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MedPulse - International Medical Journal, ISSN 2348-2516 E-ISSN: 2348-1897

Volume 1, Issue 2, April 2014 pp 189-192

Research Article

Clinical study of meconium aspiration syndrome in relation to birth weight and gestational maturity at general hospital Sangli

Satish D. Ashtekar¹, Renuka S. Ashtekar², Suresh K. Kumbhar³, Gajanan Pilgulwar⁴, Nand Kishore Gaikwad⁵

¹ Assistant Professor, ⁴Registar, Department of Pediatrics, Government Medical College, Miraj, Sangli, Maharashtra, INDIA.

²Associate Professor, Department of Skin and V.D., Bharati Vidyapeeth University, Medical College and Hospital, Sangli, Maharashtra, INDIA.

³Associate Professor, Department of Community Medicine, ESIC Medical College and PGIMSR, Rajajinagar, Bangalore, INDIA.

Academic Editor : Dr. Bhanap P. L.

Objective: 1) To know the clinical profile of meconium aspiration syndrome in neonate. 2) To know the maternal risk factors for meconium aspiration syndrome. 3) To know outcome of meconium aspiration syndrome in neonate. Material and Methods: Study Design: A retrospective study. Setting: Neonatal Intensive Care Unit (NICU) of General Hospital Sangli. Sample Size: 52 newborn babies admitted during the year 2013 in NICU of pediatric ward. Data Collection: From the case sheet of the study subjects, with the help of prestructured proforma. Study Period: January 2013 to December 2013. Statistical Analysis: Data analyzed with percentages. Results: Out of total 1245 deliveries, MSAF (22.8%) and MAS 52 (4.1%) were seen. Out of 52 MAS, males were (55.7%) and female were (44.2%). Birth asphyxia (42%), Septicemia (23.2%), Pneumonia (3.8%) and Jaundice (23.2%) were commonest morbidities among MAS babies. Commonest causes of mortality were Birth asphyxia (37.5%), Pneumonia (12.5%) and Sepsis (25%). Almost 70.7 % MAS babies had birth weight between 2.5 – 3.5 Kg, 13.33% had > 3.5 Kg and 3.21 % </= 2.5 Kg. Antenatal risk factors among MAS babies were Fetal distress (42.3%), PIH (19.3%), Anemia (9.6%), Oligohydroamnios (9.6 %) and PROM (9.6%). Conclusion: Meconium Aspiration Syndrome was the common cause of respiratory distress in neonate. Increased incidence of MAS was associated with increase gestational age (term, postdatism, birth weight >2.5 kg. Birth asphyxia, Sepsis was common morbidity and mortality.