Meconium below the vocal cords at delivery: Correlation with intrapartum events

Sharon L Dooley*, Daniel J. Pesavento, Richard Depp, Michael L Socol, Ralph K Tamura, Karen S. Wiringa

*Corresponding author for this work

Research output: Contribution to journalArticle

56 Scopus citations

Abstract

Intrapartum events were studied in 272 patients with meconium-stained amniotic fluid. All infants underwent DeLee suction followed by intubation and 58 of 272 had meconium present below the vocal cords at delivery. Neither the total duration of variable fetal heart rate decelerations or a continuous saltatory pattern nor the presence or absence of late decelerations could be related to an increased risk of meconium below the vocal cords. When a rising baseline fetal heart rate and decreased variability were present as well, a significantly greater proportion of patients had meconium below the vocal cords. Routine obstetric and pediatric suctioning did not prevent the single death that occurred in a fetus who had deep meconium aspiration in utero.

Original languageEnglish (US)
Pages (from-to)767-770
Number of pages4
JournalAmerican Journal of Obstetrics and Gynecology
Volume153
Issue number7
DOIs
StatePublished - Dec 1 1985

Keywords

  • decelerations
  • fetal heart rate
  • Meconium

ASJC Scopus subject areas

  • Medicine(all)
  • Obstetrics and Gynecology

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