Prospective observational study found high emergency caesarean rates in term pregnancies with meconium-stained liquor, highlighting monitoring challenges.
This prospective observational study evaluated perinatal outcomes in 180 term pregnancies with meconium-stained amniotic fluid at a tertiary care hospital (2022–2024). Aim Of The Study: Study the determinants that affect the Perinatal Outcome and Mode of delivery in patients with term pregnancies with meconium stained liquor during labour. Data on maternal demographics, labour characteristics, meconium grade, delivery mode, and neonatal outcomes were analyzed. Emergency caesarean section rate was high (61.1%), largely due to non-reassuring fetal heart tracings. Most neonates had good outcomes—97.2% live births, 93.3% with 1-minute Apgar ≥9, and only 2.2% NICU admissions. Neonatal death in 0.6% was often associated with high-risk maternal conditions. Findings highlight the need for vigilant monitoring and timely intervention to minimize complications while avoiding unnecessary operative deliveries.
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