itself meconium (original stool) during labor is not a problem, unless his appearance does not occur against a background of strong fetal distress.And then there is a problem in the state of the child, rather than the appearance of meconium.With a good heart beat and normal birth, even a large amount of meconium is rarely a problem.
Meconium is more common when stimulated by birth, regardless of the method of stimulation, and the question whether the increasingly moves meconium during delivery after the 40th week, is still open, becausesuch delivery and stimulated too often.
recent study, which the authors wondered whether the discharge of meconium in utero is a risk of meconium aspiration (a condition in which meconium gets into the lungs of the newborn, before or during birth - a comment red.).It is a long time, but the largest - is considered almost a thousand generations "high or average amount of meconium" in the waters.
researchers installed a variety of factors that influence the amount of meconium;but only a few out of every hundred children really showed meconium aspiration syndrome (CAM), although all studied children moved meconium in utero (CAM found in 39 babies out of 937).
stimulation is closely linked with the discharge of fetal meconium and meconium aspiration, but (and this was a surprise for everyone), postmaturity was not a risk factor for the development of meconium aspiration syndrome: CAM evenly distributed among women giving birth in different terms.
Availability CAM was directly connected with a lot of meconium in cases where there were other risk factors - the need to neonatal intensive care, weak heart contractions, Cesarean section.
induction of labor was associated directly with the CAM.
We know that babies born in the stimulated labor, meconium in the waters of more frequent and more common CAM.It would be logical to assume that we often encounter in utero passage of meconium during labor after 40 weeks due to the fact that the stimulation on this term is much more probable than for up to 40 weeks.
This study confirms what most of us already knows: meconium itself "is rarely a problem."Even if it is thick.The analysis revealed only six risk factors for the development of CAM with high probability:
• hospitalization with stimulation in the case of the incident fetal heart rate (OR 6,9)
• the need for endotracheal intubation of the newborn or the use of suction at a level below the vocal cords (OR 4.9)
• Apgar score a minute after the birth of 4 or lower (OR 3.1)
• birth by caesarean section (OR 3.0)
• previous deliveries by caesarean section (OR 2.5)
• maternal smoking showed the lowest risk of CAM(OR 0.07).
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Articles Source: Domestic Child