Profil Sindrom Aspirasi Mekonium pada Bayi Baru Lahir di RSUD Dr. Soetrasno Rembang

Ahimsa Yoga Anindita, Dwi Hidayah, Yulidar Hafidh, Annang Giri Moelyo, Mayasari Dewi

Abstract

Introduction: The presence of meconium in amniotic fluid occurs in 13% of live births in developing countries. This condition develops when the gestational age increases at delivery. Meconium aspiration syndrome occurs in 5% of newborns in meconium stained amniotic fluid. The aim of this study is to determine the profile of newborns who experience meconium aspiration syndrome (MAS) who are treated at Dr. Soetrasno Hospital, Rembang and its outcome.

Methods: Prospective study, data were obtained from medical records of Dr. Soetrasno Hospital, Rembang during September to October 2018, on newborns with MAS.

Results: Of 12 newborns with MAS were obtained, consisting of 7 (58.3%) male and 5 (41.7%) female. All cases were term infants (gestational age above 37 weeks) and normal birth weight (above 2500 grams). Based on the first minute APGAR score, there were 4 newborns had score 1 and 2, respectively (33.3%). Based on the fifth minute APGAR score, there were 7 newborns had score 3 (58.3%). The outcome of newborns with MAS were 7 alive (58.3%) and 5 died (41.7%).

Conclusion: There were 12 newborns suffering from MAS (54.5%) of 22 babies hospitalized at the NICU dr. Soetrasno Hospital Rembang. All newborns with MAS were term infants and normal birth weight. There were 5 newborns with MAS which required invasive mechanical ventilation (intubation) and all died (41.7%).

 

Keywords

meconium aspiration syndrome (MAS); newborns; Dr. Soetrasno Hospital Rembang

Full Text:

PDF

References

Nath GDR, Penchalaiah A. Study of clinical profile of meconium aspiration syndrome in relation to gestational age and birth weight and their immediate outcome at Narayana Medical College Hospital, Nellore, India. Int J Contemp Pediatr. 2017;4:2142-50.

Garg R, Masand R, Verma CR, Sharma GL, Yadav SA. Clinical profile of meconium aspiration syndrome in relation to birth weight and gestational age. Int J Contemp Pediatr. 2018;5:726-31.

Yurdakok M. Meconium aspiration syndrome: do we know?. Turk J Pediatr. 2011;53:121-9.

Raju U, Sondhi V, Patnaik SK. Meconium aspiration syndrome: an insight. Med J Armed Forces India. 2010;66:152-7.

Lee JH, Romero R, Lee KA, Kim EN, Korzeniewski SJ, Chaemsaithong P, dkk. Meconium aspiration syndrome: a role for fetal systemic inflammation. Am J Obstet Gynecol. 2016;214:3661-9.

Rossi EM, Philipson EH, Williams TG, Kalhan SC. Meconium aspiration syndrome: intrapartum and neonatal attributes. Am J Obstet Gynecol. 1989;161:1106-10.

Fanaroff AA. Meconium aspiration syndrome: historical aspects. J Perinatol. 2008;28:3-7.

Vidyasagar D, Bhat R. Meconium aspiration syndrome: summary. 2018 Maret. [diakses tanggal 18 Oktober 2018]. Tersedia di:

https://bestpractice.bmj.com/topics/en-gb/1185

Behera MK, Kulkarni SD, Gupta RK. Meconium aspiration syndrome: a clinical study. Med J Armed Forces India. 2017;54:19-20.

Swarnam K, Soraisham AS, Sivanandan S. Advances in the management of meconium aspiration syndrome. Int J Pediatr. 2011;2012:1-7.

Hachey W. Meconium aspiration. Dalam: Gomella TL, Cunningham MD, Eyal FG, Tuttle DJ, penyunting. Neonatology: management, procedures, on-call problems, diseases, and drugs. Edisi ke-7. New York: McGraw-Hill; 2013. h. 751-3.

DOI: https://doi.org/10.13057/smj.v1i2.28692

Refbacks

  • There are currently no refbacks.