THE PREVALENCE, SOME ASSOCIATION FACTORS TO MONITORING AMONG TERM-PREGNANCIES WITH MECONIUM-STAINED AMNIOTIC FLUID AT CAN THO GYNECOLOGY AND OBSTETRICS HOSPITAL
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Abstract
Background: Meconium-stained amniotic fluid (MSAF) is dangerous to the fetus, even affecting the development of the child after birth if not detected and treated promptly. Objectives: Determining the rate of term-pregnancies with meconium-stained amniotic fluid and their characteristics of obstetrics monitoring; discovering the association between obstetrics monitoring and meconium-stained amniotic fluid. Materials and method: A descriptive cross-sectional study on 315 term-pregnancies in labor at Can Tho Gynecology and Obstetrics Hospital from April 2020 to September 2020, of which had 50 with MSAF. Results: The incidence of pregnant women with MSAF was 15.9%. The average age was about 29.4 ± 5.6. The mean gestational age was 38.8 ± 0.75 weeks. 52% of women with MSAF had normal variability, low variability (≤5 beats per minute) increased the risk of MSAF by 7.7 times (p=<0.001), high variability (>25 beats per minute) increased the risk by 6 times (p=0.004). Group 2 tracings increased the risk of MSAF by 6.48 times, group 3 increased the risk of MSAF by 25.5 times (p <0.05). Conclusions: Variability of cardiotocography (CTG) is a high valuable factor for monitoring fetal health in labor.
Keywords
meconium-stained amniotic fluid, cardiotocography, fetal heart rate, variability, cesarean section rate
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