بررسي ارتباط بين دفع مكونيوم و وضعيت سرويكس

Study of the Frequency of Meconium Passage in Post - date Pregancies by Bishop Cervical Score

Post - date prgnancy , the continuation of pregnancy after 40 weeks , is prevalent in 20% and its complication is meconium passage , which is prevalent in about 5 to 22% . Meconium aspiration is the major Complication of meconium passage . Its mortality rate is around 111000. Since cervical State is an important factor in reaction to induction in post-date pregnancies , we carried out this study to investigate the frequency of meconium passage by cervical bishop score . This cross - sectional descriptive study involved 306 post - date cases at Fatemyyeh Hospital in Hamadan , Iran. They were divided into two groups of favorable (bishop score>6) and unfavorable (bishop score<6) as for their cervicul condition. Their demographic information , primary bishop score , frequency of meconium passage and labor method were also recorded . 31 .4 % of the neonates were found to be immersed in meconium . 80% of the meconium passage occurred in this group. In the group with favorable cervix , 24 neonates were found to be immersed in meconium. it is concluded that planning and training to reduce post - date pregnancies and meconium passage is necessary in health system. Pregnant women with unfavorable cervix require more care and attention ; this emphasizes the necessity of amnioscopy.