Meconium-stained amniotic fluid is associated with puerperal infections

Susan Tran, Aaron Caughey, Thomas J. Musci

Research output: Contribution to journalArticle

45 Citations (Scopus)

Abstract

OBJECTIVE: The purpose of this study was to determine whether meconium-stained amniotic fluid is associated with puerperal infection and whether the quality of the meconium is further associated with this risk. STUDY DESIGN: We designed a retrospective cohort study of all deliveries beyond 37 weeks gestational age from 1992 to 2002 at a single community hospital. Data were collected on rates of chorioamnionitis, endomyometritis, quality of amniotic fluid, and length of labor and analyzed with bivariate and multivariate analyses. RESULTS: We found that, among the 43,200 women who were delivered at term, 18.9% of the women had meconium staining (8.8% thin, 5.5% moderate, 4.6% thick). Compared with deliveries with clear amniotic fluid, those with meconium-stained amniotic fluid had higher rates of chorioamnionitis (2.3% vs 4.1%, P <.001) and endomyometritis (1.0% vs 1.7%, P <.001). Further, the severity of meconium staining was associated with increased rates of infection. CONCLUSION: We found that the presence and severity of meconium-stained amniotic fluid is associated with puerperal infection even when being controlled for confounders.

Original languageEnglish (US)
Pages (from-to)746-750
Number of pages5
JournalAmerican Journal of Obstetrics and Gynecology
Volume189
Issue number3
DOIs
StatePublished - Sep 1 2003
Externally publishedYes

Fingerprint

Puerperal Infection
Meconium
Amniotic Fluid
Chorioamnionitis
Endometritis
Staining and Labeling
Community Hospital
Gestational Age
Cohort Studies
Multivariate Analysis
Retrospective Studies
Infection

Keywords

  • Amniotic fluid
  • Chorioanmionitis
  • Endomyometritis
  • Meconium
  • Puerperal infection

ASJC Scopus subject areas

  • Medicine(all)
  • Obstetrics and Gynecology

Cite this

Meconium-stained amniotic fluid is associated with puerperal infections. / Tran, Susan; Caughey, Aaron; Musci, Thomas J.

In: American Journal of Obstetrics and Gynecology, Vol. 189, No. 3, 01.09.2003, p. 746-750.

Research output: Contribution to journalArticle

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