UNICANCER (101, rue de Tolbiac, 75654 Paris Cedex 13 - France)
Abstract : The epidemiology of meconium aspiration syndrome (MAS) in term neonates is described in a population-based retrospective study of data recorded for all births from 2000 to 2007 in a French region (Burgundy). Of the 132 884 eligible term newborns, the rate of meconium-stained amniotic fluid (MSAF) was 7.93%. The prevalence of severe MAS was 0.067% in the overall population. MAS rate was 0.11% at 37-38 weeks of gestation (WG), 0.20% at 39-41 WG, and 0.49% at 42-43 WG. Factors independently associated with severe MAS were identified by a case-control study, that is, thick meconium amniotic fluid, fetal tachycardia, Apgar score ≤3 at 1 minute, and birth in a level III facility. Our results confirm the high prevalence of MSAF after 37 WG but also show the low frequency of severe MAS in a period corresponding to the new international recommendations on the management of birth with MSAF.
https://hal.univ-reunion.fr/hal-01194217 Contributor : Nicolas AlarconConnect in order to contact the contributor Submitted on : Thursday, June 7, 2018 - 9:50:42 AM Last modification on : Thursday, February 24, 2022 - 9:32:11 AM Long-term archiving on: : Saturday, September 8, 2018 - 12:59:42 PM
Cyril Fischer, C. Rybakowski, Cyril Ferdynus, P. Sagot, Jean-Bernard Gouyon. A Population-Based Study of Meconium Aspiration Syndrome in Neonates Born between 37 and 43 Weeks of Gestation. International Journal of Pediatrics, Hindawi Publishing Corporation, 2012, 2012, pp.321545. ⟨10.1155/2012/321545⟩. ⟨hal-01194217⟩