MeconiumThe presence of meconium in theamniotic fluid may be a sign of fetaldistressEarly passageLate passgeManagement
Meconium ◼ The presence of meconium in the amniotic fluid may be a sign of fetal distress ◼ Early passage ◼ Late passge ◼ Management
EarlypassageEarlypassage occursany timepriorto rupture of themembranes and is classified as light or heavy,basedon its color and viscosityA.light meconium: Light meconium is lightlystained yellow or greenish amniotic fluid. It isnot associated with poor outcome.B.Heavy meconium:Heavy meconium is darkgreen or black and usually thick and tenacious.It is associated with lower 1- and 5- minuteApgar scores and is associated withthe riskofmeconiumaspiration
Early passage ◼ Early passage occurs any time prior to rupture of the membranes and is classified as light or heavy, based on its color and viscosity • A. light meconium: Light meconium is lightly stained yellow or greenish amniotic fluid. It is not associated with poor outcome • B. Heavy meconium: Heavy meconium is dark green or black and usually thick and tenacious. It is associated with lower 1- and 5- minute Apgar scores and is associated with the risk of meconium aspiration