Impact of Thin Meconium on Delivery and Early Neonatal Outcomes

Several reports regarding the effects of thin meconium on maternal and neonatal outcomes are contradictory. This study evaluated the risk factors and obstetrical outcomes during deliveries complicated with thin meconium. This retrospective cohort study included all women with a singleton pregnancy,...
Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Hanoch Schreiber [verfasserIn] Adi Shilony [verfasserIn] Reut Batia Amrami [verfasserIn] Gal Cohen [verfasserIn] Ofer Markovitch [verfasserIn] Tal Biron-Shental [verfasserIn] Sofia Bauer-Rusek [verfasserIn] Shmuel Arnon [verfasserIn] Michal Kovo [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2023

Schlagwörter:	meconium thin meconium meconium aspiration syndrome adverse neonatal outcomes

Übergeordnetes Werk:	In: Children - MDPI AG, 2014, 10(2023), 2, p 215
Übergeordnetes Werk:	volume:10 ; year:2023 ; number:2, p 215

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc

DOI / URN:	10.3390/children10020215

Katalog-ID:	DOAJ080983200

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allfields	10.3390/children10020215 doi (DE-627)DOAJ080983200 (DE-599)DOAJ61fd1a60f0b4436798e838e87f4b8b96 DE-627 ger DE-627 rakwb eng RJ1-570 Hanoch Schreiber verfasserin aut Impact of Thin Meconium on Delivery and Early Neonatal Outcomes 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Several reports regarding the effects of thin meconium on maternal and neonatal outcomes are contradictory. This study evaluated the risk factors and obstetrical outcomes during deliveries complicated with thin meconium. This retrospective cohort study included all women with a singleton pregnancy, who underwent trial of labor <24 weeks of gestation, in a single tertiary center, over a six-year period. Obstetrical, delivery, and neonatal outcomes were compared between deliveries with thin meconium (thin meconium group) to deliveries with clear amniotic fluid (control group). Included in the study were 31,536 deliveries. Among them 1946 (6.2%) were in the thin meconium group and 29,590 (93.8%) were controls. Meconium aspiration syndrome was diagnosed in eight neonates in the thin meconium group and in none of the controls (0.41%, <i<p</i< < 0.001). In multivariate logistic regression analysis, the following adverse outcomes were found to be independently associated with increased odds ratio (OR) for thin meconium: intrapartum fever (OR 1.37, 95% CI 1.1–1.7), instrumental delivery (OR 1.26, 95% CI 1.09–1.46), cesarean delivery for non-reassuring fetal heart rate (OR 2.0, 95% CI 1.68–2.46), and respiratory distress requiring mechanical ventilation (OR 2.06, 95% CI 1.19–3.56). Thin meconium was associated with adverse obstetrical, delivery, and neonatal outcomes that should receive extra neonatal care and alert the pediatrician. meconium thin meconium meconium aspiration syndrome adverse neonatal outcomes Pediatrics Adi Shilony verfasserin aut Reut Batia Amrami verfasserin aut Gal Cohen verfasserin aut Ofer Markovitch verfasserin aut Tal Biron-Shental verfasserin aut Sofia Bauer-Rusek verfasserin aut Shmuel Arnon verfasserin aut Michal Kovo verfasserin aut In Children MDPI AG, 2014 10(2023), 2, p 215 (DE-627)768093007 (DE-600)2732685-8 22279067 nnns volume:10 year:2023 number:2, p 215 https://doi.org/10.3390/children10020215 kostenfrei https://doaj.org/article/61fd1a60f0b4436798e838e87f4b8b96 kostenfrei https://www.mdpi.com/2227-9067/10/2/215 kostenfrei https://doaj.org/toc/2227-9067 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 10 2023 2, p 215
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allfieldsSound	10.3390/children10020215 doi (DE-627)DOAJ080983200 (DE-599)DOAJ61fd1a60f0b4436798e838e87f4b8b96 DE-627 ger DE-627 rakwb eng RJ1-570 Hanoch Schreiber verfasserin aut Impact of Thin Meconium on Delivery and Early Neonatal Outcomes 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Several reports regarding the effects of thin meconium on maternal and neonatal outcomes are contradictory. This study evaluated the risk factors and obstetrical outcomes during deliveries complicated with thin meconium. This retrospective cohort study included all women with a singleton pregnancy, who underwent trial of labor <24 weeks of gestation, in a single tertiary center, over a six-year period. Obstetrical, delivery, and neonatal outcomes were compared between deliveries with thin meconium (thin meconium group) to deliveries with clear amniotic fluid (control group). Included in the study were 31,536 deliveries. Among them 1946 (6.2%) were in the thin meconium group and 29,590 (93.8%) were controls. Meconium aspiration syndrome was diagnosed in eight neonates in the thin meconium group and in none of the controls (0.41%, <i<p</i< < 0.001). In multivariate logistic regression analysis, the following adverse outcomes were found to be independently associated with increased odds ratio (OR) for thin meconium: intrapartum fever (OR 1.37, 95% CI 1.1–1.7), instrumental delivery (OR 1.26, 95% CI 1.09–1.46), cesarean delivery for non-reassuring fetal heart rate (OR 2.0, 95% CI 1.68–2.46), and respiratory distress requiring mechanical ventilation (OR 2.06, 95% CI 1.19–3.56). Thin meconium was associated with adverse obstetrical, delivery, and neonatal outcomes that should receive extra neonatal care and alert the pediatrician. meconium thin meconium meconium aspiration syndrome adverse neonatal outcomes Pediatrics Adi Shilony verfasserin aut Reut Batia Amrami verfasserin aut Gal Cohen verfasserin aut Ofer Markovitch verfasserin aut Tal Biron-Shental verfasserin aut Sofia Bauer-Rusek verfasserin aut Shmuel Arnon verfasserin aut Michal Kovo verfasserin aut In Children MDPI AG, 2014 10(2023), 2, p 215 (DE-627)768093007 (DE-600)2732685-8 22279067 nnns volume:10 year:2023 number:2, p 215 https://doi.org/10.3390/children10020215 kostenfrei https://doaj.org/article/61fd1a60f0b4436798e838e87f4b8b96 kostenfrei https://www.mdpi.com/2227-9067/10/2/215 kostenfrei https://doaj.org/toc/2227-9067 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 10 2023 2, p 215
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callnumber-first	R - Medicine
author	Hanoch Schreiber
spellingShingle	Hanoch Schreiber misc RJ1-570 misc meconium misc thin meconium misc meconium aspiration syndrome misc adverse neonatal outcomes misc Pediatrics Impact of Thin Meconium on Delivery and Early Neonatal Outcomes
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topic_title	RJ1-570 Impact of Thin Meconium on Delivery and Early Neonatal Outcomes meconium thin meconium meconium aspiration syndrome adverse neonatal outcomes
topic	misc RJ1-570 misc meconium misc thin meconium misc meconium aspiration syndrome misc adverse neonatal outcomes misc Pediatrics
topic_unstemmed	misc RJ1-570 misc meconium misc thin meconium misc meconium aspiration syndrome misc adverse neonatal outcomes misc Pediatrics
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title	Impact of Thin Meconium on Delivery and Early Neonatal Outcomes
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title_sort	impact of thin meconium on delivery and early neonatal outcomes
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title_auth	Impact of Thin Meconium on Delivery and Early Neonatal Outcomes
abstract	Several reports regarding the effects of thin meconium on maternal and neonatal outcomes are contradictory. This study evaluated the risk factors and obstetrical outcomes during deliveries complicated with thin meconium. This retrospective cohort study included all women with a singleton pregnancy, who underwent trial of labor <24 weeks of gestation, in a single tertiary center, over a six-year period. Obstetrical, delivery, and neonatal outcomes were compared between deliveries with thin meconium (thin meconium group) to deliveries with clear amniotic fluid (control group). Included in the study were 31,536 deliveries. Among them 1946 (6.2%) were in the thin meconium group and 29,590 (93.8%) were controls. Meconium aspiration syndrome was diagnosed in eight neonates in the thin meconium group and in none of the controls (0.41%, <i<p</i< < 0.001). In multivariate logistic regression analysis, the following adverse outcomes were found to be independently associated with increased odds ratio (OR) for thin meconium: intrapartum fever (OR 1.37, 95% CI 1.1–1.7), instrumental delivery (OR 1.26, 95% CI 1.09–1.46), cesarean delivery for non-reassuring fetal heart rate (OR 2.0, 95% CI 1.68–2.46), and respiratory distress requiring mechanical ventilation (OR 2.06, 95% CI 1.19–3.56). Thin meconium was associated with adverse obstetrical, delivery, and neonatal outcomes that should receive extra neonatal care and alert the pediatrician.
abstractGer	Several reports regarding the effects of thin meconium on maternal and neonatal outcomes are contradictory. This study evaluated the risk factors and obstetrical outcomes during deliveries complicated with thin meconium. This retrospective cohort study included all women with a singleton pregnancy, who underwent trial of labor <24 weeks of gestation, in a single tertiary center, over a six-year period. Obstetrical, delivery, and neonatal outcomes were compared between deliveries with thin meconium (thin meconium group) to deliveries with clear amniotic fluid (control group). Included in the study were 31,536 deliveries. Among them 1946 (6.2%) were in the thin meconium group and 29,590 (93.8%) were controls. Meconium aspiration syndrome was diagnosed in eight neonates in the thin meconium group and in none of the controls (0.41%, <i<p</i< < 0.001). In multivariate logistic regression analysis, the following adverse outcomes were found to be independently associated with increased odds ratio (OR) for thin meconium: intrapartum fever (OR 1.37, 95% CI 1.1–1.7), instrumental delivery (OR 1.26, 95% CI 1.09–1.46), cesarean delivery for non-reassuring fetal heart rate (OR 2.0, 95% CI 1.68–2.46), and respiratory distress requiring mechanical ventilation (OR 2.06, 95% CI 1.19–3.56). Thin meconium was associated with adverse obstetrical, delivery, and neonatal outcomes that should receive extra neonatal care and alert the pediatrician.
abstract_unstemmed	Several reports regarding the effects of thin meconium on maternal and neonatal outcomes are contradictory. This study evaluated the risk factors and obstetrical outcomes during deliveries complicated with thin meconium. This retrospective cohort study included all women with a singleton pregnancy, who underwent trial of labor <24 weeks of gestation, in a single tertiary center, over a six-year period. Obstetrical, delivery, and neonatal outcomes were compared between deliveries with thin meconium (thin meconium group) to deliveries with clear amniotic fluid (control group). Included in the study were 31,536 deliveries. Among them 1946 (6.2%) were in the thin meconium group and 29,590 (93.8%) were controls. Meconium aspiration syndrome was diagnosed in eight neonates in the thin meconium group and in none of the controls (0.41%, <i<p</i< < 0.001). In multivariate logistic regression analysis, the following adverse outcomes were found to be independently associated with increased odds ratio (OR) for thin meconium: intrapartum fever (OR 1.37, 95% CI 1.1–1.7), instrumental delivery (OR 1.26, 95% CI 1.09–1.46), cesarean delivery for non-reassuring fetal heart rate (OR 2.0, 95% CI 1.68–2.46), and respiratory distress requiring mechanical ventilation (OR 2.06, 95% CI 1.19–3.56). Thin meconium was associated with adverse obstetrical, delivery, and neonatal outcomes that should receive extra neonatal care and alert the pediatrician.
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title_short	Impact of Thin Meconium on Delivery and Early Neonatal Outcomes
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Impact of Thin Meconium on Delivery and Early Neonatal Outcomes

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