Title: A Prospective Study on Role of Intrapartum Factors in Fetal Distress and Neonatal Outcome

Author: Dr Amod Kumar Singh

 DOI: https://dx.doi.org/10.18535/jmscr/v7i11.102

Abstract

In this prospective study done in Kamla Nehru Hospital IGMC Shimla 100 women with one or more signs of fetal distress like abnormal fetal movement perception by mother, fetal heart rate abnormality and meconium staining of amniotic fluid were recruited. Effects of intapartum factors like Total duration of labour, Rupture of membranes, Time interval between duration of signs of fetal distress and delivery and Mode of delivery studied in terms of neonatal outcome with Apgar score at one and five minutes. All these above intrapartum factors have been found to affect the neonatal outcome as healthy, mildly asphyxiated and asphyxiated.

References

  1. Apgar V. A proposal for a new method of evaluation of the newborn infant. Curr. Res. Anesth Analg 1953:32:260.
  2. Nathan Mintz: Cesarean section for fetal distress. Am. J. Obstet Gynaecol.; 1960;79 (2):224.
  3. Russ JD. Strong A.R.: Asphyxia of the newborn infant 1946; 5:643-651.
  4. Lund C J, Madison Wis: Prevention of asphyxia neonatorum. A study of the etiologic factors observed in 2000 consecutive deliveries. Am J. of ostet and Gynaecol. 1941:934-48.
  5. Russel KP, Anserson G.V. The aggressive management of rupture membranes. Am J. Obstet Gynaecol. 1962;83:930-37.
  6. Lanier R L, Scar borough RW, Fillingim DW, Baker RE: Incidence of maternal and fetal complications associated with rupture of membranes at or near term from before onset of labour. Am J. Obstet Gynaecol.,1965;93:398-404.
  7. Shubek F, Benson RC, Clark WW et.al. : Fetal hazard after rupture of membranes: Obstet Gynaecol. 1966;28:22-31.
  8. Johnson John WC, Jennifer R, J.Timothy RB: Premature rupture of membranes and prolonged latency: Obstet Gynaecol. 1981;57(5):547-556.
  9. Duglas G. Johnsn: Meconium contamination of the amniotic fluid in labour. Aust. Nz J. Obstet Gynaec 1968;8:225-29.
  10. Paul J. Meis, Marshall Hall III, John R Marshall and Calvin J. Hobel: Meconium passage: A new classification for risk assessment during labour. Am. J. Obstet Gynaecol;1978;131:509-13.
  11. Arnold N.Fenton, Charles M. Steer: Fetal distress; Am J. Obstet Gynaecol, 1962;83:354-362.

Corresponding Author

Dr Amod Kumar Singh

Assistant Professor, Dr. Y.S. Parmar Govt. Medical College, Nahan, India