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Bloody Amniotic Fluid and Neonatal Outcomes
Information on the effect of bloody amniotic fluid during labor at term is scarce. This study assessed risk factors and adverse outcomes in labors with bloody amniotic fluid. During the six years of this study, all nulliparas in our institution, with a trial of labor, were included. Multiple pregnan...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10378302/ https://www.ncbi.nlm.nih.gov/pubmed/37508705 http://dx.doi.org/10.3390/children10071208 |
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author | Schreiber, Hanoch Cohen, Gal Shalev-Ram, Hila Farladansky-Gershnabel, Sivan Weitzner, Omer Biron-Shental, Tal Kovo, Michal Arnon, Shmuel Markovitch, Ofer |
author_facet | Schreiber, Hanoch Cohen, Gal Shalev-Ram, Hila Farladansky-Gershnabel, Sivan Weitzner, Omer Biron-Shental, Tal Kovo, Michal Arnon, Shmuel Markovitch, Ofer |
author_sort | Schreiber, Hanoch |
collection | PubMed |
description | Information on the effect of bloody amniotic fluid during labor at term is scarce. This study assessed risk factors and adverse outcomes in labors with bloody amniotic fluid. During the six years of this study, all nulliparas in our institution, with a trial of labor, were included. Multiple pregnancies and preterm deliveries were excluded. Outcomes were compared between the bloody amniotic fluid group and the clear amniotic fluid group. Overall, 11,252 women were included. Among them, 364 (3.2%) had bloody amniotic fluid and 10,888 (96.7%) had clear amniotic fluid. Women in the bloody amniotic fluid group were characterized by shorter duration of the second stage and higher rate of cesarean section due to non-reassuring fetal heart rate. In addition, there were higher rates of low cord pH (<7.1) and NICU admissions in the bloody amniotic fluid group. In multivariate logistic regression analysis, cesarean delivery, cord blood pH < 7.1, and NICU admission were independently associated with increased odds ratio for bloody amniotic fluid. Bloody amniotic fluid at term is associated with adverse outcomes and must be considered during labor. |
format | Online Article Text |
id | pubmed-10378302 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-103783022023-07-29 Bloody Amniotic Fluid and Neonatal Outcomes Schreiber, Hanoch Cohen, Gal Shalev-Ram, Hila Farladansky-Gershnabel, Sivan Weitzner, Omer Biron-Shental, Tal Kovo, Michal Arnon, Shmuel Markovitch, Ofer Children (Basel) Article Information on the effect of bloody amniotic fluid during labor at term is scarce. This study assessed risk factors and adverse outcomes in labors with bloody amniotic fluid. During the six years of this study, all nulliparas in our institution, with a trial of labor, were included. Multiple pregnancies and preterm deliveries were excluded. Outcomes were compared between the bloody amniotic fluid group and the clear amniotic fluid group. Overall, 11,252 women were included. Among them, 364 (3.2%) had bloody amniotic fluid and 10,888 (96.7%) had clear amniotic fluid. Women in the bloody amniotic fluid group were characterized by shorter duration of the second stage and higher rate of cesarean section due to non-reassuring fetal heart rate. In addition, there were higher rates of low cord pH (<7.1) and NICU admissions in the bloody amniotic fluid group. In multivariate logistic regression analysis, cesarean delivery, cord blood pH < 7.1, and NICU admission were independently associated with increased odds ratio for bloody amniotic fluid. Bloody amniotic fluid at term is associated with adverse outcomes and must be considered during labor. MDPI 2023-07-12 /pmc/articles/PMC10378302/ /pubmed/37508705 http://dx.doi.org/10.3390/children10071208 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Schreiber, Hanoch Cohen, Gal Shalev-Ram, Hila Farladansky-Gershnabel, Sivan Weitzner, Omer Biron-Shental, Tal Kovo, Michal Arnon, Shmuel Markovitch, Ofer Bloody Amniotic Fluid and Neonatal Outcomes |
title | Bloody Amniotic Fluid and Neonatal Outcomes |
title_full | Bloody Amniotic Fluid and Neonatal Outcomes |
title_fullStr | Bloody Amniotic Fluid and Neonatal Outcomes |
title_full_unstemmed | Bloody Amniotic Fluid and Neonatal Outcomes |
title_short | Bloody Amniotic Fluid and Neonatal Outcomes |
title_sort | bloody amniotic fluid and neonatal outcomes |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10378302/ https://www.ncbi.nlm.nih.gov/pubmed/37508705 http://dx.doi.org/10.3390/children10071208 |
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