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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.1
- 수록면
- 24 - 31 (8page)
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초록· 키워드
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Objective The aim of this study was to compare the risk factors associated with mild/moderate meconium aspiration syndrome (MAS)with those associated with severe in meconium-stained term neonates.
Methods Consecutive singleton term neonates (n=671) with meconium staining at birth from all deliveries (n=14,666) in our institutionfrom January 2006 to December 2012 were included. Both maternal and neonatal variables were examined. Among thestudy population, for women who underwent the trial of labor (n=644), variables associated with labor were also examined.
These variables were compared between the mild/moderate MAS group, the severe MAS group, and the MAS-absent group.
Results MAS developed in 10.6% (71/671) of neonates with meconium staining at birth. Among the neonates with MAS,81.7% had mild MAS, 5.6% had moderate MAS, and 12.7% had severe MAS. The presence of minimal variabilitywas significantly increased in both the mild/moderate and the severe MAS groups. The frequencies of nulliparity,fetal tachycardia, and intrapartum fever were significantly increased in the mild/moderate MAS group, but not inthe severe MAS group. While a longer duration of the second stage of labor was significantly associated with mild/moderate MAS, severe MAS was associated with a shorter duration of the second stage. Notably, low mean cord pH(7.165 [6.850–7.375]) was significantly associated with mild/moderate MAS, but not with severe MAS (7.220 [7.021–7.407]) compared with the absence of MAS (7.268 [7.265–7.271]).
Conclusion Our data suggest the development of severe MAS is not simply a linear extension of the same risk factors driving mild/moderate MAS.
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참고문헌 (26)
참고문헌 신청
Ahanya SN. / 2005 / Meconium passage in utero : mechanisms, consequences, and management / Obstet Gynecol Surv 60 : 45 ~ 56
Anwar Z. / 2011 / Mortality in meconium aspiration syndrome in hospitalized babies / J Coll Physicians Surg Pak 21 : 695 ~ 699
Balchin I. / 2011 / Maternal and fetal characteristics associated with meconium-stained amniotic fluid / Obstet Gynecol 117 : 828 ~ 835
Beligere N. / 2008 / Neurodevelopmental outcome of infants with meconium aspiration syndrome: report of a study and literature review / J Perinatol 28 (Suppl 3) : S93 ~ S101
Bhutani VK. / 2008 / Developing a systems approach to prevent meconium aspiration syndrome: lessons learned from multinational studies / J Perinatol 28 (Suppl 3) : S30 ~ S35
Anwar Z. / 2011 / Mortality in meconium aspiration syndrome in hospitalized babies / J Coll Physicians Surg Pak 21 : 695 ~ 699
Balchin I. / 2011 / Maternal and fetal characteristics associated with meconium-stained amniotic fluid / Obstet Gynecol 117 : 828 ~ 835
Beligere N. / 2008 / Neurodevelopmental outcome of infants with meconium aspiration syndrome: report of a study and literature review / J Perinatol 28 (Suppl 3) : S93 ~ S101
Bhutani VK. / 2008 / Developing a systems approach to prevent meconium aspiration syndrome: lessons learned from multinational studies / J Perinatol 28 (Suppl 3) : S30 ~ S35
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