococcus (15
cases), and Streptococcus (10 cases) in the order of mentioned.
3) As the gestational age increased, the incidence of meconium staining was higher, 5.8% in those
less than 37weeks, 8.5% ih those during 38-42weeks, and 19.4% in those over 42weeks, but the positive
rate of meconium culture was of little significance.
4) In the groups that the birth weight is 2,001-2,500gm and 3,501-4,000gm, the incidence of
meconium staining was 11.9% and 12.1%, and the positive rate of meconium culture was 31.6% and
28.8%, somewhat high.
5) According to mode of delivery, the incidence of meconium staining was high in vacuum delivery
(18.0%) and the positive rate of meconium culture was high in breech delivery (50%).
6) The incidence of meconium staining related to labor duration was 7.7% within 24 hours, 46.5%
over 24 hours, and the positive rate of meconium culture was 17.2% within 24 hrous, 55% over 24
hours, and those were of significance.
7) The incidence of meconium staining was higher in the primiparous (12.3%) than the multiparous
(4.1%), and the positive rate of meconium culture was of no significance
8) Less than 6 Apgar score, given at 1-and 5-min after birth, the meconium stained group (16.9%,
8.1%), especially positive group of meconium culture (25.8%, 14.5%) was higher incidence than
non-meconium stained group (9.1%, 3.2%).
9) Meconium aspiration syndrome occurred at 4.4% of the meconium stained babies and was higher
incidence in the positive group of meconium culture (12.9%) than in the negative group (1.9%).
10) The neonatal death rate was 1.5% in the group of non-meconium stained babies, 2.2% in the
group of meconium stained babies, and 3.2% in the posivive group of meconium culture. |
| Key Words:
Meconium staining, Meconium culture |
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