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MECONIUM ASPIRATION SYNDROME : A CLINICAL STUDY
M K Behera1, S D Kulkarni2, R K Gupta3
1Classified Specialist (Pediatrics), MH Secunderabad 500 015.
Meconium aspiration syndrome (MAS) affects 1.7% of newborns, with thick meconium and birth asphyxia being significant risk factors. High mortality rates underscore the need for improved neonatal care strategies for MAS.
Area of Science:
- Neonatalogy
- Pediatrics
- Obstetrics
Background:
- Meconium aspiration syndrome (MAS) is a significant cause of neonatal morbidity and mortality.
- Understanding the incidence and risk factors associated with MAS is crucial for effective management.
Purpose of the Study:
- To analyze the clinical characteristics, management, and outcomes of neonates with MAS.
- To identify potential risk factors and complications associated with MAS in a service hospital setting.
Main Methods:
- Retrospective analysis of 42 neonates diagnosed with MAS and managed in a neonatal intensive care unit.
- Data collected included delivery route, meconium consistency, gestational age, presence of asphyxia, seizures, pneumonia, air leak syndrome, and mortality.
Main Results:
- The incidence of MAS was 1.7%, with 33 out of 42 cases involving thick meconium.
- Birth asphyxia (27 cases) and seizures (13 cases) were common complications, alongside pneumonia (32 cases) and air leak syndrome (6 cases).
- Overall mortality was 31% (13 out of 42 infants).
Conclusions:
- Thick meconium and birth asphyxia are strongly associated with MAS and adverse outcomes.
- The high mortality rate highlights the severity of MAS and the need for prompt and intensive neonatal care.
- Further research into preventative strategies and optimized management protocols for MAS is warranted.
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