Meconium-stained Amniotic Fluid And Maternal And Neonatal Factors Associated [fatores Maternos E Neonatais Associados Ao Mecônio No Líquido Amniótico Em Um Centro De Parto Normal]

dc.creatorOsava R.H.
dc.creatorda Silva F.M.B.
dc.creatorJunqueira S.M.
dc.creatorde OliveiraII V.
dc.creatorTuesta E.F.
dc.creatordo Amaral M.C.E.
dc.date2012
dc.date2015-06-26T20:30:44Z
dc.date2015-11-26T14:32:42Z
dc.date2015-06-26T20:30:44Z
dc.date2015-11-26T14:32:42Z
dc.date.accessioned2018-03-28T21:36:05Z
dc.date.available2018-03-28T21:36:05Z
dc.identifier
dc.identifierRevista De Saude Publica. , v. 46, n. 6, p. 1023 - 1029, 2012.
dc.identifier348910
dc.identifier10.1590/S0034-89102013005000005
dc.identifierhttp://www.scopus.com/inward/record.url?eid=2-s2.0-84875888298&partnerID=40&md5=dd54297b7d2463ddbeaa9464157b844e
dc.identifierhttp://www.repositorio.unicamp.br/handle/REPOSIP/97432
dc.identifierhttp://repositorio.unicamp.br/jspui/handle/REPOSIP/97432
dc.identifier2-s2.0-84875888298
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/1247673
dc.descriptionOBJECTIVE: To identify the frequency and maternal and neonatal factors associated with meconium-stained amniotic fluid at birth. METHODS: Cross-sectional study carried out with 2,441 births at an inhospital birth center in the city of São Paulo (Southeastern Brazil) in March and April, 2005. The association between meconium-stained amniotic fluid and the independent variables (maternal age, parity, previous c-section or not, gestational age, obstetric history, oxytocin use in the labor, cervical dilation at admission, mode of current delivery, newborn weight, Apgar score at the 1st and 5th minute) was expressed as prevalence ratio (PR). RESULTS: Meconium-stained amniotic fluid was verified in 11.9% of the births; 68.2% of these were normal births and 38.8% c-sections. Meconium was associated with: primiparity (PR=1.49, 95%CI 1.29; 1.73), gestational age = 41 weeks (PR = 5.05, 95%CI 1.93;13.25), oxytocin in labor (PR = 1.83, 95%CI 1.60; 2.10), c- section (PR = 2.65, 95%CI 2.17; 3.24) and Apgar scores > 7 at the 5th minute (PR = 2.96, 95%CI 2,94;2,99). Neonatal mortality was 1.6/1,000 live births. Meconium-stained amniotic fluid was found in 50% of neonatal deaths and it was associated with higher rates of surgical deliveries. CONCLUSIONS: Oxytocin use, worse conditions of the newborn after the delivery and increased c-section rates were factors associated with meconiumstained amniotic fluid. Routine use of oxytocin in the intrapartum period could be evaluated due to its association with meconium-stained amniotic fluid.
dc.description46
dc.description6
dc.description1023
dc.description1029
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dc.languagept
dc.publisher
dc.relationRevista de Saude Publica
dc.rightsaberto
dc.sourceScopus
dc.titleMeconium-stained Amniotic Fluid And Maternal And Neonatal Factors Associated [fatores Maternos E Neonatais Associados Ao Mecônio No Líquido Amniótico Em Um Centro De Parto Normal]
dc.typeArtículos de revistas


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