Meconium-stained amniotic fluid and neonatal morbidity in nulliparous patients with prolonged pregnancy.
nulliparas
prolonged pregnancy
severe neonatal morbidity
thick meconium
thin meconium
Journal
Acta obstetricia et gynecologica Scandinavica
ISSN: 1600-0412
Titre abrégé: Acta Obstet Gynecol Scand
Pays: United States
ID NLM: 0370343
Informations de publication
Date de publication:
08 2023
08 2023
Historique:
revised:
02
06
2023
received:
10
01
2023
accepted:
08
06
2023
medline:
31
7
2023
pubmed:
28
6
2023
entrez:
28
6
2023
Statut:
ppublish
Résumé
Our objective was to study the strength of the association between meconium-stained amniotic fluid and severe morbidity among neonates of nulliparas with prolonged pregnancies. This was a secondary analysis of the NOCETER randomized trial that took place between 2009 and 2012 in which 11 French maternity units included 1373 nulliparas at 41 This study included 1274 patients: 803 (63%) in the group with normal amniotic fluid, 196 (15.4%) in the thin amniotic fluid group, and 275 (21.6%) in the thick amniotic fluid group. The neonates of patients with thick amniotic fluid had higher rates of neonatal morbidity than those of patients with normal amniotic fluid (7.3% vs. 2.2%; p < 0.001; adjusted relative risk [aRR] 3.3, 95% confidence interval [CI] 1.7-6.3), but those of patients with thin amniotic fluid did not (3.1% vs. 2.2%; p = 0.50; aRR 1.0, 95% CI, 0.4-2.7). Among nulliparas at 41
Identifiants
pubmed: 37377254
doi: 10.1111/aogs.14619
pmc: PMC10377997
doi:
Types de publication
Journal Article
Randomized Controlled Trial
Langues
eng
Sous-ensembles de citation
IM
Pagination
1092-1099Informations de copyright
© 2023 The Authors. Acta Obstetricia et Gynecologica Scandinavica published by John Wiley & Sons Ltd on behalf of Nordic Federation of Societies of Obstetrics and Gynecology (NFOG).
Références
Am J Obstet Gynecol. 2017 Aug;217(2):167-175
pubmed: 28427805
J Obstet Gynaecol. 2006 Aug;26(6):518-20
pubmed: 17000496
Obstet Gynecol. 2014 Dec;124(6):1089-1097
pubmed: 25415159
Ann Trop Paediatr. 2008 Sep;28(3):199-203
pubmed: 18727848
Obstet Gynecol. 1994 Mar;83(3):329-32
pubmed: 8127520
Obstet Gynecol. 2003 Jul;102(1):89-93
pubmed: 12850612
J Obstet Gynaecol. 1999 May;19(3):262-4
pubmed: 15512291
Lancet. 2004 Aug 14-20;364(9434):597-602
pubmed: 15313360
Clin Perinatol. 2007 Dec;34(4):653-65, viii
pubmed: 18063111
Am J Perinatol. 2017 Jan;34(2):183-190
pubmed: 27367282
Am J Perinatol. 2016 Mar;33(4):378-84
pubmed: 26479168
Eur J Obstet Gynecol Reprod Biol. 2018 Sep;228:65-70
pubmed: 29909265
J Matern Fetal Neonatal Med. 2014 Sep;27(13):1361-7
pubmed: 24147619
Obstet Gynecol. 2011 Apr;117(4):828-835
pubmed: 21383642
Acta Obstet Gynecol Scand. 2023 Aug;102(8):1092-1099
pubmed: 37377254
J Matern Fetal Neonatal Med. 2002 Jan;11(1):54-9
pubmed: 12380610
N Engl J Med. 2005 Sep 1;353(9):909-17
pubmed: 16135835
J Perinatol. 2019 Oct;39(10):1349-1355
pubmed: 31320720
Int J Gynaecol Obstet. 2021 Sep;154(3):515-520
pubmed: 33448026
J Matern Fetal Neonatal Med. 2011 Jul;24(7):880-5
pubmed: 21410421
Eur J Obstet Gynecol Reprod Biol. 1998 Oct;81(1):9-13
pubmed: 9846706
Arch Gynecol Obstet. 2000 Sep;264(2):84-7
pubmed: 11045329
Cureus. 2021 Jan 16;13(1):e12744
pubmed: 33614343