Aims & Objectives: To determine the perinatal outcome in meconium stained amniotic fluid. Material & Methods: This prospective study was conducted from January 2013 to March 2014 on patients admitted to Labour ward, of RMC, Ajmer. Out of 16546 deliveries 2295 cases, 200 patients who met the inclusion criteria were enrolled in our study. Results: In current study incidence of meconium staining of amniotic fluid (MSAF) is 13.87% In thin MSAF 37.5% and thick MSAF 52.5%, PMR 5.5 % and morbidity 20.5% in which 4.5% and 16.5% respectively in thick and thin. Conclusion: Immediate airway management, need for suction and incubation should be guided by state of newborn rather than presence of meconium timely diagnosis and management MSAF may improve fetal outcome from our study conclude that MSAF adversely affect fetal outcome mostly by thick meconium.
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