Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
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Randomized Controlled Intervention Study on Effectiveness of Transcervical Intrapartum Amnioinfusion in Case of Meconium Stained Amniotic Fluid
Swagata Chattaraj, Megha Roy, Debjani Deb and Aditi Aich
Page: 164-169 | Received 26 Nov 2023, Published online: 06 Jan 2024
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Abstract
One may argue that meconium is not that important. Some scientists argue that meconium has no effect on discomfort, acidity or hypoxia during fetal development. Some researchers found that meconium‐stained neonates scored lower on the Apgar scale. Amniotic fluid frequently contains meconium. Obstetricians are concerned about meconium passage due to a surge in prenatal morbidity and mortality, meconium aspiration syndrome and its aftermath. To assess the effectiveness of intrapartam transcervical amnioinfusion in reducing infant morbidity and death, as well as the effect of amnioinfusion in lowering the incidence of meconium aspiration syndrome among participants with and without intrapartam amnioinfusion. The trial, which took place between March 2019 and August 2020, was a one and a half‐year randomised controlled intervention study. The study was conducted at Bankura Sammilani Medical College, Bankura, in the antenatal, labor and postnatal wards of the department of obstetrics and gynecology as well as the Sncu (Sick Neonatal Care Unit). The chi‐square test revealed a significant correlation (p = 0.022) between the neonate’s birth weight and the patients in the two groups. According to a t‐test the new‐borns of patients who did not get intrapartum amnioinfusion had a mean birth weight that was substantially lower than the newborns of patients who had it (t 112 = 2.02 p = 0.043). p<0.00001 S‐Significant = 81.46. The results of the Chi‐square test indicated a significant correlation between the patients in the two groups and meconium below the vocal cord (p<0.0001), as well as a significant correlation between meconium aspiration syndrome and the patients in the two groups (p<0.0001). The neonates in the amnioinfusion group needed a lot fewer SCU admissions than babies receiving standard care. Furthermore, as the frequency of maternal problems was about evenly distributed across the two groups, there was no greater incidence in the amnioinfusion group. Thus, we conclude that intrapartam transcervical amnioinfusion is a simple, risk‐free and cost‐effective therapy that effectively dilutes the meconium and significantly improves perinatal and maternal outcomes based on all of the previously mentioned study findings. Amnioinfusion, Meconium aspiration syndrome, Oligohydramnios and Meconium stained liquor.
How to cite this article:
Swagata Chattaraj, Megha Roy, Debjani Deb and Aditi Aich. Randomized Controlled Intervention Study on Effectiveness of Transcervical Intrapartum
Amnioinfusion in Case of Meconium Stained Amniotic Fluid.
DOI: https://doi.org/10.36478/10.59218/makrjms.2024.4.164.169
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2024.4.164.169