The outcome of newborns born through grade 3 meconium-stained amniotic fluid in a regional hospital in Durban, KwaZulu-Natal

Main Article Content

S L Ngaka
P Tinarwo
R Singh

Abstract





Background. Meconium-stained amniotic fluid (MSAF) may reflect normal fetal gut maturation or may indicate fetal compromise. Protocols on the management of newborns with grade 3 MSAF exposure who do not require immediate resuscitation at birth, are required. Objectives. To determine the outcomes of newborns born through grade 3 MSAF.


Methods. A retrospective chart review was conducted at King Edward VIII Hospital (KEH) in Durban, KwaZulu-Natal (KZN), South Africa (SA) from 1 January to 31 December 2018. Data were collected from 238 newborns born through grade 3 MSAF to determine the incidence of neonatal sepsis, respiratory complications and neurological complications associated with grade 3 MSAF exposure. Descriptive statistics were used.


Result. Neonatal sepsis was suspected in 10.5% of the grade 3 MSAF-exposed newborns and confirmed in 1.7% of the cases. Respiratory distress occurred in 18.9% of newborns, with 9.2% requiring supplementary oxygen. Neurological complications occurred in 2.9% of grade 3 MSAF- exposed newborns and 2.2% of newborns complicated with seizures


Conclusion. There was a low rate of neonatal sepsis, respiratory distress, neurological complications and perinatal asphyxia in newborns exposed to grade 3 MSAF. Neonates who are stable at birth can be observed in the postnatal ward for a short period after birth before discharge.





Article Details

How to Cite
The outcome of newborns born through grade 3 meconium-stained amniotic fluid in a regional hospital in Durban, KwaZulu-Natal. (2024). South African Journal of Child Health, 18(1), e2015. https://doi.org/10.7196/SAJCH.2024.v18i1.2015
Section
Research

How to Cite

The outcome of newborns born through grade 3 meconium-stained amniotic fluid in a regional hospital in Durban, KwaZulu-Natal. (2024). South African Journal of Child Health, 18(1), e2015. https://doi.org/10.7196/SAJCH.2024.v18i1.2015

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