Meconium-stained amniotic fluid Retrospective Analysis of 361 cases.docVIP

 PAGE \* MERGEFORMAT 6 Meconium-stained amniotic fluid Retrospective Analysis of 361 cases Keywords:] A retrospective analysis of meconium-stained amniotic fluid Mostly clinical amniotic fluid meconium diagnosis of fetal heart rate abnormalities or fetal distress, meconium-stained amniotic fluid levels and to determine the fetal outcome. Of meconium-stained amniotic fluid and the degree of impact on the fetus in order to reduce neonatal asphyxia, to reduce the cesarean section rate and improve the quality of obstetric. In this paper, meconium-stained amniotic fluid of 361 cases were retrospectively analyzed. Subjects and methods 1. Target: June 2007-June 2008, in the hospital delivery in meconium-stained amniotic fluid of 361 cases of maternal and fetal infant. The average age (27 + -6 years), gestational age (38 + -4) Week . 2. Meconium-stained amniotic fluid diagnosis: According to the 7th edition of obstetrics and gynecology textbooks. Meconium-stained amniotic fluid is divided into 3 degrees, I degree of light green, the common fetal chronic hypoxia; Ⅱ with deep green or yellow-green, suggesting that acute shortage of fetal oxygen; Ⅲ degree was brown, thick, suggesting that severe fetal hypoxia. 3. Electronic fetal monitoring: emptying the bladder capacity of pregnant women to take comfort when the supine position type or left 15 °, head above the abdomen 30 °, through the abdomen to monitor fetal heart rate exogenous, electronic fetal monitoring for fetal distress prompted to disappear as there are variations , late deceleration, severe variable deceleration; fetal heart rate lt;100 bpm, baseline variability lt;5 bpm (equipment used in domestic production MFM 800 electronic fetal monitor), the general time monitoring of 20 min, special circumstances extend the 40 ~ 50 min. 4. Newborns Apgar score (Apgar): 8 ~ 10 minutes is normal newborns; 4 to 7 are divided into mild asphyxia; 0 to 3 points severe asphyxia. Results 1. Meconium-